System Review And Physical Examination Flashcards
What symptoms will you suspect in a cardiovascular disease
Breathlessness on lying down flat, chest pains, palpitations, fatigue, leg pains on exertion, exercise tolerance, ankle swelling, paroxysmal nocturnal dyspnoea
What symptoms will you suspect if it’s a respiratory disease
Ask about cough, sputum production, chest pains, haemoptysis, breathlessness and wheeze.
Symptoms for digestive system
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
Symptoms for ear nose and throat
Earache
Sore throat
Hearing deficit
Eye: visual changes , redness,weeping,itching,discharge
Symptoms for CNs
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.
Symptoms for urinary system
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.
Symptoms for reproductive system
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.
What is oliguria
Low urine output
What are canker sores
Sores in the mouth
Which part of the body does heartburn and indigestion occur
Lower chest Upper abdomen (indigestion)
Hemoptysis
Coughing up blood
What is stress or urge incontinence
Loss of bladder control, varying from a slight loss of urine after sneezing, coughing or laughing, to complete inability to control urination.
What is paroxysmal nocturnal dyspnea
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
What is orthopnea and difference between orthopnea and paroxysmal nocturnal dyspnea
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.
What is angina
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.