Symptomatology, Signs and Syndromes

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Questions and Answers

Which term describes a deviation from health that is perceived only by the patient?

  • Symptomatology
  • Symptom (correct)
  • Syndrome
  • Sign

What is the term for a set of symptoms and signs associated with a particular disease?

  • Syndrome (correct)
  • Symptomatology
  • Symptom
  • Sign

A fever, detectable by a thermometer, would be categorized as which of the following?

  • Syndrome
  • Symptomatology
  • Sign (correct)
  • Symptom

If a patient's symptoms have been present for approximately 6 weeks, how would their onset be classified?

<p>Subacute (D)</p> Signup and view all the answers

A patient experiences a return of their original symptoms after a period of improvement. This is best described as:

<p>Relapse (C)</p> Signup and view all the answers

What term describes a temporary improvement in the signs and symptoms of a disease without curing the underlying condition?

<p>Remission (D)</p> Signup and view all the answers

What is the term for a sudden worsening in the severity of symptoms or signs of a disease?

<p>Exacerbation (B)</p> Signup and view all the answers

An abnormal condition or complication that arises as a result of the original disease, even after the original disease has resolved, is known as:

<p>Sequela (B)</p> Signup and view all the answers

Which of the following is considered a general symptom?

<p>Fever (A)</p> Signup and view all the answers

Which of the following is classified as a cardiovascular symptom?

<p>Palpitations (B)</p> Signup and view all the answers

Hemoptysis would be categorized under which type of symptoms?

<p>Respiratory (C)</p> Signup and view all the answers

Vomiting would be categorized under which type of symptoms?

<p>Gastroenterology (D)</p> Signup and view all the answers

Dysuria falls under which category of symptoms?

<p>Genitourinary (B)</p> Signup and view all the answers

Fatigue is best described as:

<p>An excessive tiredness on exertion (B)</p> Signup and view all the answers

What is angina pectoris?

<p>Chest pain or discomfort that keeps coming back (D)</p> Signup and view all the answers

Physiological palpitations can be caused by all of the following EXCEPT:

<p>Endocrine disorders (C)</p> Signup and view all the answers

Dyspnea is best defined as:

<p>Difficulty or awareness of your breathing (B)</p> Signup and view all the answers

Syncope is characterized by:

<p>A transient loss of consciousness (A)</p> Signup and view all the answers

A cough serves as which type of mechanism?

<p>Protective (A)</p> Signup and view all the answers

Hemoptysis involves:

<p>Coughing up blood (D)</p> Signup and view all the answers

Dysphagia refers to:

<p>Difficulty swallowing (C)</p> Signup and view all the answers

What is the definition of dyspepsia?

<p>Combination of indigestion, pain, distention, acidity, and nausea (B)</p> Signup and view all the answers

Anorexia is characterized by:

<p>Reduced appetite (B)</p> Signup and view all the answers

The forceful expulsion of stomach contents through the esophagus and mouth is:

<p>Vomiting (B)</p> Signup and view all the answers

Vomiting of blood is referred to as:

<p>Hematemesis (A)</p> Signup and view all the answers

What is hematochezia?

<p>Rectal bleeding (B)</p> Signup and view all the answers

Which of the following best describes melena?

<p>Dark black, tarry stool (B)</p> Signup and view all the answers

The presence of red blood cells in the urine is known as:

<p>Hematuria (C)</p> Signup and view all the answers

Enuresis refers to:

<p>Inability to control urination (A)</p> Signup and view all the answers

Nonpassage of urine, with less than 50ml produced in a day, is referred to as:

<p>Anuria (B)</p> Signup and view all the answers

Clinically, oliguria is classified as a urine output of:

<p>More than 80 ml/day but less than 400 ml/day (D)</p> Signup and view all the answers

A patient reports experiencing palpitations described as a 'fluttering' sensation in their chest, especially after consuming caffeinated beverages. However, an EKG shows no discernible arrhythmia. Which of the following is the MOST likely classification of these palpitations?

<p>Physiological, potentially exacerbated by stimulant use (B)</p> Signup and view all the answers

A patient presents with a chronic cough that has persisted for over 12 weeks. They deny fever, shortness of breath, or chest pain. They mention having recently started a new medication for hypertension. Which of the following is the MOST important next step?

<p>Review the patient's medication list, considering cough as a potential side effect. (D)</p> Signup and view all the answers

A patient who recently underwent abdominal surgery reports an inability to pass flatus or have a bowel movement for 5 days post-op. They also complain of abdominal distention and nausea. What is the MOST likely cause of these symptoms?

<p>Absolute constipation (D)</p> Signup and view all the answers

A patient presents to the emergency room complaining of hematemesis. The patient is alert and oriented but appears pale and diaphoretic. Which of the following actions is the HIGHEST priority?

<p>Establish intravenous access and initiate fluid resuscitation (D)</p> Signup and view all the answers

A geriatric patient residing in a long-term care facility develops a sudden onset of dysuria, frequency, and urgency. A urine dipstick reveals the presence of leukocytes and nitrites. The patient is afebrile and has no flank pain. Which of the following is the MOST appropriate initial management strategy?

<p>Obtain a urine culture and sensitivity, then initiate oral antibiotics targeting the MOST likely uropathogens. (B)</p> Signup and view all the answers

A patient experiences a sudden episode of syncope while standing for prolonged periods. They deny any prodromal symptoms such as dizziness or palpitations prior to the event. Neurological examination is normal. Which of the following is the MOST likely underlying mechanism?

<p>Vasovagal syncope due to autonomic dysfunction (C)</p> Signup and view all the answers

A patient presents with hemoptysis. After initial assessment, an MD determines the bleeding is originating in the lungs. What diagnostic test would best help determine the etiology of hemoptysis?

<p>Bronchoscopy with lavage (A)</p> Signup and view all the answers

A 3-year-old child has had diarrhea for 5 days since starting antibiotics for an ear infection. The child has had $\gt$ 6 episodes of diarrhea per day with some blood streaks in the stool. What is the MOST likely underlying cause of the diarrhea?

<p><em>Clostridium difficile</em> (C)</p> Signup and view all the answers

A patient presents with melena as well as abdominal pain. The patient's blood pressure is 80/60 mmHg and pulse rate is 120 beats per minute. The patient is pale and diaphoretic. In addition to rapid fluid resuscitation, what intervention should you perform next?

<p>Perform an esophagogastroduodenoscopy (EGD) (A)</p> Signup and view all the answers

Flashcards

Symptom

Deviation from health perceived or felt by the patient.

Sign

Physical manifestation of a symptom detectable by others.

Syndrome

Set of symptoms and signs associated with a specific disease.

Symptomatology

Study of symptoms and signs of diseases.

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Acute Onset

Sudden onset, lasting less than 4 weeks.

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Subacute Onset

Onset between 4 and 12 weeks.

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Chronic Onset

Onset lasting more than 12 weeks.

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Relapse

Return of original disease symptoms and signs.

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Remission

Temporary improvement in symptoms and signs without curing the disease.

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Exacerbation

Sudden worsening in severity of disease symptoms or signs.

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Sequela

Abnormal condition or complication after the original disease has resolved.

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Fatigue Definition

Excessive tiredness on exertion or at rest, due to organic or functional ill health.

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Palpitation

Awareness of one's heart beating, caused by changes in rate, rhythm, or contractility.

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Dyspnea

Difficulty or awareness of your breathing.

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Syncope

Faint with transient loss of consciousness due to decreased blood flow to the brain.

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Coma

A state of unconsciousness where a person is unresponsive and cannot be woken.

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Angina Pectoris

Chest pain or discomfort that keeps coming back when the heart doesn't get enough blood.

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Cough

Physiological protective mechanism characterized by explosive expectoration against closed glottis.

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Hemoptysis

Coughing up blood.

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Dysphagia and Odynophagia

Difficulty and pain in swallowing

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Dyspepsia

Combination of indigestion, pain, distention, acidity, nausea, and hunger pains

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Anorexia

Reduced appitiete

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Vomiting

Forceful expulsion of stomach contents through the oesophagus and mouth.

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Hematemesis

Vomiting of blood.

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Diarrhea

Passing liquid consistancy stools more than 3 times a day.

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Constipation

Passing of hard stools with a frequency of less than 3 times a week.

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Hematochezia

Rectal bleeding, blood passes from the rectum or anus.

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Melena

Dark black, tarry stool associated with upper Gl bleeding.

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Hematuria

Presence of red blood cells (erythrocytes) in the urine.

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Dysuria

Painful urination; difficult urination.

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Enuresis

Repeated inability to control urination.

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Anuria

Nonpassage of urine, defined as less than 50 ml/day, caused by kidney failure.

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Oliguria / Hypouresis

Low urine output, clinically 80-400 ml/day, indicating dehydration or kidney failure.

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Study Notes

  • Symptomatology refers to the study of symptoms
  • Symptom is deviation from health perceived or felt by the patient

Sign

  • Sign is when a symptom has a physical manifestation detectable by others

Syndrome

  • Syndrome is a set of symptoms and signs that are associated with and characteristic of a particular disease

Onset

  • Acute Onset: Less than 4 weeks
  • Subacute Onset: 4 to 12 weeks
  • Chronic Onset: More than 12 weeks

Course

  • Relapse represents the return of original symptoms and signs of a disease.
  • Exacerbations signify a sudden worsening in the severity of symptoms or signs.
  • Remission is a temporary improvement in the symptoms and signs of a disease without curing the underlying disease.
  • Sequela refers to an abnormal condition or complication due to the original disease, remaining after the original disease has resolved.

Contents Covered include

  • General symptoms
  • Cardiovascular symptoms
  • Respiratory symptoms
  • Gastroenterology symptoms
  • Genitourinary symptoms
  • Neurological symptoms

Fatigue

  • Fatigue is an excessive tiredness on exertion, occurring in organic and functional ill health.

Cardiovascular Symptoms

  • Dizziness
  • Shortness of breath
  • Palpitations
  • Chest Pain/Discomfort
  • Fainting

Chest Pain

  • Chest pain is a common subjective symptom causing alarm to the patient as a vision of organic disease of heart or lung
  • Angina Pectoris happens when some part of your heart doesn't get enough blood and oxygen and causes chest pain or discomfort that keeps coming back.

Palpitation

  • Palpitation is defined as an awareness of the beating of one's heart brought about by change in the rate, rhythm or contractility of heart

Palpitation can be caused by

  • Exercise
  • Sexual or emotional outburst
  • Anxiety
  • Endocrine
  • Cardiac
  • Metabolic
  • Drugs/toxins

Respiratory Symptoms

  • Dyspnea (Difficulty or awareness of your breathing)
  • Word meaning: Dys- hard, Pnoea-breathing
  • Cough
  • Hemoptysis

Cough

  • Cough is a physiological protective mechanism characterized by explosive expectoration against closed a glottis following deep inspiration

Hemoptysis

  • Hemoptysis is coughing of blood

Types of hemoptysis

  • Hemorrhage from the lungs, bronchial tree, and trachea results from vascular rupture
  • Hemorrhage from the nose, pharynx, and larynx results from laceration or ulceration of upper respiratory tract

Gastrointestinal Symptoms

  • Dysphagia and Odynophagia Dyspepsia
  • Anorexia
  • Vomiting
  • Hematemesis
  • Diarrhea
  • Constipation
  • Hematochezia
  • Melena

Dysphagia and Odynophagia

  • Difficulty and pain in swallowing

Dyspepsia

  • Combination of indigestion, pain, distention, acidity, nausea and hunger pains

Anorexia

  • Reduced appetite

Vomiting

  • Forceful expulsion of a part or whole of the stomach contents through the esophagus and the mouth

Hematemesis

  • Vomiting of blood

Lower GIT

  • Diarrhea, Dysentery and spurious Diarrhea-> 200 -300 gm/day
  • More than 3 times a day- liquid consistency

Constipation

  • Passage of hard stools with a reduced frequency of less than 3 times a week

Hematocherzia

  • Rectal bleeding when blood passes from the rectum or anus

Melena

  • Dark black, tarry stool that are associated with upper gastrointestinal bleeding

Genitourinary Symptoms

Hematuria

  • Presence of red blood cells (erythrocytes) in the urine

Dysuria

  • Painful urination, and difficult urination

Enuresis

  • Repeated inability to control urination

Anuria

  • Sometimes called anuresis is non passage of urine, in practice is defined as passage of less than 50 milliliters of urine in a day, often caused by failure in the function of kidneys

Oliguria or hypouresis

  • Both names from roots meaning "not enough urine" is the low output of of urine, with an output of urine
  • in humans, it is clinically classified as more than 80 ml/day but less than 400ml/day, the decreased output of urine may be sign of dehydration, kidney failure, and hypovolemic shock

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