SPE #2

Question 1

specific questions to ask for brain tumors

Answer 1

HX of cancer?

Does it wake you up at night?

any unexplained weight loss?

HA? if so does it get worse when looking down, ex, or coughing?

any numbness or tingling?

ringing in ears?

Question 2

S&S of Brian tumors

Answer 2

cancer S&S

specifics related to area of brain

HA made worse with activity/looking down/cough

common neuro deficits

UMN symptoms (including ataxia)

possible diplopia/painful eye morion

tinnitus

seizures

speech impairment

Question 3

signs/symptoms of thoracic malignancy

Answer 3

Hx of cancer (especially breast, lung, prostate, kidney, GI, and thyroid)

Cancer S&S

spine pain; unfamiliar/severe

possible myelopathy S&S

bony alterations

can’t lie flat

possible mechanical pain

possibly TTP

Question 4

questions for thoracic malignancy

Answer 4

Hx of cancer?

spine pain??

ever felt the pain before?

trouble lying flat?

tender to touch?

Question 5

symptoms of thoracic spinal cord myelopathy

Answer 5

gradual onset

neuro specific to level of injury

extreme spine pain

numbness; multi segment

spastic/retentive bladder/bowel

hyperactive DTRs

+ UMN

hypoactive superficial reflexes

Question 6

questions for thoracic myelopathy

Answer 6

did it come on gradually?

Hx of cancer?

numbness or weakness?

any bowel/bladder issues?

Question 7

signs/symptoms of non traumatic spinal fractures

Answer 7

thoracic pain (especially if history of osteoporosis/cancer)

unfamiliar/severe/worsening pain

TTP, vibration, or percussion

sudden change in spinal posture/shape

likely mechanical pain

rare neuro symptoms in LE including coordination and bowel/bladder dysfunction

Question 8

questions for non traumatic spinal fractures

Answer 8

Hx of osteoporosis or cancer?

does it hurt if you touch it?

does the pain increase with movement?

any recent use of corticosteroids?

was it gradual or a sudden pain? if sudden what were you doing?

Question 9

S&S for angina/MI

Answer 9

chest pain/tightness/heaviness

additional pain in L shoulder/jaw

SOB
sweating
nausea
fatigue
syncope

intrascapular or right arm pain in women

diabetes = less pain due to neuropathy

Question 10

lung cancer S&S

Answer 10

any cough, SOB, wheezing or other respiratory symptoms.

cancer S&S

possible shoulder pain (associated with pan coast)

+ any pan coast symptoms

Question 11

pan coast tumor S&S

Answer 11

lung cancer S&S

shoulder pain

UE swelling or numbness tingling

possible mechanical pain due to rib location

paraesthesias along medial and/or ulnar dermatomes

Question 12

questions for lung cancer/pancoast tumor

Answer 12

any cough or SOB/wheezing?

any numbness/tingling?

shoulder pain?

any noticed swelling of arm?

is the pain reproduced with movement?

any noticeable weakness in your hands?

noticed any changes with your face or eyes? (hornets syndrome, ips facial flushing/sweating?)