Card Set Information
Symmetrical joint pain. Firm nodules. Joints tender and warm. No fever. Morning stiffness and fatigue. Multiple joints affected.
Rheumatoid Factor; Rheumatoid Arthritis; NSAIDS/Muscle strengthening excercises/
Joint pain in knees, HIP, or DIP. Not symmetrical. History or trauma. Hebernden's nodes (DIP) or Bouchard's nodes (PIP).
clinical dx; Osteoarthritis;NSAIDS/weight reduction
Joint pain in DIP of big tow. Older man. Sudden onset. Swollen hot, red tender. Fever.
Synovial fluid analysis (find sodium urate crystals); Gout; NSAIDS
All over pain in shoulders and back. Morning fatigue and sleep problems. No swelling and no limited ROM.
Clinical dx; Fibromyalgia; NSAIDS
Symmetrical joint pain in hip or shoulder girdle. Fast onset. Fever, weight loss, loss of apetite, and fever. Not warm or red.
substernal or L. ant. pressing/squeezing chest pain. Radiates to L. arm and jaw. Less than 20 minutes duration. relieved by rest. Extra heart sounds and ST elevation/depressions.
ECG; Angina pectoris or Chronic Angina
substernal or L. ant. squieezing chest pain. Radiates to L. arm and jaw. Longer duration than 20 minutes. SOB, nausea, sweating. Extra heart sounds, ST elevation/depression.
ECG and Cardiac enzymes; MI
Ripping, anterior chest pain. Radiates to back neck abdomen. Sudden onset. Syncopy (fainting). 10/10 intensity. History of hypertension. Paralysis or weakness
CT scan; Dissecting Aortic Aneurysm
Sharp presistent chest pain. Fever and chills associated. Aggravated by breathing.
Stabbing/dull ache. straining of muscles or ligaments. Aggravated by movement.
Clinical and CXR; Chest wall pain
sharp knifelike chest pain. No fever or chills. Aggravated by breathing, changing positions, coughing, lying down. Relieved by sitting forward.
Burning chest pain in upper sternum of both sides. Relieved by lying down. Aggravated by coughing
Burning chest pain in retrosternal area that radiates to the back. Assocated with dysphagia and regurgitation. Relieved by antacids. Aggravated by large meals and lying down.
Reflux Esophagus (GERD)
Tightness in chest with wheezing cough dyspnea. Thick mucoid sputum. H/o allergies. Triggered cold air.
Asthma; B2 antagonist or long acting B2 antagonist/Glucocorticoids
Dry cough with hoarseness. Fever.
Cough and discharge from posterior pharynx. With or w/o sinusitis. Mucoid or mucopurulent sputum
Post Nasal Drip
Chronic cough, dyspnea, and wheezing. History of smoking. Mucoid and hemoptysis.
Chronic cough. Fever and poor dental hygiene. Impaired concsciousness (drunk). Purulent sputum.
Unilateral backpain. Fever, shaking, chills, and diarrhea. Risk increased with pregnancy, diabetes, catheter.
urinalysis and culture; Pyelonephritis; Antibiotics
Dull local pain. No radiation.
Clinical; Mechanical Low Back Pain (muscle spasm)
Shooting pain that radiates down the leg.
Clinical; Radicular Low Back Pain (lumbar disk herniation)
Back pain that radiates to flank. History of hypertension. Atherosclerosis (fat)
CT scan; AAA