| System |
Examples/diagnosis |
Signs/symptoms |
| Abdomen |
Abdominal pain in the elderly.
Gastrointestinal bleeding.
|
Severe pain, stable vital signs.
Tachycardia, vomiting blood or bright
red blood per rectum.
|
| Cardiac |
Chest pain.
Acute arterial occlusion.
History of angioplasty with chest pain.
Pericardial effusion.
Infective endocardititis.
|
Constant or intermittent, stable vital signs.
Absence of distal pulse.
Stable vital signs.
Chest pain and shortness of breath.
History of drug abuse.
|
| General |
Immunocompromised patients.
Oncology patients.
Transplant (post or on waiting list).
|
May or may not have fever.
|
| Genitourinary |
Testicular torsion.
Acute renal failure.
|
Sudden onset of testicular pain.
Unable to be dialyzed.
|
| Gynecological |
Ectopic pregnancy.
Spontaneous abortion. |
+ pregnant, severe lower quadrant pain.
Bleeding and tachycardia with stable
blood pressure. |
| Mental Health |
Combative, hostile, hysterical.
Suicidal attempt/complaint.
ETOH with trauma.
Sexual assault—any.
|
|
| Neurologic |
Rule out meningitis.
History of multiple cerebrovascular
accidents.
Acute ischemic stroke. |
Headache, fever, lethargy.
Motor or speech deficits.
Motor or speech deficits. |
| Pediatric |
Vomiting, diarrhea, unable to eat.
Asthma attack. |
Sunken fontanel, poor skin turgor, lethargy.
Nasal flaring or use of intercostals. |
| Respiratory |
Acute epiglottitis.
Severe asthma.
Pleural effusions.
Spontaneous pneumothorax. |
Drooling.
Severe shortness of breath.
Severe shortness of breath.
Sudden onset of shortness of breath. |
| Trauma |
Motor vehicle crash with transient loss
of consciousness.
Stab wound to the groin. |
History of head trauma.
Bleeding controlled, obvious stab wound. |
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