Signs And Symptoms

Front 1

acute asthma attack

Back 1

anxiety, wheezing (bronchospasm on exhalation) and mucus plugging, tachypnea and tachycardia, dyspnea and possible chest discomfort, accessory muscle use, forcing each breath out, coughing

Front 2

COPD- emphysema

Back 2

anxiety and tripod position, dyspnea (trouble getting air IN), pursed lip breathing, accessory muscle use, rhonchi or wheezes, prolonged expiratory phase (forcing breath OUT), cyanosis or ruddines, barrel chest

Front 3

pulmonary edema

Back 3

starts as mild or pronounced agitation, tachycardia, pale/cool/clammy skin, persistent cough - usually non-productive, wheezes or crackles,

Front 4

pulmonary embolous

Back 4

sudden and dramatic onset of agitation and apprehension, sudden and dramatic hyperventilation, dyspnea with congestion and SOB, pleuritic chest pain- sharp and sudden on inhalation, tachypnea and tachycardia, hemoptysis, cyanosis, crackles, calf or leg pain

Front 5

pneumonia

Back 5

hx of upper respiratory infection, fever, productive cough (rhonchi) often with greenish or rust colored mucus, possibly wheezes, chest discomfort or pain

Front 6

flu (influenza)

Back 6

sudden onset of fever and chills (102-104), general malaise, feel to lousy to function (3-4 days of extreme fatigue), severe headache with photophobia and eye ache, severe muscle aches (back and legs), cough (possibly with substernal bleeding), lasts 3-7 days

Front 7

hyperventilation syndrome

Back 7

severe anxiety/agitation/fright, hyperventilating, progressive S/S of alkosis; light headiness and dizziness, numbness and tingling around the mouth, tightness in the chest, complaint of not being able to get breath, muscle twitching, carpal/pedal spasms, tetany, seizures, LOC

Front 8

epiglottitis

Back 8

fever, sore throat (dysphagia and drooling), dyspnea, accessory muscle use, coughing

Front 9

pleurisy

Back 9

pleuritic chest pain (sharp, stabbing, on inhalation), cough, hx of URI

Front 10

adult respiratory distress syndrome (ARDS)

Back 10

dyspnea and tachycardia, crackles

Front 11

angina pectoris

Back 11

P- exercise, activity, stress Q- feels like pressure, chest tightness, weight on the chest, burning R- felt substernal or epigastric, may radiate to jaw, neck or left arm S- mild or moderate pain or discomfort T- sudden onset usually lasts 3-5 minutes... dyspnea, diopheresis, N/V, belching

Front 12

myocardial infarction

Back 12

P- exercise, activity or stress, may be no provoking factor Q- feels like pressure, chest tightness, burning, weight on chest R- felt substernal or epigastric, may radiate to jaw, neck or left shoulder/arm S- moderate or severe pain or discomfort T- sudden onset, usually lasts 30 min or longer... N/V, diopheresis (soaking wet), weakness or light-headiness, irregular pulse, dyspnea, orthopnea, denial

Front 13

CHF (left sided)

Back 13

slow onset over several days but may not be noticed until acute, dyspnea, SOB, productive cough, orthopnea, usually found propped up, pulmonary edema

Front 14

CHF (right sided)

Back 14

dependent edema (pedal edema), JVD, liver enlargement (ascites)

Front 15

hypertensive crisis

Back 15

HTN with angina, pulmonary edema, pregnancy, signs of cerebral edema (severe headache, blurred vision, N/V, altered mental status, focal neurological signs, paresthesias, dizziness, vertigo, tinnitus), epistaxis, chest pain, SOB, abdominal or back pain

Front 16

hypertensive emergency

Back 16

pulse that is strong and bounding, tinnitus, headache, epistaxis, N/V

Front 17

dissecting aortic aneurysm

Back 17

P- lifting heavy weights, straining Q- tearing, hot, knife-like R- pain front anterior chest, boring through to the back S- very severe and hits maximum at time of onset (does not build up) T- sudden onset... unequal left and right radial/femoral pulses, unequal blood pressures

Front 18

CVA

Back 18

ALOC (coma, stupor, confusion, seizures, delirium), intense or unusually severe headache and or neck/facial pain, hemiparesis or hemiplegia, ataxia, asymmetry of face (facial drooping), aniscoria, dysarthria, aphasia, dysphasia, incontinence, photophobia, sudden blurred vision, vertigo, N/V, HTN (>140/90)

Front 19

TIA

Back 19

ALOC (coma, stupor, confusion, seizures, delirium), intense or unusually severe headache and or neck/facial pain, hemiparesis or hemiplegia, ataxia, asymmetry of face (facial drooping), aniscoria, dysarthria, aphasia, dysphasia, incontinence, photophobia, sudden blurred vision, vertigo, N/V, HTN (>140/90)

Front 20

grand mal seizure

Back 20

aura before seizure (odd smell, sound or visual disturbance), tonic/clonic phase (muscle stiffening then spasms), LOC or lack of awareness, tismus, bitting cheek or tongue, incontinence, post-ical phase (relaxation)

Front 21

gastric ulcer

Back 21

persistent pain in the upper abdomen (described as burning), pain is somewhat or completely relieved by eating bland foods, hematemesis or melena

Front 22

abdominal aortic aneurysm

Back 22

P- lifting heavy weights, straining Q- tearing, hot, knife-like R- pain from anterior abdomen boring through to the back S- very severe and hits maximum at time of onset T- sudden onset... unequal femoral pulses, may have severe signs of shock

Front 23

appendicitis

Back 23

fever, anorexia, N/V, sharp right lower quadrant pain, guarding, rebound tenderness (increased over several hours)

Front 24

esophageal varices

Back 24

massive hematemesis, dramatic hemoptysis, hypovolemia

Front 25

gallbladder inflammation (cholecystitis)

Back 25

hx of recent ingestion of a meal with a lot of fat, gradual onset of sharp pain in RUQ (possibly right shoulder), possible N/V

Front 26

kidney stones

Back 26

tremendous pain in lower quadrants radiating in pulse-like waves from rear flank downward, anxiety, N/V, hematuria

Front 27

bowel obstruction

Back 27

crampy pain in abdomen -in spasms, abdominal distention, anorexia, N/V, fever

Front 28

chronic liver disease (hepatitis)

Back 28

jaundice, ascites, pedal edema, muscle atrophy, decreased clotting, petechai, varicose or spider veins

Front 29

pancreatitis

Back 29

sudden onset of severe LUQ epigastric pain- steady boring through to the back- may radiate to left shoulder, usually hx of alcohol abuse, abdominal distention or tenderness, N/V, may develop shock

Front 30

irritable bowel syndrome

Back 30

abdominal pain, cramping, gas, bloating, diarrhea or constipation, described as "worse than child birth", sudden knife-like pain that doubles pt over

Front 31

diverticulitis

Back 31

LLQ abdominal pain, fever, vomiting, constipation

Front 32

hyperglycemic crisis (diabetic coma)

Back 32

gradual onset often over several days, flush/dry/warm skin, mild fever, intense thirst and dry mouth, weak tachycardia, hypotension, rapid-deep sighing breathing (kussmal respirations), fruity or sweet smelling breath (acetone- ketoacidosis), decreased LOC- gradual onset of restlessness-stupor-confusion- eventual coma- feels weak and sleepy, N/V, abdominal pain, anorexia, blurred vision

Front 33

hypoglycemic crisis (insulin shock)

Back 33

sudden onset (often too fast to react), pale/cool/wet skin (often soaking wet), full strong tachycardia, weakness or dizziness, agitated- restless- uncooperative -abnormal behaivor- syncope- ALOC

Front 34

anaphylaxis

Back 34

tachypnea, tachycardia, hypotension, red or pale itchy raised skin (bull's eye), dyspnea, wheezing or stridor (from bronchospasm or laryngospasm), respiratory distress, signs of hypovolemia

Front 35

bee sting (anything from the hymenoptera family)

Back 35

pain and localized swelling, redness, "bull's eye" mark, itching, watch for airway swelling

Front 36

staph food poisoning

Back 36

onset 1-6 hours after ingestion, VIOLENT onset of N/V/D and abdominal pain

Front 37

salmonella food poisoning

Back 37

onset 12-72 hours after ingestion, VIOLENT onset of N/V/D and abdominal pain, transmission animal to human from fecal matter

Front 38

shigella

Back 38

onset 1-2 days, duration 4-7 days, acute bloody diarrhea

Front 39

e coli

Back 39

onset 1-3 days, acute watery diarrhea (usually without fever) lasts 3-7 days

Front 40

botulism food poisoning

Back 40

onset 12-36 hours, N/V/D, abdominal cramping, pressing to paralysis, respiratory depression, paresthesias, bronchospasm, cranial nerve weakness

Front 41

poison oak dermatitis

Back 41

delayed onset (some blisters appear after 12 hours then gradually increase), intense itching then leading to scratching or scarring, small fluid filled vesicles appear which break and leak serum

Front 42

antidepressants

Back 42

decreased LOC, seizures, cardiac dysrhythmias

Front 43

beta blockers

Back 43

cardiac dysrhythmias (brady usually), hypotension, bradycardia, cardiac arrest

Front 44

narcotics/opiates

Back 44

decreased LOC, respiratory depression, hypoventilation, hypotension, N/V

Front 45

depressants

Back 45

decreased LOC, respiratory depression, hypoventilation, loss of muscle coordination, dysarthria, nystagmus, bradycardia, hypotension

Front 46

stimulants

Back 46

increased LOC (agitation, anxiety, restlessness, paranoia), tachycardia, hypertension, rapid speech, dilated pupils, seizures- muscle twitching, tremors, chest pain

Front 47

hallucinogens

Back 47

ALOC, blank stare, aggression, anxiety, agitation, paranoia, inappropriate behavior, tachycardia/hypertension, visual hallucinations, seizures, nystagmus, hot flashes

Front 48

hydrocarbons/ solvents

Back 48

ALOC, blank stare, CNS depression, coughing, choking

Front 49

alcohol withdrawal syndrome

Back 49

ALOC, hallucinations (ants crawling on skin), insomnia or nightmares, pale/cool/clammy skin (goose bumps), tremors (delirium tremors), tachycardia, seizures

Front 50

aspirin

Back 50

tinnitus, N/V, pain and cramping in severe overdoses, hyperventilations, LD50 = 95 tablets

Front 51

tylenol (acetaminophen)

Back 51

onset 3-7 days, malaise, anorexia, cyanosis, acute liver failure, LD50 = 40-75 tablets

Front 52

toxic inhalations

Back 52

dyspnea, tachypnea, N/V, ALOC, airway irritation, wheezing or crackles, sore throat, cough

Front 53

smoke inhalations (toxic gases)

Back 53

dyspnea, tachypnea, cough, stridor/wheezes/ crackles, watery irritated eyes, signed facial hairs (eyebrows and nasal hairs)

Front 54

carbon monoxide inhalations

Back 54

rapid headache seems "out of nowhere", ALOC- confusion - coma, N/V, dyspnea-tachypnea- tachycardia, flushed skin, dizziness

Front 55

cyanide gas inhalations

Back 55

sudden onset within minutes on inhalation, pt becomes rapidly unconscious (often falling), respirations are rapid and convulsive at first- then slow and gasping, hypotension, seizures, incontinence, cardiovascular collapse

Front 56

chlorine gas inhalations

Back 56

instant onset of burning in the lungs, dyspnea, tachypnea, severe cough, abnormal breath sounds, watery irritated eyes

Front 57

organophosphates

Back 57

Constricted pupils, Diarrhea, Urination/incontinence, Muscle weakness/trembling/ataxia, Bradycardia/hypotension, Bronchospasm-possible wheezing, Bronchorrhea-lots of mucus, Emesis/ N/V, Lacrimation- tearing of eyes, Sweating and flushed skin, Salivation/drooling/dysphagia, Seizures, GI cramping (C-DUMB BBELSSS-G)

Front 58

pelvic inflammatory disease (PID)

Back 58

tremendous pain in lower quadrants, often have fever, anxiety/restlessness, N/V, abnormal vaginal discharge

Front 59

ectopic pregnancy

Back 59

abrupt onset of severe tabbing pain in the lower quadrants, abdominal distention, guarding, rigidity, may not know she is pregnant, S/S of shock, N/V, vaginal bleeding (spotting)

Front 60

contusion

Back 60

discoloration (capillary bleeding or bruising), pain or tenderness, some swelling

Front 61

hematoma

Back 61

usually some swelling- pronounced bump, discoloration, pain/tenderness

Front 62

abrasion

Back 62

small amounts of blood loss with large amounts of tissue damage

Front 63

puncture

Back 63

usually very little external blood loss, but may be significant internal bleeding

Front 64

avulsion

Back 64

torn or ripped off piece of skin, considerable blood loss but vessels pinch off quickly

Front 65

incision

Back 65

cut will be smooth minimal bleeding

Front 66

laceration

Back 66

cut will be rough with lots of bleeding

Front 67

evisceration

Back 67

will notice internal organs located outside of the body

Front 68

larynx/ trachea fracture

Back 68

obvious signs of injury, edema, hoarseness, stridor, subcutaneous emphysema

Front 69

compartment syndrome

Back 69

pallor, paralysis, pulseless, paresthesias, pain on having their limb stretched (passive stretch)

Front 70

airway burns

Back 70

burns around the face/mouth, singed facial hairs- eyebrows- eyelashes- nasal hairs, productive cough (sooty sputum), hoarseness when pt tries to talk, dyspnea, dysphagia, hx of burn inside an enclosed area,

Front 71

thermal burns

Back 71

IMMEDIATE respirator burns (most frequent cause of death), smoke or toxic gas inhalation, hypothermia LATER hypovolemia, infections, kidney failure, pulmonary edema (non-cariogenic)

Front 72

concussion

Back 72

usually temporary LOC followed by a prompt recovery, often pt will complain of headache and light headiness, dizziness, grogginess, N, pt recovery is measured in min-to hours

Front 73

cerebral contusion

Back 73

much like a concussion usually more severe and last longer, S/S of ICP, pt recovery is measure in hours to days, may be permanent disability

Front 74

epidural hematoma

Back 74

all signs and symptoms of concussion, ALOC with "lucid interval", onset may be delated 1-4 hours, S/S of ICP, usually following linear fx to temporal or parietal bones

Front 75

subdural hematoma

Back 75

all signs of concussion, S/S may be delayed 2-4 weeks, S/S of ICP

Front 76

intra-cerebral hemorrhage

Back 76

sudden onset of extremely severe headache "worst headache i have ever had", rapid LOC without regaining it (falling out of chair), S/S of ICP

Front 77

coup- countercoup

Back 77

S/S of ICP, increased systolic BP, widened pulse pressure, bradycardia (baroreceptor reflex- vagal response), altered/abnormal respiratory patterns, deteriorating LOC, N/V, severe persistent headache, pupillary changes, seizures, brainstem posturing in severe cases

Front 78

cervical spine trauma

Back 78

pain (especially on palpation), swelling/deformity at injury site, neck muscle spasms and stiffness, neurological deficits (paralysis, paresthesias, anesthesia)- "sitck em up" position (indicates C6 fx), respiratory compromise, diaphragmatic breathing (sign of fx below C4), neurogenic shock (loss of sympathetic NS- pt lacks common shock signs), incontinence, priapism

Front 79

rib fracture

Back 79

sharp-stabbing- pleuritic chest pain thats made worse by inhalation, may have abrasion or contusion (seatbelt), pt will attempt to splint area with his own arm, may be hypOventilating due to pain

Front 80

flail chest

Back 80

dyspnea, tachypnea, "floating" chest wall segment (paradoxical chest movement), cyanosis, subcutaneous emphysema,

Front 81

pneumothorax

Back 81

dyspnea, tachypnea, diminished breath sounds on one side, sharp- stabbing chest pain

Front 82

tension pneumothorax

Back 82

progressive dyspnea, tachypnea, absent lung sounds on affected side (muffled or distant), JVD, narrowed pulse pressure (hypotension), unequal chest expansion on inhalation, tracheal deviation (left or right)

Front 83

pericardial tamponade (cardiac tamponade)

Back 83

JVD, dyspnea, narrowed pulse pressure (hypotension), muffled heart sounds (breath sounds would be equal)

Front 84

myocardial contusion

Back 84

chest pain, bruising over sternum, dyspnea, tachypnea, dysrhythmia, S/S of shock

Front 85

commotio cordis

Back 85

S/S of trauma over sternum, v-fib

Front 86

pulmonary contusion

Back 86

chest pain, bruising over the sternum, progressive dyspnea, decreased breath sounds on one side, hemoptysis, dysrhythmia

Front 87

tracheobronchial rupture/laceration

Back 87

severe respiratory distress, stridor- hoarseness if able to talk, subcutaneous crackling- sensation to touch (crepitus), decreased or unequal breath sounds, hemoptysis, tachycardia, hypotension, cyanosis

Front 88

hemothorax

Back 88

S/S of severe shock, respiratory distress, decreased or absent breath sounds on one side

Front 89

blunt abdominal trauma

Back 89

pain and tenderness- often diffuse- sometimes local (point tenderness), abdominal distention, abdominal "guarding"-rigidity, signs of surface wounds (abrasions, discolorations, bruising), N/V, S/S of shock

Front 90

sprains

Back 90

may have heard a "snap", pain and tenderness (may prevent walking), swelling, discoloration (often delayed)

Front 91

strains

Back 91

may have heard a "snap", pain and tenderness, severe weakness

Front 92

dislocations

Back 92

deformity (usually dramatic), pain and tenderness (usually extreme pain), swelling occurs but may take time or be masked by deformity, discoloration (takes time), inability to move joint

Front 93

fractures

Back 93

deformity (not always present), pain and tenderness (usually significant), swelling/edema (takes time), discoloration (takes times), CAN be moved, crepitus, pt usually heard it break

Front 94

hypothermia

Back 94

MILD- amnesia, dysarthria, poor judgement, stupid (maladaptive) behavior, tachycardia, hyperventilations, ataxia and apathy, SEVERE- stupor, decrease in oxygen consumption, decreased LOC, bradycardia, pupils dilate, v-fib, paradoxical undressing, loss of reflexes and voluntary movement, BP may be undetectable

Front 95

frostbite

Back 95

pale, waxy appearing/ cold skin, usually painless (extreme pain if thawing has started), no cap refill, usually also hypothermic

Front 96

heat syncope

Back 96

body temp and water/salt balances are normal, brief syncope, fatigue, malaise, drowsiness, headache, confusion, weakness, dizziness, thirst, pale/soaked/ cool skin

Front 97

heat exhaustion (exercise hypovolemia)

Back 97

dehydration, low water/salt balance, usually exercising, fatigue, malaise, drowsiness, headache, confusion, weakness, dizziness, syncope, rapid thready pulse, hypotension, pale/soaked cool skin, muscle/abdominal cramps (60% get them), N/V/D, thirst

Front 98

heat cramps (water toxicity)

Back 98

usually after exercise, muscle cramps of legs and muscles being used, hx of prolonged heavy exertion in heat, nausea, body temp normal

Front 99

heat stroke

Back 99

hot/wet/pale skin (usually sweating after collapse), LOC, altered mental function (bizarre behavior), tachycardia, hypotension, seizures, dilated pupils

Front 100

near drowning

Back 100

hx of underwater episode (immersion event), vomiting, apnea and cyanosis, tachypnea, dyspnea, wheezing/ stridor/ crackles or rhonchi, hypothermia, ALOC

Front 101

air embolism

Back 101

dizziness, confusion, headache, chest discomfort or pain, dyspnea, neuro deficits (can mimic CVA- ataxia, aniscoria), dysarthria, unconsciousness, seizures or cardiopulmonary arrest

Front 102

barotrauma

Back 102

tinnitus or ruptured ear drum, small amounts of blood leaking from ear, epistaxis, coughing up small amounts of blood

Front 103

decompression sickness

Back 103

joint pain (may be bent over), paresthesias (diver's itch), headache, general fatigue, malaise (just feels bad), dyspnea, dysarthria, ataxia, N/V, vertigo

Front 104

acute mountain sickness (AMS)

Back 104

headache, dyspnea, N/V, anorexia, insomnia

Front 105

high altitude pulmonary edema (HAPE)

Back 105

delayed onset usually 1-3 days, dyspnea, SOB (even after rest), persistent cough, usually non-productive but some hemoptysis, crackles, fatigue, tachypnea (>30), tachycardia at rest, hypotension (<106.68)

Front 106

high altitude cerebral edema (HACE)

Back 106

delayed onset usually 1-3 days, ataxia (primary identifier, absent in AMS), severe lack of energy (lassitude), drowsiness, stupor, impaired mental function- confusion- hallucinations, focal neurological deficits- facial droop, hemiparesis

Front 107

black widow spider bite

Back 107

usually no local reaction, little to no redness or local pain, symptoms usually delayed 30 min to 2 hours, systemic muscle pain and extreme abdominal pain, muscle cramping, chest tightness, dyspnea, abdominal rigidity (board hard), may develop hypertensive crisis

Front 108

brown recluse spider bite

Back 108

minimal pain initially, symptoms delayed 2-8 hours, fever/chills, N/V, joint pain, local tissue necrosis- ulceration

Front 109

scorpion sting

Back 109

little or no redness, no discoloration, instant onset of severe pain, muscle cramps, paresthesias, muscle twitching, possible seizures, excessive salivation, N/V, hypertensive crisis is possible

Front 110

jellyfish

Back 110

instant burning at site, shock is possible but rare

Front 111

stingray (sculpin, cone shells)

Back 111

instant burning pain at site, muscle spasms and pain, can cause partial paralysis, shock is possible

Front 112

rattlesnake bite

Back 112

puncture wounds (1-4), progressive and rapid swelling in the area, pain in the area, weakness, diopheresis, paresthesias, discoloration below the surface due to bleeding

Front 113

rabies

Back 113

incubation 2 weeks to 4 months, hx of animal encounter within that time frame

Front 114

pregnancy induced HTN (eclampsia)

Back 114

sudden weight gain, limb edema, HTN, severe headaches, visual disturbances, possibly seizures

Front 115

supine hypotensive syndrome

Back 115

hypotension, supine, tachycardia

Front 116

placenta abruptio

Back 116

normally implanted placenta (>20 weeks gestation), often associated with PIH, 3rd trimester acute dark vaginal bleeding, uterine tenderness, abdominal pain between contractions, symptoms of shock greater than amount of blood loss, uterus may be too rigid for signs of contraction

Front 117

placenta previa

Back 117

sudden 3rd trimester bright red vaginal bleeding, painless - usually not uterine tenderness, usually no contractions, bleeding often occurs in repetitive episodes over days/weeks

Front 118

delayed delivery

Back 118

after signs of imminent delivery continue for 20 min with no progress, no crowning or no increase in crowning

Front 119

prolapsed cord

Back 119

upon looking for crowning- cord is visible before the baby is born

Front 120

limb presentation

Back 120

single arm or single leg is the presenting part

Front 121

breech presentation

Back 121

buttocks or legs are the presenting part during labor

Front 122

premature labor/delivery

Back 122

onset of labor prior to delivery date, results in delivery of small infant

Front 123

child dehydration

Back 123

poor muscle tone- limp, red/warm/ dry skin (could be ashen), poor skin tugor with tenting, dry mucus membranes, sunken fontanels, sunken eyes, decreased urine output, polydipsia, poor or no response to mother

Front 124

croup (tracheobronchitis)

Back 124

common in 6 months to 4 y/o, usually a hx of URI with a low grade fever, inspiratory stridor, hoarseness, possible wheezing, "seal bark' cough, severe respiratory distress with accessory muscle use, nasal flaring, retractions and tachypnea

Front 125

epiglottitis

Back 125

common in 3-7 y/o, sudden onset of severe respiratory distress, dyspnea, tripod position, stridor, hoarseness (little or no cough), aphagia, high fever, sore throat, tachycardia and tachypnea

Front 126

foreign body aspiration

Back 126

severe respiratory distress, use of accessory muscles, nasal flaring, retractions (grunting at the end of each breath), cough, drooling, stridor/wheezing, tachycardia and tachypnea, cyanosis

Front 127

asthma

Back 127

severe respiratory distress, use of accessory muscles, nasal flaring, tripod position, severe dyspnea, tachypnea, cough, expiratory wheezing, tachycardia and anxiety, pallor or cyanosis

Front 128

meningitis

Back 128

headache, extreme irritability, stiff neck, nuchal rigidity, photophobia, petechial rash (very small flat red marks, looks like measles), ALOC, odd sounding high pitched cry, N/V/D, high fever, tachycardia, tachypnea, febrile seizures

Front 129

impending respiratory failure

Back 129

increased respiratory rate and effort- often involving accessory muscles with abdominal breathing, poor muscle tone, diminished breath sounds, decreasing LOC, diminished response to stimuli, cyanosis, infants hearts slow down as they approach respiratory failure

Front 130

increased intracranial pressure (ICP)

Back 130

high pitched cry, irritability or lethargy, bulging fontanels in infants, headache, dizziness, vomiting, seizures or twitching

Front 131

sudden infant death syndrome (SIDS)

Back 131

appearance of normal nutrition and hydration, skin may be mottled/cyanotic/ashen, often there is frothy-blood tinged fluids, vomitus may be present, pt may be in unusual position due to muscle spasms, no external signs of trauma