8.22 Systemic Disorders

Question 1

general symptoms of systemic disorders

Answer 1

• fever
• fatigue/malaise
• abn sensation
• weight loss
• change in mentation
• insidious onset

Question 2

Temperature is on this type of rhythm

Answer 2

circadian

Question 3

What is the circadian rhythm of body temp?

Answer 3

• cooler in the morning (~97˚)

- warmer in evening (~99.3˚)

Question 4

When do patients typically run a fever?

Answer 4

afternoon/night

Question 5

When does a fever become a concern?

Answer 5

100-101˚F

Question 6

When is fever a concern for the elderly? Why?

Answer 6

99-100˚F

fear of pneumonia is greater

Question 7

What can happen at 104-106˚F?

Answer 7

convulsions

Question 8

With fever, you may get alterations in _____

Answer 8

mentation

Question 9

What are we concerned about with fatigue?

Answer 9

unusual lethargy

• everyone gets tired at times
• low energy levels

Question 10

With fatigue, what is important to consider that may be affecting them?

Answer 10

• work, family, social, physical activity level, etc.

- stress, illness, time of day

Question 11

What is malaise?

Answer 11

overall feeling

• general illness, lack of energy
• general uneasiness whose exact cause is difficult to ID

Question 12

What sensory and motor screening things may be warranted if a pt has paresthesia, numbness, weakness, or other weird sensations?

Answer 12

• dermatomes
• myotomes
• reflexes
• balance/coordination
• proprioception

Question 13

testing dermatomes

Answer 13

• sharp/dull
• 1-2 point discrimination
• hot/cold

Question 14

testing myotomes

Answer 14

general to specific if necessary

Question 15

testing reflexes

Answer 15

upper or lower chain or both

Question 16

testing balance

Answer 16

• seated
• standing
• static
• dynamic

Question 17

testing coordination

Answer 17

• finger to nose
• heel up shin
• Romberg test

etc.

Question 18

testing proprioception

Answer 18

• position in space (static)

- dynamic movement replication

Question 19

What would be merit concern with unexplained weight loss?

Answer 19

5% BW loss or more

Question 20

What would be things to consider with unexplained weight gain?

Answer 20

• swelling
• fluid retention
• kidney or liver issues
• CHF
• medication (i.e. steroids)

Question 21

AAOx3 or 4

Answer 21

• person
• place
• time
• event

Question 22

Consider these with changes in mentation

Answer 22

• attention
• memory
• loss of consciousness or alertness
• thought process
• judgment

Question 23

most common reasons for outpatient therapy in order

Answer 23

1. back pain
2. neck pain
3. knee pain
4. shoulder pain

Question 24

These conditions require physician oversight for medications!

Answer 24

• OA
• RA
• SLE
• reactive arthritis
• septic arthritis