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Clin Med I-II > System(s) Review > Flashcards

System(s) Review Flashcards

1
Q

What is the purpose of systems review?

A

identify suspicious non-msk or RED FLAG S&S that require referral to another healthcare professional

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2
Q

Few RED FLAG S&S in isolation are informative; look for __________

A

combinations

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3
Q

_________ are best tools to raise suspicion of pathology

A

RED FLAGS

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4
Q

The patient has symptoms with aerobic exertion indicates __________ system(s)

A

cardiovascular and respiratory

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5
Q

Fever, ______and _____ are most often associated with systemic illness.
-Duration:
-Temp:

A

chills and sweats
-Prolonged ≥ 2 wks.
-102° may require hospitalization

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6
Q

What are some factors of constitutional symptoms or general health components requiring system(s) review?

A

weight changes (≥5% or unexplained)
nausea and vomiting (N&V)
Dizziness and lt. headedness
Fatigues and ≥2wks. limiting
Weakness
Paresthesias/Numbness
Malaise or ill
Mentation or cognitive changes

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7
Q

What is one of the most common early symptoms of an infection?

A

Malaise

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8
Q

Infections are usually local and less symtomatic? True or False?

A

True; more concerned about systemic and greater S&S, affecting multiple systems

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9
Q

In older adults may infections may be more ______ and ______ making it more difficult.

A

subtle and atypical

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10
Q

What are abnormal signs of palpation of lymph nodes?

A

> 2cm diameter
Firm
Immobile
TENDER due to rapid onset of inflammation w/infection

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11
Q

What vital signs should be assessed during Hx and Observation of S&S

A

Temp.
HR.
BP.
RR.

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12
Q

What is the function of the immune system:

A

defends the body against harmful substances, pathogens, and cells or non-selves from internal and external threats

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13
Q

Is an autoimmune deasise more local or systemic?

A

systemic, typically persistent and ongoing

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14
Q

What are common signs of autoimmune conditions?

A

GI P!/dysfunction
Inflammation
Lymph nodes are swollen, but NOT tender (chronic)
Typically affected >1 part of the body

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15
Q

_____ mostly asymptomatic in early stages

A

Cancer

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16
Q

Due to cancer lymph nodes will gain fibrotic tissues? True or False

A

True

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17
Q

Cancer can produce P! that can seem like MSK P!? True or False

A

True

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18
Q

What are the functions of the Integumentary system?

A

Protects underlying structures (skin)
Insulator
Regulations temp.
Assist fluid balance
Synthesis Vitamin D
Sensory detection of stimuli

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19
Q

What are some common S&S of the integumentary system?

A

itchy/dry/rough texture which indicates impaired circulation/oxygenation

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20
Q

Diabetes is commonly associated with the _________ system

A

Integumentary

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21
Q

A change in nail appearance is an S&S of ________ system?

A

Integumentary

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22
Q

What is swelling is caused by fluid trapped in your body’s tissues called? What system is this usually associated with?

A

Edema and Integumentary

23
Q

Cafe au Lait aka coffee stain is commonly associated with ________ system

A

Integumentary

24
Q

What is the ABCDE of melanoma skin cancer?

A

Asymmetry
Border
Color
Diameter
Evolution

25
Q

In the integumentary review, you asses what with your palpation.

A

-SKIN MOBILITY
-Swelling
-Heat

26
Q

What is the function of the Endocrine system:

A

glands sends messages through the body by hormones

27
Q

The endocrine system meets the nervous system at the ________

A

hypothalamus-pituitary interface

28
Q

The main integrative center of the endocrine and autonomic nervous system functions by hormonal and neural pathways

A

Hypothalamus

29
Q

A patient may initially present this system S&S with an MSK problem that regresses in response to hormonal changes or is not progressing.

What system may be associated with this?

A

Endocrine

30
Q

Depends on affected gland and wether it is hyper or hypoactive, creating hormonal changes is associated with ________ system

A

endocrine

31
Q

What are some common endocrine S&S that are present in some MSK conditions?

A

Rheumatoid Arthritis (RA)
Osteoarthritis (OA) (hands and feet)
Osteoporosis

32
Q

These following S&S is associated to which system:
Growth alterations
Polydipsia- excessive thirst
Polyuria- excessive urination
Changes
-Mentation
-Hair
-Skin pigmentation
-Body fat distribution
-Ele. Vitals

A

endocrine system

33
Q

Hx and Observation S&S
-Selective Tension Testing and/or MMT
-Standard Vitals

A

Endocrine System

34
Q

Heart and Blood vessels are associated primarily with what system?

A

Cardiovascular system

35
Q

-in coordination with the respiratory and nervous systems; circulate oxygenated blood through the body and deoxygenated blood to the lungs for reoxygenation

A

Cardiovascular System Function:

36
Q

Which of the following systems S&S is associated:

**Primarily due to insufficiency of heart and vessels
-P! in the chest (angina) without/w upper thorax, neck, UE, and or face due to shared C4-T4

A

Cardiovascular S&S

37
Q

What are some common cardiovascular S&S regarding chest P!?

A

-Family Hx of Heart Attack > 60 y/o
-L UE more common
-UE P! is in ulnar n distribution medially into the little finger; especially upon exertion

38
Q

The S&S is associated with what system:

Dizziness/ Lt.headedness/ fainting (syncope)
Fatigue, with MINIMAL exertion

Peripheral Vascular S&S
-LE edema
-P! in LE (area may lose color)
-Diminished pulse

A

cardiovascular system

39
Q

Hx and Observation S&S:
What are the standard vital signs?
Assess Ankle-Brachial Index
Pt. rests supine 5-10 min
≥ .9 can be used for prediction

A

Cardiovascular system:

-Temp, HR, RR, BP, & (SPo2)

40
Q

This system’s primary function is lymph nodes and vessels; develops embryonically from the venous system.
-removal of cellular debris and waste products

A

Lymphatic system

41
Q

These S&S are commonly associated with________ system:

-primarily fluid build-up and pressure
-Full, heavy, and or tight sensation, particularly w/colthing or jewelry
-Parthiesisas/Numbness
-Increased extremity size

A

Lymphatic S&S

42
Q

Head and neck edema interferes with speech, swallowing, and breathing is an advanced case of the _______ S&S

A

Lymphatic

42
Q

Head and neck edema interferes with speech, swallowing, and breathing is an advanced case of the _______ S&S

A

Lymphatic

43
Q

Hx and oberserbation S&S

-ROM
Girth Measures
-Palpation of lymph nodes
-Temp

A

Lymphatic system

44
Q

These functions are associated with what system:
noses, mouth pharynx, larynx to lungs
-in coordination with cardiovascular, nervous, and immune systems to facilitate gas exchange
-removes Co2 and waste from tissues

A

Respiratory system

45
Q

P! in neck or upper shoulder
decreased breath sounds and possible plural rub of lung and rubs connective tissue
Thorax P! (shared T2-4 innervation) exacerbated by:
-Trunk Motion
-Accessory motion testing
-deep inspiration

A

respiratory system S&S

46
Q

Hx and Observation:
-Standard Vitals
-Beath sounds with a stethoscope and auscultations
-Prescussions

A

respiratory system

47
Q

These functions are associated with what system?
stomach, intestines colon, rectum
-Digestion
-Absorbption
-Excertion
-Protection

A

Gastrointestinal system

48
Q

P! in neck truck, pelvic, and or shoulder; (shared innervation)
-Bowel dysfunction
-Swallowing difficulties
-N&V
-food version/intolerances

A

Gastrointestinal S&S

49
Q

Hx and observation
abdominal quadrant assessment

A

Gastrointestinal system

50
Q

These functions are associated with which of the following systems: uptake synthesize, packaging, and secretion of lipids and fats and lipoproteins

*Plays role in nearly every bodily system
Endocrine and GI systems assist with
-Digestion
-Absorbtion

A

heptaic system

51
Q

Mostly due to increases in bilirubin
-GI S&S
-P! in upper abdominal and or thoracic quadrant/R upper shoulder
-Neuro involvement, increases neurotoxin build-up of ammonia/bile

A

Hepatic S&S

52
Q

Hx and Observation:
Abdominal quadrant assessment
**Neurological tests

A

Hepatic system

53
Q

These functions are associated with what system:
-sensory processing
-involuntary and voluntary responses
-MAJOR controlling, regulating, and communicating bodily system

A

Nervous system

Clin Med I-II (21 decks)

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