Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content +++ Medical Screening ++ Table Graphic Jump Location|Download (.pdf)|Print Have you ever experienced or been told you have any of the following conditions? Cancer Chronic bronchitis Diabetes Pneumonia High blood pressure Emphysema Fainting or dizziness Migraine headaches Chest pain Anemia Shortness of breath Stomach ulcers Blood clot AIDS/HIV Stroke Hemophilia Kidney disease Guillain-Barré syndrome Urinary tract infection Gout Allergies (latex, food, drug) Thyroid problems Asthma Multiple sclerosis Osteoporosis Tuberculosis Rheumatic/scarlet fever Fibromyalgia Hepatitis/jaundice Pregnancy Polio Hernia Head injury/concussion Depression Epilepsy or seizures Frequent falls Parkinson's disease Bowel/bladder problems Arthritis Have you ever had any of the following procedures? X-ray Blood test(s) CT scan Biopsy MRI EMG or NCV Bone scan ECG or stress test Urine analysis Surgery Screening for domestic violence: Do you feel unsafe at home? Has anyone in your home injured or tried to injure you? +++ Generalized Systemic Red Flags ++ Insidious onset with no known mechanism of injury Symptoms out of proportion to injury No change in symptoms despite position, rest, or treatment Symptoms persist beyond expected healing time Recent or current fever, chills, night sweats, infection Unexplained weight loss, pallor, nausea, dizziness, vomiting, b&b changes (constitutional symptoms) Headache or visual changes Change in vital signs Bilateral symptoms Pigmentation changes, edema, rash, nail changes, weakness, numbness, tingling, burning Hx of cancer No pattern to the symptoms; unable to reproduce symptoms during the examination > 40 years old, gender, ethnicity, race Night pain Progressive neurology symptoms Cyclic presentation Joint pain with skin lesions (−) Waddell signs Psoas test for pelvic pathology = supine, SLR to 30° & resist hip flexion; (+) test for pelvic inflammation or infection is lower quadrant abdominal pain; hip or back pain is a (−) test Blumberg sign = rebound tenderness for visceral pathology (+) Kehr's sign (spleen) = violent Ⓛ shoulder pain Pain @ McBurney's point = 1/3 the distance from Ⓡ ASIS to umbilicus; tenderness = appendicitis +++ Signs/Symptoms of Emergency Situations ++ SBP ≥ 180 mm Hg or ≤ 90 mm Hg DBP ≥ 110 mm Hg Resting HR > 100 bpm Resting RR > 30 bpm Sudden change in mentation Facial pain with intractable headache Sudden onset of angina or arrhythmia Abdominal rebound tenderness Black tarry or bloody stools +++ Normal Vital Signs & Pathologies That Influence Them ++ Table Graphic Jump Location|Download (.pdf)|Print Normal Values Across the Lifespan Circumstances that may ↑ vital signs Circumstances that may ↓ vital signs Infant Child Adolescent Adult & Elderly T 98.2° 98.6° 98.6° 98.6° Infection, exercise, ↑ blood sugar ↓ H&H, narcotics, ↓ blood sugar, aging HR 80–180 75–140 50–100 60–100 Infection, ↓ H&H, CHF, ↑ blood sugar, COPD, fever, ↓ fluid volume, anxiety, anemia, pain, ↓ K+, exercise Narcotics, acute MI, ↑ K+, beta blockers RR 30–50 20–40 15–22 10–20 Infection, ↓ H&H, pain, ↑ ... Your Access profile is currently affiliated with [InstitutionA] and is in the process of switching affiliations to [InstitutionB]. Please select how you would like to proceed. Keep the current affiliation with [InstitutionA] and continue with the Access profile sign in process Switch affiliation to [InstitutionB] and continue with the Access profile sign in process Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Error: Incorrect UserName or Password Username Error: Please enter User Name Password Error: Please enter Password Sign in Forgot Password? Forgot Username? Sign in via OpenAthens Sign in via Shibboleth You already have access! Please proceed to your institution's subscription. Create a free profile for additional features.