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