Week 1.3 Chief Complaint by Symptoms Flashcards

1
Q

what are some locations of symptoms for joint pain

A

lumbar region
first MTP
medial aspect of the knee
upper limb

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2
Q

what are some natures of complaints

A

gout, OA, RA, ankylosing spondy, systemic lupus, reactive arthritis, septic arthritis

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3
Q

why is it important to know how many joints are involved

A

to know what kind of condition we are dealing with (OA/RA vs, gout)

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4
Q

what are some conditions associated with monoarticular pain

A

OA, gout, psoriatic arthritis, septic arthritis

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5
Q

what are some conditions associated with poliarticular

A

RA, juvénile RA, psoriatic arthritis, systemic lupus, ankylosis spondy, reactive arthritis

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6
Q

what 3 joints are not usually involved in OA

A

TMJ, elbow, wrist.

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7
Q

what levels of the C-spine are typically affected by OA

A

usually C5-6, C6-7

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8
Q

what levels of the C-spine are typically associated with RA

A

the whole C-spine, with upper cervical spine instability.

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9
Q

what are some systemic complaints associated with RA

A

dry eye and mouth, reactive lymphadenopathy, intermittent hoarseness, pleural effusion and fibrosis, pericardial effusions, enlarged spleen, amyloidosis, mononeuropathy, peripheral neuropathy, neutropenia, anemia, thrombocytosis, necrotizing vasculitis, cutaneous vasculitis,

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10
Q

what are some conditions associated with non-joint limb pain

A
hypothyroidism
lyme 
polymyalgia rheumatica 
satin related myopathies 
vascular and neurogenic claudication 
tibial stress reaction injury 
DVT
compartment syndrome.
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11
Q

what are some symptoms associated with hypothyroidism

A

myalgia, pain, stiffness, slow and steady weight gain,

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12
Q

what is polymyalgia rheumatica

A

pain and stiffness in the shoulder girdle, pelvic and thigh region, and bilateral and symmetrical. The arm, hand and wrist may also be involved. you have morning stiffness for an hour or longer, and you have difficulty with bed mobility, transitions, and ambulation.

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13
Q

how many people over the age of 60 have dizziness

A

20-30 percent

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14
Q

what are some causes of dizziness

A

vestibular, cardiovascular, craniovertebral junction disorders, neurologic, psychiatric

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15
Q

what are some associated complaints with dizziness

A

hearing loss, tinnitus, aural pressure, CNS or cerebellar signs.

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16
Q

what are emergency situations with dizziness

A

inter cranial bleeds, and cardiac arrhythmia.

17
Q

disequilibrium clinical manifestations are characterized by impaired

A

walking, hearing, vision.

18
Q

what is the history of cardinals signs

A

bilateral or quadrilateral limb paresthesias
perioral lip numbness,
nystagmus
drop attacks

19
Q

what are some fracture tests

A
  • Canadian c-spine rules
  • gross loss of active or passive ROM
  • observation of mastic or facial ecchymosis
  • light cranial compression is painful
  • abnormal end feel ligamentous
  • painful and weak on restricted isometric contraction
  • tuning fork (pain with vibration)
20
Q

what are the CN tests

A
  1. olfactory
  2. optic
    3, 4, 6. oculomotor, trochlear, abducens
  3. trigeminal
  4. facial
  5. vestibulocochlear
    9, 10. glossopharyngeal, vagus
  6. accessory
  7. hypoglossal
21
Q

what tests do you use for sensation

A

light touch, pain, temperature

22
Q

what tests do you use for mechanoreception

A

conscious proprioception, vibration, stereognosis

23
Q

what tests do you use for motor

A

strength, spasticity, DTR, clonus

24
Q

what tests do you use for nocioceptive reflex

A

babinski, Oppenheimer, Hoffman

25
Q

what things in the history can point to dizziness

A

medications, exercise, sleep hygiene, smoking, alcohol

26
Q

what are the 4 categories of dizziness

A

vertigo (peripheral vs central)
disequilibrium (imbalance)
pre syncope (fainting, CV vs non-CV)
nonspecific (panic and anxiety)

27
Q

what are some cervicogenic dizziness associated conditions

A

WAD, AAI, degenerative changes in the C-spine