SIGNS AND SYMPTOMS OF SPECIFICS ORGAN PATHOLOGY

Pulmonary 

■ Cough with or without blood
■ Sputum
■ SOB or DOE
■ Clubbing of nails
■ Chest pain
■ Wheezing
■ Pain with deep inspiration
■ Pain ↑ when recumbent & ↓ on involved side
■ ↓ O2 saturation
■ Signs of a PE

• ■ Pleural pain 
• ■ SOB 
• ■ Rapid RR 
• ■ Rapid HR 
• ■ Coughing up blood

Hepatic 

■ R UQ pain 

■ Weight loss 

■ Ascites/LE edema 

■ Carpal tunnel syndrome (bilateral) 

■ Intermittent pruritus 

■ Weakness & fatigue 

■ Dark urine/clay-colored stools 

■ Asterixis (liver flap) = flapping tremor resulting from the inability to maintain wrist extension with forearm supported 

■ Jaundice, bruising, yellow sclera of the eye 

■ Pain referral to T-spine between scapula, R shoulder, R upper trap, R subscapular region

Gastrointestinal 

■ Epigastric pain with radiation to the back 

■ Blood or dark, tarry stool 

■ Fecal incontinence or urgency 

■ Tenderness @ McBurney’s point 

■ Pain/symptoms that change with eating 

■ Nausea, vomiting, bloating 

■ Diarrhea or absence of bowel mov’t 

■ Food may help or aggravate px 

■ Weight loss, loss of appetite 

Renal 

■ (+) Murphy’s test = percussion over kidney 

■ Fever; chills 

■ Blood in urine (hematuria) 

■ Cloudy or foul-smelling urine 

■ Painful or frequent urination 

■ Pain is constant (stones) 

■ Back pain at the level of the kidneys 

■ Costovertebral angle tenderness

Prostate 

■ Men >50 yo 

■ Difficulty starting or stopping urine flow 

■ Change in frequency 

■ Nocturia 

■ Incontinence/dribbling 

■ PSA level >4 ng/mL 

■ Sexual dysfunction

Gynecological 

■ Cyclic pain 

■ Abnormal blooding 

■ Nausea, vomiting 

■ Vaginal discharge 

■ Chronic constipation 

■ Low BP (blood loss) 

■ Missed or irregular periods