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60 Cards in this Set

  • Front
  • Back
General systemic
Unknown cause
General systemic
"Lack of expected progress w/ PT intervention
General systemic
Discovery of significant past medical Hx unknown to physician
General systemic
Client who is jaundiced and has not been diagnosed or treated
General systemic
Lack of significant objective neuromusculoskeletal S&Sx’s
General systemic
Development of constitutional symptoms or S&Sx’s any time during the episode of care.
General systemic
Changes in health status that persist 7-10 days beyond expected time period
Vital Signs (Report These Findings)
Persistent rise or fall of BP
Vital Signs (Report These Findings)
Pulse amplitude that fades w/ inspiration and strengthens w/ expiration
Vital Signs (Report These Findings)
Difference in pulse pressure of more than 40 mm Hg
Vital Signs (Report These Findings)
Any unexplained fever w/out other systemic symptoms, especially if taking corticosteroids
Vital Signs (Report These Findings)
BP elevation in a any woman taking birth control pills
Vital Signs (Report These Findings)
Pulse increase >20 BPM lasting more than 3 minutes after rest or changing position.
Vital Signs (Report These Findings)
Persistent low-grade fever, especially associated w/ constitutional symptoms, most commonly sweats
Vital Signs (Report These Findings)
See also Yellow warning signs (Box 4-6)
Cancer
7 early warning signs plus 2 additional signs are pertinent to the PT examination (Box 13-1)
Cancer
Any woman presenting w/ chest, breast, axillary, or shoulder pain of unknown etiologic basis, especially in presence of + medical Hx of cancer
Cancer
Bone pain, especially on weight-bearing, that persists more than 1 week and is worse at night
Cancer
All soft tissue lumps that persist or grow, whether painful or painless
Cancer
Any man w/ pelvic, groin, SI, or low back pain accompanied by sciatica and a Hx of prostate cancer.
Cancer
Any unexplained bleeding from any area.
Cardiac
"3 sublingual nitroglycerine tabs required to relieve angina.
Cardiac
"Client has any doubts about his or her condition.
Pulmonary
"Shoulder pain aggravated by respiratory movements; have the client hold his or her breath and reassess Sx’s; any reduction or elimination of Sx’s w/ breath holding or Valsalva maneuver suggests pulmonary or cardiac source symptoms.
Genitourinary
"Abnormal urinary constituants e.g. change in color, odor, amount, flow of urine.
Gastrointestinal
"Back pain and abdominal pain at the same level especially when constitutional symptoms present
Musculoskeletal
"Sx’s than seem out of proportion to the injury or Sx’s persisting beyond the expected time for the nature of the injury
Cardiac
Angina continues to increase in intensity after stimulus has been eliminated.
Cardiac
Changes in pattern of angina.
Cardiac
Abnormally sever chest pain.
Cardiac
Anginal pain radiates to jaw/left arm.
Cardiac
Upper back feels abnormally cool, sweaty, or moist to touch.
Cardiac
"Client has any doubts about his or her condition.
Pulmonary
"Shoulder pain aggravated by respiratory movements; have the client hold his or her breath and reassess Sx’s; any reduction or elimination of Sx’s w/ breath holding or Valsalva maneuver suggests pulmonary or cardiac source symptoms.
Pulmonary
Shoulder pain that is aggravated by supine position and improves w/ sitting up or leaning forward is often pleuritic in origin.
Pulmonary
Shoulder or chest pain that subsides w/ “autosplinting” (laying on painful side)
Pulmonary
Signs of asthma or abnormal bronchial activity during exercise.
Pulmonary
Weak and rapid pulse accompanied by fall in BP (pneumothorax)
Pulmonary
Presence of associated S&Sx’s, such as persistent cough, dyspnea, or constitutional symptoms.
Genitourinary
Any amount of blood in urine
Genitourinary
Cervical pain accompanied by urinary incontenence (unless cervical disk protrusion already Dx’d.
Gastrointestinal
Back pain and abdominal pain at the same level especially when constitutional symptoms present
Gastrointestinal
Back pain of unknown cause in person w/ Hx of cancer
Gastrointestinal
Back or shoulder pain in person taking NSAIDS, especially when accompanied by GI upset or blood in stool.
Gastrointestinal
Back or shoulder pain assoc w/ meals or back pain relieved by bowel movement
Musculoskeletal
Sx’s than seem out of proportion to the injury or Sx’s persisting beyond the expected time for the nature of the injury
Musculoskeletal
Sever or progressive back pain accompanied by constitutional sighs and symptoms, especially fever.
Musculoskeletal
New onset of joint pain following surgery w/ inflammatory signs (warmth, redness, tenderness, swelling.
Cardiac
Client has any doubts about his or her condition.
Cardiac
Palpitation in any person w/ a Hx o unexplained sudden death in the family requires medical evaluation; > 6 episodes of palpitation in 1 minute or palpitations lasting for hours or occurring in association w/ pain, SOB, fainting, or severe lightheadedness.
Cardiac
Clients who are neurologically unstable as a result of a recent CVA, head trauma, SCI, or other CNS insult often exhibit new arrhythmias during the period of instability; when the clients pulse is monitored, any new arrhythmias noted should be reported to the nursing staff or physician.
Cardiac
Anyone who cannot climb a single flight of stairs w/out feeling moderately to severely winded or who awakens at night or experiences SOB when lying down.
Cardiac
Anyone w/ known cardiac involvement who develops progressively worse dyspnea.
Cardiac
Fainting (syncope) w/out warning period of lightheadedness, dizziness, or nausea may be sign of heart valve or arrhythmia problems.
Pulmonary
Shoulder pain aggravated by respiratory movements; have the client hold his or her breath and reassess Sx’s; any reduction or elimination of Sx’s w/ breath holding or Valsalva maneuver suggests pulmonary or cardiac source symptoms.
Pulmonary
Shoulder pain that is aggravated by supine position and improves w/ sitting up or leaning forward is often pleuritic in origin.
Pulmonary
Shoulder or chest pain that subsides w/ “autosplinting” (laying on painful side)
Pulmonary
Signs of asthma or abnormal bronchial activity during exercise.
Pulmonary
Weak and rapid pulse accompanied by fall in BP (pneumothorax)
Pulmonary
Presence of associated S&Sx’s, such as persistent cough, dyspnea, or constitutional symptoms.