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Red Flags (Thoracic Spine and Rib Cage Red Flags) (Nephrolithiasis (Renal…
Red Flags (Thoracic Spine and Rib Cage Red Flags)
Pneumonia
Pleuritic pain that may be referred to shoulder
Fever, chills, headache, malaise, or nausea
Productive cough
Nephrolithiasis
Renal Colic
Sudden, severe back, or flank pain
Chills and fever
Nausea or vomiting
Symptoms of urinary tract infection
Reside in hot and humid environment
Past episode(s) of kidney stone(s)
Satble angina pectoris
Chest pain or pressure that occurs with predictable levels of exertion
Symptoms are also predictably alleviated with the rest or sublingual nitroglycerin
Myocardial Infarction
Pallor, sweating, dyspnea, nausea, or palpitations
Men aged over 40 years and woman aged over 50 years
Chest pain
Symptoms lasting greater than 30 minutes and not relieved with sublingual nitroglycerin
Pallor, sweating, dyspnea, nausea, or palpitations:
smoking
diabetes
hypertension
elevated blood serum cholesterol
previous history of coronary heart disease
Pneumothorax
Recent bout of coughing or strenuous exercise or trauma
Hyperresonance upon percussion
Chest pain that is intensified with inspiration, ventilation, or expanding rib cage
Decreased breath sounds
Pericarditis
Sharp or stabbing chest pain that may be referred to the lateral neck or either shoulder
Increased pan with left side lying
Relieved with forward lean while sitting
Cholecystitis
Colicky pain in the right upper abdominal quadrant with accompanying right scapula pain
Symptoms may worsen with ingestion of fatty foods
Symptoms unaffected by activity of rest
Pleurisy
Severe, sharp knife-like pain with inspiration
History of a recent or coexisting respiratory disorder
Pyelonephritis
Enlarged prostate
Recent or coexisting urinary tract infection
Kidney stone or past kidney stone
Pulmonary embolus
Chest, shoulder, or upper abdominal pain
Dyspnea
Peptic ulcer
Dull, gnawing pain, or burning sensation in the epigastrium, mid-back, or suprasclavicular
regions
Localized tenderness at the right epigastrium
Symptoms relieved with food
Constipation, bleeding, vomiting, tarry colored stools, and coffee ground emeses
Magee, D. J. (2014). Orthopedic Physical Assessment. St. Louis, Mo: Saunders/Elsevier.