System Review And Physical Examination Flashcards

1
Q

What symptoms will you suspect in a cardiovascular disease

A

Breathlessness on lying down flat, chest pains, palpitations, fatigue, leg pains on exertion, exercise tolerance, ankle swelling, paroxysmal nocturnal dyspnoea

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2
Q

What symptoms will you suspect if it’s a respiratory disease

A

Ask about cough, sputum production, chest pains, haemoptysis, breathlessness and wheeze.

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3
Q

Symptoms for digestive system

A

about condition of the mouth or bleeding gums, nausea, vomiting, bowel habits and nature of the stools. Ask about abdominal pains, difficulty with swallowing, belching, haematemesis, epigastric fullness and flatus. Ask about indigestion and weight loss, the colour of stools (pale, dark, black or bloody stool), heartburn, tongue problems

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4
Q

Symptoms for ear nose and throat

A

Earache
Sore throat
Hearing deficit

Eye: visual changes , redness,weeping,itching,discharge

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5
Q

Symptoms for CNs

A

Headache
Head injury
Dizziness- the world is spinning around you
Vertigo- you are spinning around the world
Memory and concentration changes
Visual disturbances

numbness/tingling, muscle weakness, dizziness, vertigo, blackouts, fits, sleep pattern, vision and double vision, syncope, hearing (e.g. deafness, tinnitus) and disturbed sensation. These symptoms need considerable amplification to make sure that the patient and the doctor mean the same thing.

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6
Q

Symptoms for urinary system

A

ry System
Ask about dysuria, polyuria, nocturia, oliguria, stress and/or urge incontinence, poor stream and stress incontinence. Also ask about strangury which is a constant desire to urinate although there is little or no urine to be voided. Ask about the frequency of micturition both during the day and during the night.

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7
Q

Symptoms for reproductive system

A

Genital System
Ask about menarche, frequency and duration of periods, blood loss e.g. clots, flooding. Are periods painful? Ask about sexual activity, libido, impotence, infertility, urethral or vaginal discharge and post-menopausal bleeding.

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8
Q

What is oliguria

A

Low urine output

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9
Q

What are canker sores

A

Sores in the mouth

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10
Q

Which part of the body does heartburn and indigestion occur

A
Lower chest 
Upper abdomen (indigestion)
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11
Q

Hemoptysis

A

Coughing up blood

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12
Q

What is stress or urge incontinence

A

Loss of bladder control, varying from a slight loss of urine after sneezing, coughing or laughing, to complete inability to control urination.

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13
Q

What is paroxysmal nocturnal dyspnea

A

Paroxysmal nocturnal dyspnea (PND) is defined as respiratory distress that awakens patients from sleep; it is related to posture (especially reclining at night) and is attributed to congestive heart failure (CHF) with pulmonary edema, or in some cases to chronic pulmonary disease

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14
Q

What is orthopnea and difference between orthopnea and paroxysmal nocturnal dyspnea

A

Orthopnea is the sensation of breathlessness in the recumbent position, relieved by sitting or standing. Paroxysmal nocturnal dyspnea (PND) is a sensation of shortness of breath that awakens the patient, often after 1 or 2 hours of sleep, and is usually relieved in the upright position.

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15
Q

What is angina

A

Angina is chest pain or discomfort caused when your heart muscle doesn’t get enough oxygen-rich blood. It may feel like pressure or squeezing in your chest. The discomfort also can occur in your shoulders, arms, neck, jaw, or back.

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16
Q

What are palpitations

A

Rapid pounding heart beats

You feel like your heart is beating boom boom boom like loudly

17
Q

What is syncope

A

Temporary sudden Loss of consciousness or fainting

18
Q

Difference between heart related chest pain and respiratory related chest pain

A

Pressure, fullness, burning or tightness in your chest
Crushing or searing pain that radiates to your back, neck, jaw, shoulders, and one or both arms
Pain that lasts more than a few minutes, gets worse with activity, goes away and comes back, or varies in intensity
Shortness of breath
Cold sweats
Dizziness or weakness
Nausea or vomiting

Resp related: Pleuritis. Also known as pleurisy, this is an inflammation or irritation of the lining of the lungs and chest. You likely feel a sharp pain when you breathe, cough, or sneeze. The pain will like increase with exertion and heavy breathing, and decrease with rest, and stable or slow breathing

19
Q

Flooding with regards to blood loss in women

A

Flooding’– when bleeding is so heavy that seating or sheets become soaked with blood while sitting or lying down. Feeling that your periods are interfering in your everyday life.

20
Q

What is exophthalmos

A
Bulging eyes
Also called: Exophthalmos
OverviewTreatmentsNews
Overview
Description
Bulging of the eyes, which causes the eyes to move out of the sockets in one or both eyes.
21
Q

What is myoxedema

A

Myxedema is another term for severely advanced hypothyroidism. Th

22
Q

What shows conjunctivis

A

Pink eyes

23
Q

What is asterixis or flapping tremor

A

Asterixis is a tremor of the hand when the wrist is extended, sometimes said to resemble a bird flapping its wings. This motor disorder is characterized by an inability to maintain a position,

24
Q

What is halitosis

A

Bad breath

25
Q

What is retrosternal pain

A

Pain the radiates to the arms, throat or jaw