Systems Review

Question 1

Define systems review

Answer 1

a brief screening that allows the therapist to scan the patient’s body systems and determine areas of intact function and dysfunction in each of the following systems

• Cardiopulmonary
• integumentary
• musculoskeletal
• neuromuscular/neurologic
• gait
• motor learning

Question 2

What are the components of the cardiopulmonary part of a systems review?

Answer 2

HR
BP
RR
O2
edema

Question 3

What are the components of the integumentary part of a systems review?

Answer 3

integrity, scar formation, color

Question 4

What are the components of the musculoskeletal part of a systems review?

Answer 4

gross ROM

gross isometric strength

Question 5

What are the components of the neuromuscular/neurologic part of a systems review?

Answer 5

motor control

balance screen

Question 6

What are the components of the gait part of a systems review?

Answer 6

gait screen

Question 7

Define edema

Answer 7

an excessive accumulation of interstitial fluid that may be localized or generalized

Question 8

Define characteristics of generalized edema

Answer 8

shortness of breath, ankle swelling (often B), increased RR

Question 9

What may cause general edema

Answer 9

CHF
Hepatic cirrhosis
pulmonary edema

Question 10

Describe +1 pitting edema

Answer 10

barely detectable impression when finger is pressed into skin

Question 11

Describe +2 pitting edema

Answer 11

slight indentation; 15 seconds to rebound

Question 12

Describe +3 pitting edema

Answer 12

deeper indentation; 30 seconds to rebound

Question 13

Describe +4 pitting edema

Answer 13

> 30 seconds to rebound

Question 14

Define cyanosis

Answer 14

blue-gray discoloration of the nail beds and lips which indicates inadequate oxygenation

Question 15

What may cause cyanosis?

Answer 15

decreased CO, exposure to cold, arterial or venous obstruction, Raynaud’s

Question 16

Define Hemosiderin staining

Answer 16

a rusty discoloration of the lower extremities

Question 17

What may cause Hemosiderin staining?

Answer 17

chronic venous disease

Question 18

What is ecchymosis?

Answer 18

bruising; blue-purple when new, green-yellow when old

Question 19

What is erythema?

Answer 19

increased blood flow causing redness

Question 20

What is jaundice?

Answer 20

a yellow hue, usually noticed in the sclera, due to impaired liver function

Question 21

What is pallor

Answer 21

paleness; decreased color of the skin usually caused by low hemoglobin or impaired circulation

Question 22

What is clubbing?

Answer 22

bulbous swelling of the fingertips caused by longstanding hypoxia; associated with cyanosis

Question 23

What are Beau’s lines?

Answer 23

Deep indented transverse lines across the nail

Question 24

What causes Beau’s lines

Answer 24

trauma, Raynaud’s disease, psoriasis, infection

Question 25

What are Mee’s lines?

Answer 25

transverse white lines across entire nail

Question 26

What causes Mee’s lines?

Answer 26

systemic diseases such as renal disease, Hodgkin’s disease, malaria, sickle cell anemia