What is the title of this resource?
Assessment of a patient by a physician.
The King's University
www.qureshiuniversity.com
Assessment of patient.
Assessment of patient with specific complaint.
What are the types of assessment of a patient?
How to Take a Medical History
History Taking


Medical history
Physical Examination Quick Reference Guide
Testing for Human Blood
Diagnosis and treatment by a physician is process of investigation.
Medical history

What questions should a physician on duty ask at the beginning of a patient’s assessment?

Where is the patient now?

____________________________________

What seems to be the issue or issues?

____________________________________

What assessment type does the patient need at this point?

____________________________________

What category of human medical condition is this?

____________________________________

Is this case a medical emergency or medical non-emergency?


____________________________________

Types of patient assessments.

What are the types of patient assessments?
Emergency health assessment on the spot.
Emergency health assessment in a medical emergency room.
Emergency health assessment in an intensive care unit.
Emergency health assessment for pregnancy, childbirth, and puerperium for women of childbearing age.
Emergency medicolegal case of human.
Non-emergency medicolegal case of human.
Detailed health assessment for patient.
Follow-up health assessment.
New issue that does not need an emergency assessment.
Personality disorders screening

What type of issue can a person have?
Medical Emergency (survival issues, medicolegal issues, critical issues, post-medical emergency, medical emergencies that need ER consultation)
Medical nonemergency.
Nonmedical emergency.
Non medical issue that is not an emergency.

What best describes the issue?

__________________________________________

Medical emergency
Medical nonemergency
Medicolegal case
Nonmedical issue

Nonmedical issues means patient has an issue; at the same time, a professional other than a physician has to bring solutions or remedies.

Is this a medical emergency or medical nonemergency?

__________________________________________

How do you know if this is a medical emergency or medical nonemergency?
Unconsciousness at a public location, sudden unconsciousness at home, trauma, survival needs issues, seizures, burns, drowning, pregnancy emergencies need on-the-spot evaluation and treatment.

In the medical emergency room, treatment if patient has any of these:
http://www.qureshiuniversity.com/medicalemergencyworld.html

Diagnosis

What is the diagnosis?

__________________________________________

Category
What category of human medical condition is this?
  1. Behavioral, mental, and neurodevelopmental disorders of human.

  2. Blood and blood-forming organs diseases, immune mechanism diseases of human.

  3. Certain conditions originating in the perinatal period of human.

  4. Circulatory system diseases of human.

  5. Congenital malformations, deformations, and chromosomal abnormalities of human.

  6. Digestive system diseases of human.

  7. Ear and mastoid process diseases of human.

  8. Endocrine, nutritional, and metabolic diseases of human.

  9. External causes of morbidity of human.

  10. Eye and adnexa diseases of human.

  11. Factors influencing health status and contact with health services of human.

  12. Genitourinary system diseases of human.

  13. Infectious and parasitic diseases of human.

  14. Injury, poisoning, and certain other consequences of external causes of human.

  15. Musculoskeletal system and connective tissue diseases of human.

  16. Medicolegal case of human.

  17. Neoplasms of human.

  18. Nervous system diseases of human.

  19. Old age-related issues of human.

  20. Pregnancy, childbirth, and the puerperium of child-bearing age of women.

  21. Respiratory system diseases of human.

  22. Skin and subcutaneous tissue diseases of human.

  23. Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified of human.

__________________________________________

Individual Treatment Plans

What is the best location to further treat this medical condition?

__________________________________________

On the spot
Emergency medical room
Intensive care unit
Hospital ward
Home healthcare


What is the treatment plan?

__________________________________________

http://www.qureshiuniversity.org/prescription.html

Emergency health assessment on the spot.

Assessment in medical emergency situation.
Analysis of complaints, incidents, issues, and problems.
What should be your first question in case a patient is referred to you?

Questions that must be answered.

Where is the patient now?
How old is the patient?
What is the gender of the patient?
Who is reporting this emergency?
What seems to be the complaint?
What seems to be the problem?


Glasgow Coma scale analysis.

First, analyze Glasgow Coma scale, then analyze vital signs including consciousness.

When was the patient normal?
Can the patient open both eyes spontaneously?
Can the patient talk or make noise relevant to age?
Can the patient walk or move extremities relevant to age?


If yes, Glasgow Coma scale is 15.
Glasgow Coma scale of 15 means the patient is not in a coma.
The patient can have less serious medical issues.
Go ahead with vital signs, including consciousness.

When did it start?
How did it start?
Where did it start?
How much time has elapsed from the start of the emergency until now?
What do you think causes it?
What do I think caused it?
What needs to be done to verify what caused it?
Has patient taken any medication or substance before this issue?
Has any specific thing happened that led to this issue?
Is this troubling your everyday activity?
How is this troubling your everyday activity?
Does one individual or many individuals have medical emergencies at this location?
How many individuals have medical emergencies at this location?
Is it a medical emergency?

___________________________

In what type of setting does this patient need treatment?

___________________________

Do any recent causes lead to this problem; for example, trauma, missed medication, inadequate survival needs, stress, or other issue?

___________________________

What are further details?

___________________________

Does any past medical history lead to this problem?

___________________________

Is there any recent history within past few minutes or hours of any of the following:
1.Unconsciousness at a public location.
2.Sudden unconsciousness at home.
3.Trauma.
4.Survival needs issues.
5.Seizures.
6.Burns.
7.Drowning.

___________________________

If there is even one recent history of the above, on the spot diagnosis and treatment is required.

Is the victim's condition life or limb threatening?

___________________________

Could the victim's condition worsen and become life or limb-threatening on the way to the hospital?

___________________________

Could moving the victim cause further injury?

___________________________

Would distance or traffic conditions cause a delay in getting the victim to the hospital?

___________________________

What have been his activities for the last 10 years?

___________________________

Does the individual use or abuse any of these substances?
Alcohol.
Drugs.
Tobacco.

___________________________

Is the individual on any medication?

___________________________

Is it a medical emergency?

___________________________

Does this need on-the-spot diagnosis and treatment?

___________________________

What is the most likely diagnosis?

___________________________

What do you think causes it?

___________________________

Why do you think this happened?

___________________________

What is the diagnosis?

___________________________

In what setting/location does this medical condition need treatment?
Treatment required on the spot.
Treatment required in the medical emergency room.
Treatment required in the intensive care unit.
Treatment required in the ward.
Treatment required in the operating room.
Treatment required at home.
Treatment required Internet health care.
Treatment required in OPD consultation.
___________________________

What treatment do you recommend for this patient?

___________________________

What are other treatment options for this patient?
No other treatment option.
Other treatment options are enumerated.

___________________________

What will happen if you do not diagnose and treat a medical emergency properly?
It can lead to death.
It can lead to disability.
It can lead to other harms.
It can lead to medical malpractice.
It can lead to legal malpractice.
All accused suspects listed are charged.
http://www.qureshiuniversity.com/emergencymedicalservices.html

http://www.qureshiuniversity.com/medicalemergencyworld.html


Assessment of a patient by a physician.
Annual health assessment.
Administrative Issues
Assessment in medical emergency situation.
Assessment in medical nonemergency situation.
Category
Examples of patient profile.
Human medical conditions
International classification of diseases or medical conditions with ICD10 numbers.
Types
Vital Signs
Planned medical procedures
Past medical procedures audit
Physician guide to physician or physicians
Symptoms specific to category of medical issues.
Internet guidelines for patient.
Interview with a physician

Detailed health assessment for patient.

Assessment of a patient by a physician.
There is no single, correct way to take a history; with time you will develop your own style; however, one effective and commonly used sequence comprises:
  1. Get the patient’s profile, and understand his/her issues before you see the patient.

  2. Introduce yourself if you do not know the patient.

  3. Patient profile

  4. Get the chief complaint.

  5. History of presenting complaint (HPC)

  6. Family History

  7. General Assessment

  8. Social history (medicine)

  9. Past medical history

  10. Checklist of symptoms

  11. Medical History for Drug Use

  12. Review of systems (ROS)

  13. Summary of history

  14. Ideas, concerns, and expectations

  15. Patient questions/feedback

  16. Physical Exam Check Lists

  17. Diagnosis

  18. Individual Treatment Plans
Where is the patient now?

__________________________________________

What seems to be the issue or issues?

__________________________________________

The answer to this question can be from patient or others.

What are the sources of these facts?

__________________________________________

Patient
Legal guardian
Parent
Relative
Community resident
Healthcare provider
Administrator or police
If other, specify

Has anyone already created a profile of the patient?

__________________________________________

Where is the profile of the patient?

__________________________________________

Is it a medical or nonmedical issue?

__________________________________________

What are medical and nonmedical issues?
Human healthcare complaint, issue, problem, concern is a medical issue.
Utility fault (water, electricity, or gas) and similar concerns are nonmedical issues.
http://www.qureshiuniversity.com/emergencyworld.html

Who has established these guidelines?
Doctor Asif Qureshi

Introduce yourself if you do not know the patient.


Here is an example.

Hello, I am Doctor Asif Qureshi.
I have a few questions about your health.

How are you feeling now?
Cam you describe issues you have now?
What best describes your health issues or any other issues now?
What is the day, date, time, and location these questions are answered by the patient?

Nurse can ask like this.
I have few questions from Doctor Asif Qureshi.

Can you describe issues you have now?

If the patient cannot answer, who can answer questions on behalf of him or her?

Get the chief complaint.

What is bothering you right now?

__________________________________________

How can I help you?

__________________________________________

What are you feeling right now?

__________________________________________

What other issues do you have now?

__________________________________________

Once the category of medical condition is identified through medical history, further questions are needed relevant to the category of medical condition.

Patient profile
What should I know about you?

Questions relevant to the patient.

Where is the patient now?

__________________________________________

What is the name and date of birth of the patient?

__________________________________________

How old is the patient?

__________________________________________

What seems to be the problem?

__________________________________________

What type of patient assessment does this individual need?

__________________________________________

Get the chief complaint.

"What is bothering you right now? how can we help you?" Clarify if needed. "What are you feeling right now?" Survey for other problems. "What else?" Focus on the most important problem first. -
-
Explore the main problem in more detail.

This can be summarized by the mnemonic O.P.Q.R.S.T.: -
-
Onset: "how long has it been going on?"
Palliation/Provocation: "what makes it better or worse?"
Quality: "what does it feel like?"
Region/Radiation: "where is the pain? does the pain travel anywhere?
Symptoms/Severity: "what other feelings or sensations do you get? how bad is the headache?"
Timing: maintain the narrative thread. "What happened first? ...then what?..." Find out the context of the medical problem. "Is the pain continuous, repeating, or sporadic?"
Patient Health Profile

Family History
Has any family member suffered from a similar problem?

__________________________________________

Do you know of any illnesses that run in your family?

__________________________________________

Has any member of your family died before the age of 60?

__________________________________________


Social history (medicine)
What jobs have you done since starting work?

__________________________________________

What did these jobs involve?

__________________________________________

How do you spend your time when you are not at work?

__________________________________________

Where do you live? What is your house like?

__________________________________________

Are you able to do all the activities that you need to be able to do?

__________________________________________

Who lives with you at home?

__________________________________________

Have you had children? Any worries or illness with them?

__________________________________________

How many sexual partners have you had? Male? Female?

__________________________________________

Have you ever smoked? Ever been a heavy drinker?

__________________________________________


Ideas, concerns, and expectations
What have you thought might be causing your symptoms?

__________________________________________

Is there anything in particular that concerns you?

__________________________________________

What have you been told about your illness?

__________________________________________

What do you expect to happen while you are in hospital?

__________________________________________

Do you expect any difficulties in coping when you go home?

__________________________________________

Do you have any questions you would like me to pass on to the medical or nursing staff?

__________________________________________


Past medical history
Have you had any similar episodes in the past?

__________________________________________

What investigations have you had in the past? X-rays? Scans?

__________________________________________

What were the results of your previous tests?

__________________________________________

Have you had any other medical problems or conditions?

__________________________________________

Have you had any serious illness in the past?

__________________________________________

Have you been in hospital before?

__________________________________________

Have you had any operations?

__________________________________________

Have you ever had a blood transfusion?

__________________________________________

__________________________________________

What injuries or accidents have you had in the past?

__________________________________________

When and where have you travelled abroad?

__________________________________________

Have you ever had any of the following conditions: asthma/chronic obstructive pulmonary disease (COPD)/angina/heart attack/stroke/diabetes/epilepsy/rheumatic fever/blood clot in the leg or lung/tuberculosis (TB)/jaundice/high blood pressure/high blood cholesterol?

__________________________________________


HISTORY TAKING: DRUGS AND ALLERGIES
What medications do you actually take?

__________________________________________

What ‘over-the-counter’ drugs or herbal remedies do you use?

__________________________________________

Do you take low-dose aspirin? Vitamin pills?

__________________________________________

Do you take the oral contraceptive pill? HRT (hormone replacement therapy)?

__________________________________________

Have your medications changed at all recently?

__________________________________________

How often do you forget to take your tablets?

__________________________________________

Have any medicines ever upset you? If so, how?

__________________________________________

What exactly happens when you take that medication?

__________________________________________

Are you allergic to anything? – Hay fever? Asthma? Eczema?

__________________________________________


Review of Systems: Screen for symptoms in each body system that have not already been discussed.

Review of Systems: Screen for symptoms in each body system that have not already been discussed.
•Skin: any skin problems? rash? itch? sores? moles?
•Eyes: eye problems? vision loss? itchy eyes? blurry vision? double vision?
•Ears, nose, mouth, sinuses, and throat: any trouble with your hearing, ears, mouth, sinuses, or throat?
•Lungs: any lung or breathing problems? coughs? chest pain?
•Heart: heart problems? racing heart? skipping beats?
•Digestive: stomach problems? stomach pain? nausea? vomiting? diarrhea? constipation? bloating? blood in stool?
•Genitourinary: trouble with urinating? unusual color or smell? sexual problems?
•Hematologic: easy bruising or bleeding?
•Endocrine: feeling too cold or too hot compared to others? excessive thirst, hunger, or urination?
•Musculoskeletal: problem with your joints or muscles, such as pain, swelling, weakness?
•Neurological: weakness, numbness, or tingling in arms or legs? problem with walking or balance? memory problems? headaches? seizures?
•Psychiatric: anxiety? depression? suicidal or homicidal urges? repetitive thoughts or acts?

Summary of history Complete your history by reviewing what the patient has told you. Repeat back the important points so that the patient can correct you if there are any misunderstandings or errors. You should also address what the patient thinks is wrong with them and what they are expecting/hoping for from the consultation. A good acronym for this is ICE – Ideas, Concerns and Epectations.

What type of issue can a person have?
Medical Emergency (survival issues, medicolegal issues, critical issues, post-medical emergency, medical emergencies that need ER consultation)
Medical nonemergency.
Nonmedical emergency.
Non medical issue that is not an emergency.

What best describes the issue?

__________________________________________

Medical emergency
Medical nonemergency
Medicolegal case
Nonmedical issue

Nonmedical issues means patient has an issue; at the same time, a professional other than a physician has to bring solutions or remedies.

Is this a medical emergency or medical nonemergency?

__________________________________________

How do you know if this is a medical emergency or medical nonemergency?
Unconsciousness at a public location, sudden unconsciousness at home, trauma, survival needs issues, seizures, burns, drowning, pregnancy emergencies need on-the-spot evaluation and treatment.

In the medical emergency room, treatment if patient has any of these:
http://www.qureshiuniversity.com/medicalemergencyworld.html

Diagnosis

What is the diagnosis?

__________________________________________

Category
What category of human medical condition is this?
  1. Behavioral, mental, and neurodevelopmental disorders of human.

  2. Blood and blood-forming organs diseases, immune mechanism diseases of human.

  3. Certain conditions originating in the perinatal period of human.

  4. Circulatory system diseases of human.

  5. Congenital malformations, deformations, and chromosomal abnormalities of human.

  6. Digestive system diseases of human.

  7. Ear and mastoid process diseases of human.

  8. Endocrine, nutritional, and metabolic diseases of human.

  9. External causes of morbidity of human.

  10. Eye and adnexa diseases of human.

  11. Factors influencing health status and contact with health services of human.

  12. Genitourinary system diseases of human.

  13. Infectious and parasitic diseases of human.

  14. Injury, poisoning, and certain other consequences of external causes of human.

  15. Musculoskeletal system and connective tissue diseases of human.

  16. Medicolegal case of human.

  17. Neoplasms of human.

  18. Nervous system diseases of human.

  19. Old age-related issues of human.

  20. Pregnancy, childbirth, and the puerperium of child-bearing age of women.

  21. Respiratory system diseases of human.

  22. Skin and subcutaneous tissue diseases of human.

  23. Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified of human.

__________________________________________

Individual Treatment Plans

What is the best location to further treat this medical condition?

__________________________________________

On the spot
Emergency medical room
Intensive care unit
Hospital ward
Home healthcare


What is the treatment plan?

__________________________________________

http://www.qureshiuniversity.org/prescription.html
Comprehensive patient assessment.
A comprehensive patient assessment takes many weeks in many sessions.

Questions that should be answered about procedures relevant to human health care.

Planned medical procedures
What is the name of the medical procedure that needs to be done?
Why is there need for this medical procedure?
How will this medical procedure improve the life of the individual?
What is the diagnosis of the individual?
Who among physician diagnosed the individual?
How did the physician reach this diagnosis?

Past medical procedures audit

What is the name of medical procedure that was done?
Why was there need for this medical procedure?
How did this medical procedure improve the life of the individual?
What was the diagnosis of the individual?

Procedures relevant to human health care.

What are other terms for procedures relevant to human health care?
Procedure classes for ICD-10-PCS
Medical procedures & medical tests A-Z list

What seems to be the issue?

__________________________________________

What symptom category is this?

__________________________________________

What more questions are required to be answered relevant to this issue?

__________________________________________

This depends on the symptom category.

Symptoms specific to category of medical issues.
What category of human symptom or symptoms is this?
Behavioral medical conditions symptoms
Blood and blood-forming organs disease symptoms
Certain conditions originating in the perinatal period human P00-P96 ICD 10
Circulatory system diseases human symptoms
Congenital malformations, deformations and chromosomal abnormalities human symptoms
Digestive system diseases human symptoms
Ear and mastoid process diseases human symptoms
Endocrine, nutritional and metabolic diseases human symptoms
External causes of morbidity human symptoms
Eye and adnexa diseases human symptoms
Factors influencing health status and contact with health services human symptoms
Genitourinary system diseases human symptoms
Infectious and parasitic diseases human symptoms
Injury, poisoning, and certain other consequences of external causes human symptoms
Musculoskeletal system and connective tissue diseases human symptoms
Medicolegal case complaints
Neoplasms huma symptoms
Nervous system diseases human symptoms
Old age-related issues symptoms
Pregnancy, childbirth and the puerperium of women symptoms
Respiratory system diseases human symptoms
Skin and subcutaneous tissue diseases human symptoms
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified human symptoms

International classification of human diseases.
International classification of diseases or medical conditions with ICD10 numbers.
What is displayed at this resource?
International classification of diseases or medical conditions with ICD10 numbers.

What is the latest version of the international classification of human diseases.
ICD 10 Stands for International Classification of Diseases version 10.

How has international classification of diseases or medical conditions been categorized?
  1. Behavioral, mental, and neurodevelopmental disorders of human.

  2. Blood and blood-forming organs diseases, immune mechanism diseases of human.

  3. Certain conditions originating in the perinatal period of human.

  4. Circulatory system diseases of human.

  5. Congenital malformations, deformations, and chromosomal abnormalities of human.

  6. Digestive system diseases of human.

  7. Ear and mastoid process diseases of human.

  8. Endocrine, nutritional, and metabolic diseases of human.

  9. External causes of morbidity of human.

  10. Eye and adnexa diseases of human.

  11. Factors influencing health status and contact with health services of human.

  12. Genitourinary system diseases of human.

  13. Infectious and parasitic diseases of human.

  14. Injury, poisoning, and certain other consequences of external causes of human.

  15. Musculoskeletal system and connective tissue diseases of human.

  16. Medicolegal case of human.

  17. Neoplasms of human.

  18. Nervous system diseases of human.

  19. Old age-related issues of human.

  20. Pregnancy, childbirth, and the puerperium of child-bearing age of women.

  21. Respiratory system diseases of human.

  22. Skin and subcutaneous tissue diseases of human.

  23. Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified of human.

General Assessment
Height
Weight
Build (thin, obese, emaciated, etc.)
Temperature
Radial Pulse
Respirations
Blood Pressure (sitting, standing, and lying if related to current illness or over age 50)
Posture
Speech (descriptive terms include: fast, slurred, thick, articulate, speaks no English, absence of speech)
Emotion (descriptive terms include slightly nervous, comatose, calm, etc.)
Stated Aged Versus Apparent Age (documentation would read “appears chronological age” or “stated age 40, looks 50”)

Types
What is a Medical History?
What is a Medical History Form?
What are the types of assessment of a patient?
How many types of human health care assessment are there?
There are 18 types of human health care nonemergency assessment and 15 types of human health care, emergency assessment in various human healthcare settings.

What is an assessment of a patient?
Patient assessment is the term used to describe the process of identification of the condition, needs, abilities, and genuine preferences of a patient.
Who should ideally do an assessment of a patient?
The physician should ideally do an assessment of the patient.

Questions relevant to the patient.

Where is the patient now?

What is the name and date of birth of the patient?

What seems to be the problem?

What type of patient assessment does this individual need?

What are the types of assessment of a patient?
Non-emergency
  1. Abilities assessment (physical, mental, professional abilities assessment).

  2. Abilities assessment (physical, mental).

  3. Abilities assessment (professional).

  4. Annual health assessment.

  5. Assessment of patient with specific complaint or problem.

  6. Assessment for anesthesia (nonemergency).

  7. Comprehensive patient assessment.
    Comprehensive patient assessment (nonemergency)

  8. Follow-up patient assessment.

  9. Genuine preferences assessment.

  10. Medicolegal case.

  11. Needs assessment.

  12. Nonemergency medicolegal case assessment

  13. New Patient Consultation

  14. Oppressor screening

  15. Patient 60-second assessment in stress.

  16. Patient been referred by you to others.

  17. Patient been referred to you by others.

  18. Patient-focused history and physical exam.

  19. The new problem is not a medical emergency.

Emergency Assessment

  1. A medical emergency with an individual victim.

  2. Assessment for anesthesia (emergency).

  3. Comprehensive patient assessment (ICU).

  4. Comprehensive patient assessment (emergency)

  5. Critical care progress assessment of patient in 60 seconds.

  6. Emergency comprehensive patient assessment

  7. Emergency medicolegal case assessment

  8. Newborn assessment in 5 minutes.

  9. Needs assessment.

  10. Patient 10-minutes assessment in a medical emergency room.

  11. Patient 60-second assessment by call center/Internet/telemedicine.

  12. Patient 10-minutes assessment in a medical emergency room.

  13. Patient 60-second assessment in trauma.

  14. Patient 60-second on-the-spot diagnosis and treatment.

  15. Patient 60-second assessment in crisis.

  16. Problem that is a medical emergency (In case of a medical emergency, your local emergency service is the first responder. Guidelines for your local emergency responder are at this location: http:www.qureshiuniversity.com/emergencyworld.html).


What should a physician be aware of in the state and outside the state?
In addition to an individualized assessment of patients, a physician should serve in public health emergencies and public health nonemergencies.

Do not lie during an individualized assessment.
If you lied during an individualized assessment or someone else persuaded you to lie, correct immediately with the truth and apology, and face other consequences.
Do not hide the truth.

Who needs health care assessment?
Normal human beings need health care assessment to maintain good health.
Any individual with any specific healthcare complaint.

What are various types of assessment?
What are the types of patient assessment?

Individual person assessments relevant to health care.
Natural or manmade calamity/disaster assessment due to floods or similar harms in the state or outside the state.

What should be available relevant to an individual person for assessment?
Biodata should be available relevant to an individual person. After biodata of an individual person is available, assessment becomes quicker.
If biodata is not available, at least an identity card should be available.
Assessment in medical emergency situation.
Assessment in medical nonemergency situation.
Assessment of a patient in various healthcare settings.

Checklist of symptoms
General

Fatigue
Anorexia
Weight change
Itch
Rashes
Low mood
Fevers/night sweats
Heat/cold intolerance
Change in appearance

Cardiorespiratory

Chest pain
Breathlessness
Orthopnoea
Paroxysmal nocturnal dyspnoea
Palpitation
Cough
Sputum
Wheeze
Haemoptysis

Gastrointestinal

Swallowing difficulty
Nausea and vomiting
Haematemesis
Heartburn
Indigestion
Abdominal pain
Change in bowel habit
Change in colour/consistency of motions

Genitourinary

Dysuria
Frequency/nocturia
Change in colour/smell of urine
Prostatic symptoms
Urethral/vaginal discharge
Incontinence
Menstrual difficulties
Postmenstrual bleeding
Sexual difficulties

Central nervous system

Headaches
Fits/faints/funny turns
Weakness
Sensory symptoms
Changes in taste/smell
Hearing disturbance
Visual disturbance
Speech disturbance
Dizziness

Locomotor

Pain
Stiffness
Immobility
Swelling
Loss of joint function

What is wrong with existing physicians around the world?
Existing physicians around the world are not able to do proper health care assessment in various human healthcare settings.

Existing physicians are not able to reach correct diagnoses and treatment in various human healthcare settings.

What is a patient?
A person who requires medical care.

What type of individual requires medical care?
A normal individual requires medical care.
A harmed individual requires medical care.
A person who has any medical condition requires medical care.
If a highly experienced physician guides others, including other physicians, it is normal that the physician also needs medical care for himself or herself at least for stress. For example, internationally renowned Doctor Asif Qureshi guides all medical specialties, including 611 professions, and occasionally feels stressed.

Stress is the diagnosis.
If stress is ignored, this can cause an acute stress reaction.

What are the types of assessment of a patient?
There are at least seven types of assessment of as an individual in a human healthcare setting.

A physician or a counselor must be able to answer this question.
What type of patient assessment does this individual need?


Abilities assessment (physical, mental).
How should you answer these questions?
Answer to the best of your ability and knowledge.

What should you write if a question is not applicable to you?
This is not applicable to me at this point.

Question 1

What is your Email address?

Question 2

What is the name of the individual who needs doctor consultation?

Question 3

What is the date of birth of the individual who needs doctor consultation?

Question 4

Address

What is your mailing address?

Question 5

What was your mailing address from birth until now?

Question 6

Where is the patient now?

Question 7

Where do you live now?
How long have you lived at this address?

Question 8

How long do you plan to live at this address?

Question 9

What is your contact information including current mailing address, telephone, e-mail, and any other details, and person to contact in case of emergency?

Question 10

What is the gender of the patient?
What best describes the patient?:
Question 11

In general, how is your physical and mental health?

Question 12

What is your telephone number?

Question 13

Have you been in the hospital in the last month?

Yes
No

Question 14

Do you have health problems that you need help with right away?
Yes
No

Question 15

Do you have any appointments scheduled with doctors or other specialists?
Yes
No

Question 16

Screening for survival needs

Do you have enough of these resources from the state?
Food
Clothing
Housing
Health care
Transportation
Security
Education
Consumer goods
Communication

Do you need any of these resources to be enhanced?

Question 17

What are the issues?

Question 18

Do you need extra help to access services, such as a wheelchair ramp, a computer screen reader or large print materials?
Yes
No

Question 19

What is the number on your medical card?
A medical card number is usually a nine digit number.

Question 20

What state or entity has issued this medical card?

Question 21

What is troubling you?

Question 22

How old is the patient?

Question 23

What languages can you understand?

Question 24

What are the sources of medical history?

Question 25

Where are you located now?

Question 26

Is your complete medical history ready?
Do you have a physician referral?
Yes
No
Don't know

Question 27

Who is writing answers to these questions?

The patient.
Someone else on behalf of patient.

If someone else is answering these questions on behalf of the patient, how are you related to the patient?
Sister
Cousin
Brother
Mother
Father
Case manager
Relative
Primary care physician
Nurse
If other, specify.

Question 28

Have you gone through the Internet human healthcare guidelines? Take a look at this http://www.qureshiuniversity.com/internethealthcareservices.html, public health guidelines, http://www.qureshiuniversity.com/publichealthworld.html patient education guidelines http://www.qureshiuniversity.com/patienteducation.html at mentioned resource?

Question 29

Do you think your issue or issues have not been answered at this resource and need individualized doctor consultation?

Question 30

What type of doctor consultation is required?
Ambulatory human health care
Adolescent girls’ consultation
Community health center evaluation
Critical care consultation (anesthesiology)
Coroner investigations
Cardiology consultation
Dermatology consultation
Disability consultation
Dental consultation
Emergency medicine consultation
Endocrinology consultation
Forensic medicine consultation
Gastroenterology consultation
Geriatrics consultation
Hematology consultation
Internet healthcare consultation
Medical negligence consultation
Nephrology consultation
Neurology consultation
Oncology consultation
Ophthalmology consultation
Orthopedics consultation
Otorhinolaryngology consultation
Obstetrics & Gynecology consultation
Primary care physician consultation
Pediatrics consultation
Psychiatry consultation
Pulmonary medicine consultation
Physical medicine & Rehabilitation consultation
Public health guidelines
Radiology & nuclear medicine consultation
Surgical consultation
Women's health consultation

Question 31

Impairment Rating and Disability Determination
Health status

How would you describe your health status relevant to your age?
100% mentally fit.
100% physically fit.

Question 32

Do you have any problems with activities mentioned below relevant to your age?

Walking
Seeing
Hearing
Speaking
Breathing
Learning
Working
Caring for oneself (eating, dressing, toileting, etc.)
Performing manual tasks
Getting started after sleep
Sitting
Sleeping
Annual health assessment.
Encourage everyone to have an annual health assessment from a competent medical doctor able to answer relevant questions via e-mail, telephone, fax, postal mail, or face-to-face and able to reach a correct diagnosis and treatment in various health care settings.

Why do you need an annual health assessment?
Most medical emergencies can be prevented with a proper annual health assessment and treatment by a competent medical doctor.

Most medical disabilities can be prevented or cured with an annual health assessment by a competent medical doctor.

Most medical conditions can be diagnosed and cured with a proper annual health assessment by a competent medical doctor.

The quality of health can be enhanced with a proper annual health assessment and treatment by a competent medical doctor.

Every state must assign 200 patients to a competent medical doctor able to answer relevant questions and reach a correct diagnosis and treatment for primary health care that includes an annual health assessment.

Every medical doctor must update the state department of health with relevant findings.

The state department of health must maintain medical records of patients.
A medical doctor can prolong the life of a person at least up to 90 years with a good quality of life. A medical doctor cannot sustain a person beyond 90-95 years of life.
Questions for professional regulators in the state.
Questions for health care providers or medical doctors.
Questions for residents or patients.
Medicolegal case.
Do you know what is a medicolegal case?

------------------------------------

What is a medicolegal case?

------------------------------------

What are examples of medicolegal cases?

------------------------------------


Needs Assessment
What is needs assessment?
Human rights have to be the main focus of needs assessment.

Needs assessment can be at an individual level and/or a community level.

A needs assessment is a systematic process for determining and addressing needs, or "gaps" between current conditions and desired conditions.

Needs assessment has to be done in all human healthcare settings.

How do you proceed with a needs assessment?
Gather data to define needs.
Identify concerns.
Identify and analyze the causes.
List consequences if the cause is not removed.
Enter a rating (low, medium, high) of the difficulty of correcting the problem.
Decide on priorities.
Identify possible solutions and/or remedies.
Prepare a plan.

In what situations are needs assessments required?
Emergency needs assessment.
Nonemergency needs assessment.
Problem or complaint-oriented assessment.
Is there a difference between needs assessment and survival needs assessment?
Yes.

What is the difference between needs assessment and survival needs assessment?
Needs assessment is a big entity.
Within needs assessment is survival needs assessment.
Take a look at this.
http://www.qureshiuniversity.com/survivalneeds.html
These are the questions to be answered in survival needs assessment.

Take a look at this.
http://www.qureshiuniversity.com/needsassessment.html
These are the questions to be answered in detailed needs assessment.

No competent primary care physicians exist in the community.
This is a need of an individual.
This may not be an emergency; however, need of an individual is a need.

What do I feel needs to be included in needs assessment?
Needs assessment has to be done under the supervision of a physician.
A care coordinator, physician assistant, counselor, or nurse can do a needs assessment under supervision of a physician.

What aspects of a needs assessment are important to its success?
Relevant questions and truthful answers.

What steps are involved in conducting a needs assessment?
Questions to be asked in needs assessment.

What questions should be asked in needs assessment?

What are your needs?

--------------------------------------

What is the name of individual whose needs assessment has to be done?
--------------------------------------

What is the date of birth of the individual whose needs assessment is to be done?

--------------------------------------

What is the profile of the individual?

--------------------------------------


Your profile.
Your social support network.
Your health care provider’s profile.
Activities of everyday living assessment.
Your survival needs details.

How does a profile look?
Here are further guidelines.

Are these survival needs or nonsurvival needs?

--------------------------------------

Do you think these are emergency or nonemergency needs?

--------------------------------------

What department in the state has a duty to resolve these issues?

--------------------------------------

What needs to be done immediately?

--------------------------------------

What can be done later?

--------------------------------------
New Patient Consultation
Profile from birth until now
If your profile is available, you do not need to answer these questions.
If your profile is not maintained with me, you need to answer these questions.
If you have difficulty elaborating your profile, you can be helped with sample examples.
Annual health assessment of a child
Female
  1. What is the name of the individual who needs doctor consultation?


  2. ------------------------------------

  3. What is the date of birth of the individual who needs doctor consultation?


  4. ------------------------------------

  5. Can I get a copy of your photo identity card?


  6. ------------------------------------

  7. Are you a new patient?


  8. ------------------------------------

  9. What is the reason for consultation?


  10. ------------------------------------

  11. What is your reason for visit?


  12. ------------------------------------

  13. What is your Email address?


  14. ------------------------------------

  15. What is your mailing address?


  16. ------------------------------------

  17. What was your mailing address from birth until now?


  18. ------------------------------------

  19. Where is the patient now?


  20. ------------------------------------

  21. Where do you live now?


  22. ------------------------------------

  23. How long have you lived at this address?


  24. ------------------------------------

  25. How long do you plan to live at this address?


  26. ------------------------------------

  27. What is your contact information including current mailing address, telephone, e-mail, and any other details, and person to contact in case of emergency?


  28. ------------------------------------

  29. What is the gender of the patient?


  30. ------------------------------------

  31. What best describes the patient?
    Adolescent boy
    Adolescent girl
    Child
    Man
    Woman


  32. ------------------------------------

  33. In general, how is your physical and mental health?
    Excellent
    Good
    Fair
    Poor


  34. ------------------------------------

  35. What is your telephone number?


  36. ------------------------------------

  37. Have you been in the hospital in the last month?
    Yes
    No


  38. ------------------------------------

  39. Does the individual have any of this?
    Stress.
    Intentional enforced harms from others.
    Human rights violations from others.

    If yes, fix these issues immediately.


  40. ------------------------------------

  41. How do you know an individual has stress, intentional enforced harms from others, or human rights violations from others?


  42. ------------------------------------

    Ask questions relevant to stress, intentional enforced harms from others, Or human rights violations from others.

    Questions relevant to stress.

  43. What is troubling you at present?


  44. ------------------------------------

  45. What is troubling you from the past or about the future?


  46. ------------------------------------

    Questions relevant to intentional enforced harms from others.

  47. Who has harmed you in the past or present or is likely to harm you in the future?


  48. ------------------------------------

    Questions relevant to human rights violations from others.

  49. Do you know what basic human rights are?


  50. ------------------------------------

  51. What best describes your human rights violations from others?

  52. Date:________________________________

    Referred by:_________________________

    _____________________

    Telephone:___________________________

    Primary Care Physician Name, Address and Phone:__________________

    Referring Physician, if different from above:_______________________

    Emergency Contact Name:______________

    Relationship:________________________

    Phone:_______________________________

    Your Height:_________________________

    Your Weight:_________________________

  53. What seems to be the problem?


  54. ------------------------------------

  55. What is the reason for consultation?


  56. ------------------------------------

  57. Are you a new patient?


  58. ------------------------------------

  59. Do you have health problems that you need help with right away?
    Yes
    No


  60. ------------------------------------

  61. Do you have any appointments scheduled with doctors or other specialists?
    Yes
    No


  62. ------------------------------------

    Screening for survival needs

  63. Do you have enough of these resources from the state?
    Food
    Clothing
    Housing
    Health care
    Transportation
    Security
    Education
    Consumer goods
    Communication
  64. Do you need any of these resources to be enhanced?


  65. ------------------------------------

  66. What are the issues?


  67. ------------------------------------

  68. Do you need extra help to access services, such as a wheelchair ramp, a computer screen reader or large print materials?
    Yes
    No


  69. ------------------------------------

  70. What is the number on your medical card? A medical card number is usually a nine digit number.


  71. ------------------------------------

  72. What state or entity has issued this medical card?


  73. ------------------------------------

  74. What is troubling you?


  75. ------------------------------------

  76. How old is the patient?


  77. ------------------------------------

  78. What languages can you understand?


  79. ------------------------------------

  80. What are the sources of medical history?


  81. ------------------------------------

  82. Where are you located now?


  83. ------------------------------------

  84. Is your complete medical history ready?
    Do you have a physician referral?
    Yes
    No
    Don't know


  85. ------------------------------------

  86. Who is writing answers to these questions?
    The patient.
    Someone else on behalf of patient.


  87. ------------------------------------

  88. If someone else is answering these questions on behalf of the patient, how are you related to the patient?
    Sister
    Cousin
    Brother
    Mother
    Father
    Case manager
    Relative
    Primary care physician
    Nurse
    If other, specify.


  89. ------------------------------------

  90. Have you gone through the Internet human healthcare guidelines?
    Take a look at this http://www.qureshiuniversity.com/internethealthcareservices.html, public health guidelines, http://www.qureshiuniversity.com/publichealthworld.html patient education guidelines http://www.qureshiuniversity.com/patienteducation.html at mentioned resource?


  91. ------------------------------------

  92. Do you think your issue or issues have not been answered at this resource and need individualized doctor consultation?


  93. ------------------------------------

  94. What type of doctor consultation is required?
    Ambulatory human health care
    Adolescent girls’ consultation
    Community health center evaluation
    Critical care consultation (anesthesiology)
    Coroner investigations
    Cardiology consultation
    Dermatology consultation
    Disability consultation
    Dental consultation
    Emergency medicine consultation
    Endocrinology consultation
    Forensic medicine consultation
    Gastroenterology consultation
    Geriatrics consultation
    Hematology consultation
    Internet healthcare consultation
    Medical negligence consultation
    Nephrology consultation
    Neurology consultation
    Oncology consultation
    Ophthalmology consultation
    Orthopedics consultation
    Otorhinolaryngology consultation
    Obstetrics & Gynecology consultation
    Primary care physician consultation
    Pediatrics consultation
    Psychiatry consultation
    Pulmonary medicine consultation
    Physical medicine & Rehabilitation consultation
    Public health guidelines
    Radiology & nuclear medicine consultation
    Surgical consultation
    Women's health consultation


  95. ------------------------------------

  96. Impairment Rating and Disability Determination Health status

    How would you describe your health status relevant to your age?
    100% mentally fit.
    100% physically fit.


  97. ------------------------------------

  98. Do you have any problems with activities mentioned below relevant to your age?
    Walking
    Seeing
    Hearing
    Speaking
    Breathing
    Learning
    Working
    Caring for oneself (eating, dressing, toileting, etc.)
    Performing manual tasks
    Getting started after sleep
    Sitting
    Sleeping

Oppressor screening
How do you know a person is harmful or a gang member?

________________________

He or she has disregard for human rights of others.
He or she has harmed others and is likely going to harm others.
He or she has prejudice toward good charactered, well-behaved individuals.
A harmful individual will not have proper answers to questions relevant to good character, good behavior, or human rights.

What type of individual goes to jail or has involuntary admission to a psychiatric facility?

________________________

Is there an oppressor/harmful individual in the community?

________________________

How has/is this individual harming others?

________________________

How is this individual likely to continue to harm others?

________________________

Is he or she acting alone or is a gang member?

________________________

Who are among the other gang members?

________________________
Primary Health Care
What is primary health care?
A health care resource advertises capabilities of screening hypertension and diabetes. That is not primary health care. That is quackery.

Such activities are planned on April 20, 2012, at Near North Center, Chicago, Illinois.
Heartland Alliance Chicago, Illinois, also is involved in similar quackery.

Asian Human Services has declared an annual health fair on April 25, 2012, in Chicago, Illinois, to screen specific medical conditions.

Can so many residents be screened for so many medical conditions in one day by a few medical doctors?
No, they cannot.

How many residents should be assigned to a medical doctor for primary health care?
One handred patients per medical doctor.

What should a health care resource be able to provide in primary health care?
From time to time, you will be asked to issue a Healthcare screening certificate. http://www.qureshiuniversity.com/healthcarescreeningcertificate.html
Needs Assessment
    Emergency needs assessment.
    Nonemergency needs assessment.
    Problem or complaint-oriented assessment
Refer residents or patients to other physicians with relevant abilities.

Here are further guidelines.
JavaScript Form Validation
Question 1

What is your Email address?
Question 2

What is the name of the individual who needs doctor consultation?
Question 3

What is the date of birth of the individual who needs doctor consultation?
Question 4

Address

What is your mailing address?
Question 5

What was your mailing address from birth until now?
Question 6

Where is the patient now?
Question 7

Where do you live now?
How long have you lived at this address?
Question 8

How long do you plan to live at this address?
Question 9

What is your contact information including current mailing address, telephone, e-mail, and any other details, and person to contact in case of emergency?
Question 10

What is the gender of the patient?
What best describes the patient?:
Question 11

In general, how is your physical and mental health?
Question 12

What is your telephone number?
Question 13

Have you been in the hospital in the last month?
Yes
No
Question 14

Do you have health problems that you need help with right away?
Yes
No
Question 15

Do you have any appointments scheduled with doctors or other specialists?
Yes
No
Question 16

Screening for survival needs

Do you have enough of these resources from the state?
Food
Clothing
Housing
Health care
Transportation
Security
Education
Consumer goods
Communication

Do you need any of these resources to be enhanced?
Question 17

What are the issues?
Question 18

Do you need extra help to access services, such as a wheelchair ramp, a computer screen reader or large print materials?
Yes
No
Question 19

What is the number on your medical card?
A medical card number is usually a nine digit number.
Question 20

What state or entity has issued this medical card?

Question 21

What is troubling you?
Question 22

How old is the patient?
Question 23

What languages can you understand?
Question 24

What are the sources of medical history?
Question 25

Where are you located now?
Question 26

Is your complete medical history ready?
Question 27

Who is writing answers to these questions?
The patient.
Someone else on behalf of patient.

If someone else is answering these questions on behalf of the patient, how are you related to the patient?
Sister
Cousin
Brother
Mother
Father
Case manager
Relative
Primary care physician
Nurse
If other, specify.
I have read and agree to the Terms & Conditions.

These are basic questions.
There are many more.

Once the above listed relevant questions about comprehensive patient assessment are answered and received, you will get another questions list relevant to age, gender, location, problems, or issues, if any.

This will be followed by specific recommendations.
The reference resource for medical doctors.
The reference resource for human health care.
What is included in the reference resource for medical doctors?
What is included in the reference resource for health care?
Here are further guidelines.
http://www.qureshiuniversity.com/healthcareworld.html
Comprehensive patient assessment (nonemergency)

What are the types of comprehensive patient assessment (nonemergency)?
Age 1-12 years, comprehensive Health assessment of a child.
Age 12–18 years, comprehensive health assessment of adolescent girl (teen).
Age 12–18 years, comprehensive health assessment of adolescent boy.
Age 65 years or older, comprehensive geriatric assessment.

Comprehensive health assessment usually takes three sessions of 30 minutes on various days. If medical history is transmitted via email, fax, or postal mail, the duration can be less.

What are the types of follow-up patient assessment?
60-second progress assessment in an emergency room.
60-second progress assessment in a hospital ward.
60-second progress assessment in OPD.
60-second progress assessment by email, telephone, fax, or postal mail.
One-page discharge summary from hospital.

What are the types of emergency patient assessment?
Newborn assessment in 5 minutes.
Patient 60-second assessment in stress.
Patient 60-second assessment in crisis.
Critical care progress assessment of patient in 60 seconds.
Comprehensive patient assessment (emergency).
Comprehensive patient assessment (ICU).

Age 1-12 years, comprehensive health assessment of a child.

Age 1-12 years, comprehensive health assessment of a child.

What is the mailing address of individual/individuals’ source/sources of this medical history?

-------------------------------------

How is this individual related to the child?

-------------------------------------

Where does this child (with name, date of birth mentioned) live at this point?

-------------------------------------

How long has the child lived at this location?

-------------------------------------

Who is the caregiver for the child at this location?

-------------------------------------

What is the profile of the caregiver at this location?

-------------------------------------

What best describes the caregiver for this individual?
Mother
Father
Foster mother
Foster father
Legal guardian
Other (specify)

-------------------------------------

Feeding History

Who feeds the child every day?

-------------------------------------

Has the caregiver taken parenting classes?

-------------------------------------

What food does the child get every day?

-------------------------------------

How many times is the child fed every day?

-------------------------------------

How long does the child’s feeding last?

-------------------------------------

Developmental History

Do you know the birth weight of this child?

-------------------------------------

What was the birth weight of this child?

-------------------------------------

What is the weight record of the child every six months after birth?

-------------------------------------

What is the record of the yearly length of the child?

-------------------------------------

Recommendations
What are recommendations to other medical colleges?
Various medical colleges start with anatomy, physiology, biochemistry, pediatrics, ear nose & throat, forensic medicine, ophthalmology, preventive and social medicine and end with medicine, surgery, obstetrics and gynecology.

They must start directly with a medical condition. Each medical condition should be enumerated in at least 40 questions and answers with relevant anatomy, physiology, biochemistry, microbiology, pathology, pharmacology, and preventive concepts.
What human anatomy should one know relevant to this medical condition?
What human physiology should one know relevant to this medical condition?
What human biochemistry should one know relevant to this medical condition?
What human microbiology should one know relevant to this medical condition?


If one needs these questions and answers, Qureshi University is willing to provide them.

Healthcare Education

What will happen if you do not follow these guidelines?
Your students will have problems in the real world.

Doctors educated at your resource will not be able to answer relevant questions in the real world.

Sooner or later, your students will complain that they were educated with substandard curriculum.

The focus of your resource should be preparing students to solve real-world issues, problems, and complaints relevant to human health in the real world.

These recommendations are for all regions of the world.

What should you know about various recognitions or accreditation?
If you declare that you have completed you education from a recognized resource with certification, board certifications, licensure, professional memberships, and real-world education but you are not able to answer relevant questions, your education is of no use.

Set up a resource on the Internet in question-and-answer format in the English language that displays questions and answers that you know. This will be one proof of your competence.

If you procure your education from another resource, declare that you have done so.

Here are further guidelines.
http://www.qureshiuniversity.com/healthcareworld.html
Grants and perks required to enhance these programs.
Emergency Medicine/Global Medicine
Medical Emergency
Patient assessment
Emergency Diagnosis and Treatment
What are the types of patient assessment?
Patient 60-second assessment by call center/Internet/telemedicine.
Patient 60-second on-the-spot diagnosis and treatment.
Patient 60-second assessment in trauma.
Patient 10-minutes assessment in a medical emergency room.
Patient-focused history and physical exam.
Comprehensive patient assessment.


What is a medical emergency?
If a human being has any problem, symptom, complaint, or situation listed below, it is a medical emergency.
http://www.qureshiuniversity.com/medicalemergency.html

What best describes the problem, symptom, complaint, or situation in the list?

_________________________

What type of assessment does this patient need?

_________________________

What will happen if this medical condition is left without treatment?

_________________________

The individual can die.
The individual can have a disability.
The individual can have severe pain.
The individual can have irreparable harm.

Does this situation need a doctor?

_________________________

What should be displayed on an emergency medical record?
Details of the patient.
Details of the diagnosing and treating medical doctor.


Details of the patient.

What should be your first question in case a patient is referred to you?

Patient 60-second assessment by call center/Internet/telemedicine.

Where is the patient now?

_________________________

How old is the patient?

_________________________

What is the gender of the patient?

_________________________

Who is reporting this emergency?

_________________________

What are the sources of medical history?

_________________________

Patient.
Family.
Patient not responding to medical history questions.
Community member.
Police officer.
Referral from medical doctor.
Other.

How much time has elapsed from the start of the emergency until now?

_________________________

Does one individual or many individuals have medical emergencies at this location?

_________________________

How many individuals have medical emergencies at this location?

_________________________

A medical emergency with an individual victim.
A multiple casualty incident.
Do you think this is a multiple causality incident?
If it is a multiple causality incident, the guidelines are different.

Vital Signs
Check vital signs, mobility, and survival needs.

Consciousness of a human being has to be included in vital signs.

Vital Signs

Consciousness, pulse, blood pressure, respiratory rate, temperature.

Consciousness is extremely essential in reaching a correct diagnosis and treatment.

What are the vital signs on the date and time of diagnosis and treatment?

Date: Time: Consciousness: Pulse: Blood pressure: Respiratory rate: Temperature:
______ ______ ______ ______ ______ ______ ______
______ ______ ______ ______ ______ ______ ______
______ ______ ______ ______ ______ ______ ______

How do you categorize the condition of the patient?

_________________________

Undetermined
Good
Fair
Serious
Critical

Is this an emergency?

_________________________

What is the category of this emergency?

_________________________

Is this a medical emergency?

_________________________

In what type of setting does this patient need treatment?

_________________________
Here are various examples.
Critical care
Coroner investigations
Emergency room health care
Emergency call center
Hospital ward
Home health care
Internet human health care services
Labor, delivery, and recovery rooms
Medicolegal cases
On-the-spot diagnosis and treatment
Operating rooms
Other


Who has the duty to manage this emergency?

_________________________

What best describes this human emergency?

_________________________

Medical emergency
Surgical emergency
Trauma emergency
Pediatric emergency
Obstetrical/gynecological emergency
Medico legal case
Patient assessment
Patient 60-second on-the-spot diagnosis and treatment.

What problems, complaints, incidents, and issues need on-the-spot diagnosis and treatment?
Unconsciousness at a public location.
Sudden unconsciousness at home.
Trauma
Survival Needs
Seizures
Burns
Drowning
Human Pregnancy Emergencies
Here are further guidelines.
What is the reason for consultation?

_________________________

What seems to be the problem?

_________________________

How much time has elapsed from the start of the emergency until now?

_________________________

Does one individual or many individuals have medical emergencies at this location?

_________________________

How many individuals have medical emergencies at this location?

_________________________

What best describes your problem?

_________________________

Patient Name:________________________

Referred by:_________________________

Mailing Address:_____________________

Telephone:___________________________

Your Email Address:__________________

Date of Birth:_______________________

Gender: Male Female

Primary Care Physician Name, Address and Phone:__________________

Emergency Contact Name:______________

Relationship:________________________

Phone:_______________________________

Your Height:_________________________

Your Weight:_________________________

Race::_______________________________

White
Black/African American
Hispanic/Latino
Pacific Islander
Asian
Asian/American

Conscious

Can the patient talk?
Can the patient respond to verbal questions accurately?
Can the patient do spontaneous eye opening?
Does the patient respond to painful stimulus?
Is the patient conscious, oriented in time, space, and person?
Conscious means able to see, hear, and talk.
In pediatric patients younger than six months of age, the ability to make any verbal noise or cry is equivalent to talking.

What is the location of patient at the point of the medical emergency?
Can the patient talk relevant to age?
Can the patient walk relevant to age?
Are consciousness, pulse, blood pressure, and respiratory rate normal relevant to age?
What is the cause of the existing emergency medical scenario?

Here are further guidelines.

Here are further guidelines.

Emergency medical history

What questions should you ask in emergency medical history?
http://www.qureshiuniversity.com/medicalhistory.html

http://www.qureshiuniversity.com/vitals.html
Mobility
Survival Needs
Details of the diagnosing and treating medical doctor.

What is the name, date of birth, phone number, and other contact information of the person diagnosing and treating this patient?

_____________________________________________

What is the date and time you are diagnosing and treating this patient?

_____________________________________________

What is the location of the patient at the time you are diagnosing and treating this patient?

_____________________________________________

What best describes the location of diagnosis and treatment of this case?
1. On-the-spot diagnosis and treatment.
2. Emergency room diagnosis and treatment.
3. In the hospital diagnosis and treatment.
4. Long-distance health care advice.
5. Other
_____________________________________________
Can you reach a correct diagnosis and treatment of a human being?

_____________________________________________

What is the diagnosis of this patient?

_____________________________________________

How did your reach this diagnosis?

_____________________________________________

What is the treatment for this patient?

_____________________________________________

Does the patient need to be transferred to a medical emergency room?

_____________________________________________

In America up to February 12, 2012, most emergency medical records did not have these facts.

In what emergency medical category do you fit the condition of the patient you are diagnosing and treating on this date and time?

Undetermined, Good, Fair, Serious, Critical.

If on-the-spot diagnosis of a patient declared in serious or critical condition, arrange a bed in the Intensive Care unit.

Date of Examination:_________________________

Physician Name:_________________________

Physician Address:_________________________

Is it a Medical Emergency?

___________________________

In what type of setting does this patient need treatment?

___________________________

Do any recent causes lead to this problem; for example, trauma, missed medication, inadequate survival needs, stress, or other issue?

___________________________

What are further details?

___________________________

Does any past medical history lead to this problem?

___________________________

Is there any recent history within past few minutes or hours of any of the following:
1.Unconsciousness at a public location.
2.Sudden unconsciousness at home.
3.Trauma.
4.Survival needs issues.
5.Seizures.
6.Burns.
7.Drowning.


___________________________

If there is even one recent history of the above, on the spot diagnosis and treatment is required.

Is the victim's condition life or limb threatening?

___________________________

Could the victim's condition worsen and become life or limb-threatening on the way to the hospital?

___________________________

Could moving the victim cause further injury?

___________________________

Does the victim need the skills or equipment of paramedics or emergency medical technicians?

___________________________

Would distance or traffic conditions cause a delay in getting the victim to the hospital?

___________________________

What have been his activities for the last 10 years?

___________________________

Does the individual use or abuse any of these substances?
Alcohol.
Drugs.
Tobacco.

___________________________

Is the individual on any medication?

___________________________

Questions doctor on duty needs to answer.

Is it a medical emergency?

___________________________

What is the diagnosis?

___________________________

In what setting/location does this medical condition need treatment?
Treatment required on the spot.
Treatment required in the medical emergency room.
Treatment required in the intensive care unit.
Treatment required in the ward.
Treatment required in the operating room.
Treatment required at home.
Treatment required Internet health care.
Treatment required in OPD consultation.

___________________________

What treatment do you recommend for this patient?

___________________________

What are other treatment options for this patient?
No other treatment option.
Other treatment options are enumerated.

___________________________

Prescription
How do you do a quick assessment, diagnosis, and treatment of a conscious patient?
Are you the person reporting a medical emergency for yourself?
Emergency
How do you do a quick assessment, diagnosis, and treatment of an unconscious patient?
Are all vital signs normal? Can the person move relevant to age? Has the person been provided with survival resources? Does the person or caregiver complaint of anything? Are these justified complaints?


Medical emergencies.
What are examples of emergency relevant to an individual?
What are various symptoms, signs, statements, questions, issues, and histories that should raise suspicion of a medical emergency?

There are at least 143 such symptoms, signs, statements, questions, issues, histories, and scenarios.
Agitated Patient (Acute stress reaction.)
Attempted suicide.
Attempted homicide.
Abuse.
Abdominal Pain.(Stomach pain)
Altered sensorium.
Any sudden or severe pain.
Animal bites (may require rabies or tetanus shot).
Armed Robbery.
Allergic reactions.
Breathing difficulties.
Behavior that is dangerous to self or others and cannot be managed.
Bleeding from any orifice or any part of human body that will not stop.
Bleeding which does not stop after applying pressure.
Being beaten by someone.
Burns.
Bites.
Bloody Sputum
Broken bones.
Behavior-related emergencies.
Change in mental status (such as unusual behavior, confusion, and difficulty arousing).
Changes in vision.
Chest pain.
Choking.
Cough with fever.
Coughing up or vomiting blood.
Confusion or changes in mental status
Cuts and abrasions.
Chest or upper abdominal pain or pressure lasting two minutes or more.
Difficulty breathing.
Difficulty speaking.
Disoriented.
Difficulty getting up.
Difficulty in passing urine.
Difficulty in passing feces.
Domestic Violence
Drowning or near drowning
Dental emergencies.
Emergency diagnosis and treatment in neonatal period.
Emergency diagnosis and treatment after neonatal period.
Earaches and ear infections.
Electrical injury shock.
Emergency Food
Environmental factors (hostile environment).
Fainting.
Fever.
Foreign bodies in nose or ears.
Fainting or loss of consciousness.
Fainting, sudden dizziness, weakness, seizure.
Feeling of committing suicide or murder.
Fever with breathlessness.
Functional impairment (not taking care of self. inability to gain relevant skills and knowledge relevant to age).
Human Rights Violations
Head or spine injury.
Head injury.
Human Pregnancy Emergencies
Hypothermia - frostbite.
Head pain that lasts longer than five minutes.
Intentional enforced harms.
Involuntary admission to a psychiatric facility
Loss of consciousness.
Loss of consciousness not related to a seizure
Loosening of social inhibitions.
Likely to be harmful to self or others.
Low abdominal pain.
Medicine overdose.
Major burns.
Medicolegal cases
Nosebleeds.
No pulse
Pain.
Palpitations.
Poisoning.
Poisoning including overdoses of medication.
Persistent or severe vomiting.
Persistent unexplained fever even with Tylenol use.
Puncture wounds.
Personality disorders (harmful to others). Panic attacks.
Psychosis(delusions, hallucinations, catatonia, thought disorder, loss of contact with reality).
Rape.
Pregnancy-related emergencies.
Possible serious bone fractures.
Rashes.
Survival Needs
Starvation
Suicidal feelings.
Surgical Emergencies
Significant trauma (to the head, stomach, chest)
Syncope.
Seizures.
Seizure lasting over five minutes or continuous seizures
Severe asthmatic attack when prescribed medications do not work
Severe injuries as a result of accidents such as broken bones
Severe reactions to a medication with difficulty breathing or itching.
Severe reactions to insect bites or other previously unknown allergic reactions
Sore throat & fever
Sunburn.
Severe neck or back injury.
Sexual intercourse due to conspiracy.
Severe or persistent vomiting.
Severe or persistent vomiting or diarrhea.
Severe headache.
Severe burns.
Severe pain in any part of the body that does not subside.
Serious drug reactions with psychiatric or non-psychiatric medications.
Syncope or unconsciousness.
Sudden or severe pain.
Sudden loss of vision.
Suicidal or homicidal feelings.
Sudden asthma attack that does not stop.
Sudden numbness or not being able to move an arm, leg, or one side of the body.
Sever headache with fever or vomiting.
Sudden injury or trauma due to a motor vehicle crash, burns, smoke inhalation, near drowning, wound, etc.
Substance abuse.
Sudden severe pain anywhere in the body.
Sudden dizziness, weakness, or change in vision.
Swallowing a poisonous substance.
Shock symptoms, e.g., confusion, disorientation, cool/clammy, pale skin.
Severe or persistent vomiting or diarrhea.
Stroke or suspected stroke (paralysis, numbness, confusion)
Trauma with unconsciousness.
Trauma with cuts, sprains, or abrasions.
Trauma with open fracture.
Trauma with pain on mobility.
Trauma with swelling.
Unable to detect breathing
Unconsciousness.
Unconsciousness with diabetes.
Unconsciousness at a public location.
Sudden unconsciousness at home.
Unable to move
Uncontrolled bleeding
Upper abdominal pain.
Uncontrolled bleeding.
Unusual abdominal pain.
Unusual or persistent abdominal pain.
Unexplained stupor, drowsiness or disorientation.
Violence
Violence or other rapid changes in behavior.
Vomiting
Vomiting or coughing blood.
Vomiting and diarrhea.
What will happen if you do not diagnose and treat a medical emergency properly?
It can lead to death.
It can lead to disability.
It can lead to other harms.
It can lead to medical malpractice.
It can lead to legal malpractice.

Annual health assessment.
Yearly health assessment
Annual health assessment


What are the details of the problems or complaints you had in past one year?

_________________________

What are the details of the problems or complaints you think you will face in the years ahead?

_________________________

Do you have enough survival needs?

_________________________

What are details of your survival needs for next year?

_________________________

When was your last annual health assessment done?

_________________________

Who did your last annual health assessment?

_________________________

What were the findings?

_________________________

What were the recommendations?

_________________________

Did the recommendations help?

_________________________

Was it an annual health assessment or evaluation of a new problem?

_________________________

When did you last see a medical doctor?

_________________________

Did you see a medical doctor for an annual health assessment or a new problem?

_________________________

What seemed to be the problem?

_________________________

What was the diagnosis and treatment?

_________________________

What is the name and contact information of the medical doctor who gave you this diagnosis and treatment?

_________________________

How are you feeling today?

_________________________

Do you have any problems today?

_________________________

What seems to be the problem?

_________________________

_________________________

_________________________

_________________________

_________________________

Did you know that 90% of doctor visits are for stress related symptoms?

_________________________

What do you know about stress?

_________________________

What are the sources of medical history?

_________________________

Patient.
Family.
Patient not responding to medical history questions.
Community member.
Police officer.
Referral from medical doctor.
Other.

Where is the patient now?

_________________________

Where do you live now?

_________________________

What is your telephone number?

_________________________

What is your e-mail address or fax number?

_________________________

Who has your medical record?

_________________________

Can I get a copy of your medical record?

_________________________

If you do not have a medical record and need to be my patient, a new medical record needs to be created.
This will take a few weeks.
You need to forward details about yourself.
This will be followed by various specific questions. What best describes your problem?


_________________________

What is the reason for consultation?

_________________________

The new problem is not a medical emergency.
Follow-up medical consultation.
Problem that is a medical emergency (In case of a medical emergency, your local emergency service is the first responder. Guidelines for your local emergency responder are at this location: http:www.qureshiuniversity.com/emergencyworld.html).
Patient Education
Annual health assessment.
Patient been referred to you by others.
Patient been referred by you to others.
These are basic questions.
There are many more.

One copy of your yearly health assessment goes to the state department of health.
One copy of your yearly health assessment remains with your primary care physician.
Referred by:_________________________

How long have you known the patient?

______________________________________

What are the details of the primary health care physician of a resident/patient?

Primary Care Physician Name, Address and Phone:__________________

_______________________

_______________________

_______________________

_______________________
Here are helpful guidelines to describe your primary physician.

I do not have a primary health care physician.
My primary health care physician is not able to answer relevant questions via e-mail, fax, phone, postal mail, or face-to-face.
There are no competent primary care physicians in the area I am living.
I need a primary health care physician able to reach a correct diagnosis and treat me in various health care settings, and able to answer relevant questions via e-mail, fax, postal mail, and face-to-face.
Emergency Contact Name:______________

Phone: _______________________

Email Address: _______________________

Relationship:________________________
What is included in a yearly health assessment?
Survival needs screening.
Life stressors screening.
History from birth until now if not recorded previously.
Vision and hearing screening.
Any new complaints/problems.
Activities of everyday living, housekeeping, mobility screening.
Personality disorders screening
Screening physical exam.
Advice/recommendations.
What are findings about other medical doctors and health care providers?
Most of the medical doctors claiming to be highly specialized health care providers up to March 30, 2013 did not provide this type of yearly health assessment.

All medical doctors and health care providers are required to provide this type of quality yearly health assessment.

They should not call themselves specialists without at least quality yearly health assessment.

What type of health care screening is usually done but is not helpful and sometimes is harmful due to wrong results/false positives?
Cancer screening, PPD test, Elisa tests, etc.

Is this type of health care screening useful?
No.

Write down any symptoms you're having, including any that may seem unrelated to the reason for which you scheduled the consultation. Note when your symptoms bother you most — for example, if your symptoms tend to get worse at certain times of the day, during certain seasons, or when you're exposed to cold air, pollen or other triggers.

_________________________

_________________________

_________________________

Write down key personal information, including any major stresses or recent life changes.
_________________________

_________________________

Make a list of all medications, vitamins and supplements that you're taking.Take a family member or friend along, if possible. Sometimes it can be difficult to recall all the information provided to you during an appointment. Someone who accompanies you may remember something that you missed or forgot.

_________________________

Write down questions to ask your doctor.

_________________________
Annual Physical Exam: The Basics

Date of Examination:_________________________

Physician Name:_________________________

Physician Address:_________________________
(For women only)
Are you pregnant or breast feeding? _____________________
Date of your last menstrual period: ______________________
How many children do you have? ______________________
How were they delivered? ______________________

Human Vital Signs

1. Consciousness:_________________________

2. Pulse rate:_________________________

3. Blood pressure:_________________________

4. Respiration rate:_________________________

5. Body temperature:_________________________

6. Emotion:_________________________

Vital Signs. These are some vital signs checked by your doctor:
Blood pressure: less than 120 over 80 is a normal blood pressure. Doctors define high blood pressure (hypertension) as 140 over 90 or higher.
Heart rate: Values between 60 and 100 are considered normal. Many healthy people have heart rates slower than 60, however.
Respiration rate: Around 16 is normal. Breathing more than 20 times per minute can suggest heart or lung problems.
Temperature: 98.6 degrees Fahrenheit is the average, but healthy people can have resting temperatures slightly higher or lower.

Vision & Hearing Screening

Height:_________________________

Weight:_________________________

Waist, hip circumferences:_________________________

BMI:_________________________

    Calculate the body mass index (BMI = wt (kg) ÷ ht(m2)
    < 20 BMI Low body weight
    20 to 25 BMI Healthy weight for most people
    >25 to 27 BMI Weight may lead to health problems
    27 to 29 BMI Overweight. Associated with increase in morbidity and mortality.
    > 30 BMI Obese
Eyes:_________________________

Ears/Nose:_________________________

Oral Cavity:_________________________

Endocrine:_________________________

Lymph Nodes:_________________________

Lungs:_________________________

Heart:_________________________

Breasts:_________________________

Abdomen:_________________________

Genitals:_________________________

Female Physical Exam:_________________________

Male Physical Exam:_________________________

Extremities / Musculoskeletal:_________________________

Habitus:_________________________

Skin:_________________________

Psychiatric:_________________________

Neurologic:_________________________

Laboratory Tests

Complete blood count

Chemistry panel

Urinalysis (UA)

Prescription Here are further guidelines.
Administrative Issues
Common Medical Emergencies
Dispatching for an emergency
Emergency Diagnosis and Treatment
Emergency Diagnosis Code
Emergency medical record
Emergency Department record
Emergency medical responder
Emergency medical record
Emergency Medicine
Health Care
List of medical emergencies
Medico legal cases
Patient assessment
Surgical Emergencies
Symptoms & Signs A-Z List
State Offices and Agencies of Emergency Management
What are various symptoms, signs, statements, questions, issues, and histories that should raise suspicion of a medical emergency?
How are most patients categorized in American triage locations up to February 12, 2012?

Immediately life threatening
Urgent, but not immediately life threatening
Less urgent

How should patients be categorized around the world, including in America, in case of a medical emergency?
Undetermined, Good, Fair, Serious, Critical.

Fair, serious, or critical will always get a medical diagnosis that needs emergency treatment.

This can be only done by an emergency medical doctor able to reach the correct diagnosis and provide treatment.

Is there a difference between emergency and non-emergency medical diagnosis?
Yes, there is.

What is the difference between non-emergency and emergency medical diagnosis?
This example will make you understand.
Diabetes is a non-emergency medical diagnosis.
Diabetes with hyperosmolar coma or diabetic ketoacidosis is an emergency medical diagnosis.

What is the role of www.qureshiuniversity.com/medicalemergencyworld.html in a medical emergency?
Guide the following:
Doctor in a medical emergency.
Emergency responder in a medical emergency.
Emergency call center in a medical emergency.
Watcher, relative, or acquaintance of the victim in a medical emergency.
Victim himself or herself in a medical emergency.
Guide the state department of health worldwide.
When Is It Really an Emergency?
What types of patients get admitted to emergency room (ER), operating Room (OR), intensive care unit (ICU), and hospital wards and need Internet health care or outpatient (OPD) health care?
Patient assessment
A medical emergency with an individual victim.
Critical and noncritical medical emergency

How do you differentiate between critical and noncritical medical emergency?
How does a doctor conclude a situation is not a medical emergency?

All these functions should be normal relevant to age.

Answers to these questions will determine if this is a medical emergency.

All these functions should be normal relevant to age.

Is the patient able to talk normally?

___________________________

Is the patient able to move his or her extremities normally?

___________________________

Is the patient able to walk normally?

___________________________

Are vital signs like consciousness (able to hear, see, talk), pulse, blood pressure, respiratory rate, and temperature relevant to age normal?

___________________________

Are survival needs — food, clothing, housing, health care, transportation, communications, etc. – available from the state?

___________________________

Is it correct that the patient is not agitated or sleepy?

___________________________

Is it correct that the patient is not having acute functional loss or abbreation?

___________________________

Is it correct that the patient is not in acute pain?

___________________________

Is it correct that patient does not have a history of recent harms relevant to symptoms?

___________________________

Is it correct that the patient is not a danger to him/herself or others?

___________________________

Is it correct in the case of a female of child-bearing age who is not pregnant or does not having pregnancy-related complications if pregnant, and is not in labor if pregnant, or no post-delivery complications if she has delivered?

___________________________

Is it correct that there is no woman’s sexual exploitation situation?

___________________________

Is it correct that there is not a situation in which the individual does not know the whereabouts of family members?

___________________________

Is it correct that there is not a situation of a child who does not have a caregiver?

___________________________

(If the answer to any one of these questions is no, this is a critical medical emergency.)
If yes, it is not a critical medical emergency.
If the answers to all these questions are yes, this is not a critical medical emergency.

If the answer to any one question is no, this is a critical medical emergency.
Here is another method to differentiate between critical and noncritical medical emergency.

What best describes this medical emergency situation?
Individual survival needs — food, clothing, housing, health care, transportation, communications, etc. – are not available from the state.
The patient is not able to talk normally.
The patient is not able to move his or her extremities normally.
The patient is not able to walk normally.
The patient’s vital signs, like consciousness (able to hear, see, talk), pulse, blood pressure, respiratory rate, and temperature relevant to age are not normal.
The patient is agitated or sleepy.
The patient is having acute functional loss or abbreation.
The patient is in acute pain.
The patient has a history of new problems/complaints with recent harms relevant to symptoms.
The patient is a danger to him/herself or others.
The patient is a female of child-bearing age who needs medical termination of pregnancy.
The patient has pregnancy-related complications.
This is a woman’s sexual exploitation situation.
This is an individual does not know the whereabouts of family members.
This is a situation involving a child who does not have a caregiver.
This is a situation with symptoms, signs, statements, questions, issues, or history that has been elaborated in the list of symptoms, signs, statements, questions, issues, or history of medical emergencies.
(If the answer to any one of questions is yes, this is a medical emergency.)

What recommendations do you have relevant to individualized issues presented?

How should you conduct an assessment of patient?

Questions relevant to the patient.

Where is the patient now?

---------------------------

What is the name and date of birth of the patient?

---------------------------

What are the vital signs on the date and time of diagnosis and treatment?

Date:
Location:
Time:
Consciousness:
Pulse:
Blood pressure:
Respiratory rate:
Temperature:

How do you categorize the condition of the patient?

---------------------------

Undetermined
Good
Fair
Serious
Critical

What are further plans relevant to the individual?

---------------------------


Treatment at home.
Treatment in a hospital.
Treatment in a critical care unit.
Medication details.

Who is the treating doctor?

---------------------------

When did the treating doctor last see the patient?

---------------------------

What is the treatment?

---------------------------
Here are further guidelines.

What are examples of emergency relevant to an individual?
What are various symptoms, signs, statements, questions, issues, and histories that should raise suspicion of a medical emergency?

There are at least 143 such symptoms, signs, statements, questions, issues, histories, and scenarios.
Agitated Patient (Acute stress reaction.)
Attempted suicide.
Attempted homicide.
Abuse.
Abdominal Pain.(Stomach pain)
Altered sensorium.
Any sudden or severe pain.
Animal bites (may require rabies or tetanus shot).
Armed Robbery.
Allergic reactions.
Breathing difficulties.
Behavior that is dangerous to self or others and cannot be managed.
Bleeding from any orifice or any part of human body that will not stop.
Bleeding which does not stop after applying pressure.
Being beaten by someone.
Burns.
Bites.
Bloody Sputum
Broken bones.
Behavior-related emergencies.
Change in mental status (such as unusual behavior, confusion, and difficulty arousing).
Changes in vision.
Chest pain.
Choking.
Cough with fever.
Coughing up or vomiting blood.
Confusion or changes in mental status
Cuts and abrasions.
Chest or upper abdominal pain or pressure lasting two minutes or more.
Difficulty breathing.
Difficulty speaking.
Disoriented.
Difficulty getting up.
Difficulty in passing urine.
Difficulty in passing feces.
Domestic Violence
Drowning or near drowning
Dental emergencies.
Emergency diagnosis and treatment in neonatal period.
Emergency diagnosis and treatment after neonatal period.
Earaches and ear infections.
Electrical injury shock.
Emergency Food
Environmental factors (hostile environment).
Fainting.
Fever.
Foreign bodies in nose or ears.
Fainting or loss of consciousness.
Fainting, sudden dizziness, weakness, seizure.
Feeling of committing suicide or murder.
Fever with breathlessness.
Functional impairment (not taking care of self. inability to gain relevant skills and knowledge relevant to age).
Human Rights Violations
Head or spine injury.
Head injury.
Human Pregnancy Emergencies
Hypothermia - frostbite.
Head pain that lasts longer than five minutes.
Intentional enforced harms.
Involuntary admission to a psychiatric facility
Loss of consciousness.
Loss of consciousness not related to a seizure
Loosening of social inhibitions.
Likely to be harmful to self or others.
Low abdominal pain.
Medicine overdose.
Major burns.
Medicolegal cases
Nosebleeds.
No pulse
Pain.
Palpitations.
Poisoning.
Poisoning including overdoses of medication.
Persistent or severe vomiting.
Persistent unexplained fever even with Tylenol use.
Puncture wounds.
Personality disorders (harmful to others). Panic attacks.
Psychosis(delusions, hallucinations, catatonia, thought disorder, loss of contact with reality).
Rape.
Pregnancy-related emergencies.
Possible serious bone fractures.
Rashes.
Survival Needs
Starvation
Suicidal feelings.
Significant trauma (to the head, stomach, chest)
Syncope.
Seizures.
Seizure lasting over five minutes or continuous seizures
Severe asthmatic attack when prescribed medications do not work
Severe injuries as a result of accidents such as broken bones
Severe reactions to a medication with difficulty breathing or itching.
Severe reactions to insect bites or other previously unknown allergic reactions
Sore throat & fever
Sunburn.
Severe neck or back injury.
Sexual intercourse due to conspiracy.
Severe or persistent vomiting.
Severe or persistent vomiting or diarrhea.
Severe headache.
Severe burns.
Severe pain in any part of the body that does not subside.
Serious drug reactions with psychiatric or non-psychiatric medications.
Syncope or unconsciousness.
Sudden or severe pain.
Sudden loss of vision.
Suicidal or homicidal feelings.
Sudden asthma attack that does not stop.
Sudden numbness or not being able to move an arm, leg, or one side of the body.
Sever headache with fever or vomiting.
Sudden injury or trauma due to a motor vehicle crash, burns, smoke inhalation, near drowning, wound, etc.
Substance abuse.
Sudden severe pain anywhere in the body.
Sudden dizziness, weakness, or change in vision.
Swallowing a poisonous substance.
Shock symptoms, e.g., confusion, disorientation, cool/clammy, pale skin.
Severe or persistent vomiting or diarrhea.
Stroke or suspected stroke (paralysis, numbness, confusion)
Trauma with unconsciousness.
Trauma with cuts, sprains, or abrasions.
Trauma with open fracture.
Trauma with pain on mobility.
Trauma with swelling.
Unable to detect breathing
Unconsciousness.
Unconsciousness with diabetes.
Unconsciousness at a public location.
Sudden unconsciousness at home.
Unable to move
Uncontrolled bleeding
Upper abdominal pain.
Uncontrolled bleeding.
Unusual abdominal pain.
Unusual or persistent abdominal pain.
Unexplained stupor, drowsiness or disorientation.
Violence
Violence or other rapid changes in behavior.
Vomiting
Vomiting or coughing blood.
Vomiting and diarrhea.
If this is not a medical emergency, it can be a medical disability or prolonged intentional enforced harms.
Is there any medical disability, non-emergency problem or prolonged intentional enforced harms? If yes, a follow-up is required via e-mail, call, postal mail, or a doctor’s appointment.


Abilities assessment (professional).
The King's University
www.qureshiuniversity.com
http://www.qureshiuniversity.com/publichealthworld.html


I am Asif Qureshi.
I am the founder of Qureshi University and the Global Democratic party.

About the Founder
http://www.qureshiuniversity.com/biodata.html

Al Hajj Harb bo zerab Zile le Illahi Maqdoom Mohmed Asif Syed Qureshi,
doctorate in philosophy.
http://www.qureshiuniversity.com/kashmirhr.html

How should you forward your profile?
Here is a sample profile.
http://www.qureshiuniversity.com/samplebiodata.html
If your profile is available, then we can speak on the telephone or have a face-to-face meeting.

Fitness for duty

Questions of lawful fitness or safety for specific profession. Gen __________ to be new ______ Governor

The formal announcement in this regard is likely to be made in a week’s time.

I need to make sure you are fit for this job.

Questions you need to answer.

What profession do you identify with?
What is your job description?
What do you think is your duty or role in this job?
What is your department affiliation relevant to essential departments in the state?
How would you rate your English language ability on a scale of 1-10 with 10 being the best?
Have you written any book or books in the English language useful to school, college, or university education?
How many books have you authored in English language up to now?
What is good human character?
What is good human behavior?
How do you define state economy?
How do you define a state budget?
What are the essential ingredients of an economy?
What aren't essential ingredients of the economy?
What is the Essential Commodities Act?
What is the Essential Services Maintenance Act?
What are the basic human rights?
How do you think you can help me/people?
What are the five categories of law in the state?
What are the elements of effective case management?
How do you define justice?
How do you evaluate quality of the judicial system in the state?
Do you know about state planning and development?
What do you know about state planning and development?
Where is it displayed?
Do you understand english language?
What standard and reference of the English language do you follow?
Where is this standard and reference of the English language displayed?
What is your political affiliation?
What is economy?
What is budget?
What are the rights of a civilized human being?
Who is a civilized human being?
Where did you go to high school?v Where did you go to college?
What subjects did you study?
How old are you?
What is your mailing address?

Questions relevant to assets.

What are your assets?
What are the locations of his assets?
Did you have these assets in 1980?
What were your assets in 1980?
What are your assets in 2014?
How did you accumulate your assets after 1980?
What are the assets of his relatives and friends?
Where are they located?

Questions relevant to legal competence.

What are the five categories of law in the state?
What are the essential departments in every state?
What legal skills should a lawyer have?
How many criminal offenses are there?
What are various criminal offenses?
These are basic essential questions.
There are many more.

What can be reasons a person is not fit for specific work/duty/profession?
Illiterate.
Personality disorder (liar, etc).
Harmful to self or others.
Lack of knowledge of specific profession.
Insufficient knowledge of specific profession.
Criminal traits.
Disability; after reasonable adjustment an individual cannot fulfill expected standard of service/profession.
Lack of desire for public service.

Recommendations you will get.

This individual is fit for this job.
This individual is not fit for this job.

E-mail, call, fax, or forward postal mail if you have any questions.

This is Asif Qureshi founder Qureshi University and Global Democratic party at your service 24 hours a day, seven days a week.

Al Hajj Harb bo zerab Zile le Illahi Maqdoom Mohmed Asif Syed Qureshi, doctorate in philosophy.

Here are further guidelines.

Here are further guidelines.
Follow-up patient assessment.
How often should there be follow-up?
Where should the patient come for follow-up?
What are examples of various human health care settings?
  1. Ambulatory human health care

  2. Community health center

  3. Critical care

  4. Coroner investigations

  5. Emergency room health care

  6. Emergency call center

  7. Education of new medical students

  8. Education of existing medical doctors

  9. Functional Capacity Evaluation & Disability

  10. Hospital ward

  11. Home health care

  12. Internet human health care services

  13. Labor, delivery, and recovery rooms

  14. Medicolegal cases

  15. Medical Emergency

  16. On-the-spot diagnosis and treatment

  17. Operating rooms

  18. Public health

  19. Patient education

  20. Rehabilitation Services

  21. Research

  22. State health care administrative issues

  23. Space Medicine
What are the types of doctor consultation?
  1. Ambulatory human health care

  2. Adolescent girls consultation

  3. Community health center

  4. Critical care consultation (Anesthesiology)

  5. Coroner investigations

  6. Cardiology consultation

  7. Dermatology consultation

  8. Disability consultation

  9. Dental consultation

  10. Emergency medicine consultation

  11. Endocrinology consultation

  12. Forensic medicine consultation

  13. Gastroenterology consultation

  14. Geriatrics consultation

  15. Hematology consultation

  16. Internet healthcare consultation

  17. Medical negligence consultation

  18. Nephrology consultation

  19. Neurology consultation

  20. Oncology consultation

  21. Ophthalmology consultation

  22. Orthopedics consultation

  23. Otorhinolaryngology consultation

  24. Obstetrics & Gynecology consultation

  25. Primary care physician consultation

  26. Pediatrics consultation

  27. Psychiatry consultation

  28. Pulmonary medicine consultation

  29. Physical medicine & Rehabilitation consultation

  30. Public health guidelines

  31. Radiology & Nuclear Medicine consultation

  32. Surgical consultation

  33. Women's health consultation
Who will answer your questions and concerns?
Doctor Asif Qureshi.

How does this doctor consultation work?
If you have any questions or concerns, forward them to Doctor Asif Qureshi.
You will get answers to your questions and concerns within 24 hours.
If workload is increased, answers may be delayed.
You will be updated ahead of time of increase in work load.
What are examples of various human health care settings?
Ambulatory human health care
Community health center
Critical care
Coroner investigations
Emergency room health care
Emergency call center
Education of new medical students
Education of existing medical doctors
Functional Capacity Evaluation & Disability
Hospital ward
Home health care
Internet human health care services
Labor, delivery, and recovery rooms
Medicolegal cases
Medical Emergency
On-the-spot diagnosis and treatment
Operating rooms
Public health
Patient education
Rehabilitation Services
Research
State health care administrative issues
Space Medicine
Here are further guidelines.
What best describes the patient?
Child
Adolescent girl
Adolescent boy
Woman
Man
What do you have to do before a patient or individual from the public seeks individualized doctor consultation?

Has this issue been explained at the public health level?
Take a look at this.
http://www.qureshiuniversity.com/publichealthworld.html

Has this issue been explained in patient education?
Take a look at this.
http://www.qureshiuniversity.com/patienteducation.html

If yes, you need to go through these facts.

If no, you need to seek individualized doctor consultation.

A doctor should first try to resolve health issues at the public health level or patient education.

If the public health level or patient education does not resolve your issues, individualized doctor consultation is required.

What should you expect from a doctor during individualized consultation?
1. Obtaining a complete medical history.
2. Verifying the obtained complete medical history.
3. Reviewing patient records.
4. Performing physical examinations.
5. Medical test recommendations.
6. Monitoring in various settings.
7. Treatment/recommendations.
What are the various methods of completing a medical history?
You need to complete the options listed.
You need to answer relevant questions.
Depending on the situation, more questions can be asked.

How healthy are you?
How can various emergencies be prevented in the state and outside the state?
Enhance various essential departments in the state.
Take all nonemergency complaints and issues seriously.
Resolve nonemergency complaints and issues immediately before they become an emergency.
If you ignore nonemergency complaints and issues, this can become an emergency.
This is relevant to comprehensive patient assessment.
A doctor should know all of these types of consultations.
A doctor cannot declare that he/she is able to diagnose and treat only psychiatric medical conditions.
Physical Examination
Medical Record

Anesthesiologist
Assessment for anesthesia (nonemergency).
Assessment for anesthesia (emergency).

How do you do an assessment for anesthesia (nonemergency and emergency)?
http://www.qureshiuniversity.com/anesthesiologist.html

FEMALES ONLY
When was your first menstrual period?

When was your most recent menstrual period?

What was the longest time between menstrual periods in the last year?

Medical Record

Interview with a physician
Are you a physician?
What type of physician are you?
Can you guide a physician?
What type of physician or physicians can you guide?
How many types of physicians can you guide?
How many other professions can you guide in addition to physicians, for example teachers, lawyers, engineers? What resources on Internet do you utilize for continuing education being a physician?
What resources have you authored that are displayed on Internet being guide to specific physician or physicians?

What type of physician or physicians can you guide?
1. Physician primary care
2. Physician intensive care unit
3. Physician medical emergency room
4. Physician medical emergency responder
5. Physician surgeon medical emergency
6. Physician surgeon elective surgery
7. Physician anesthetist medical emergency
8. Physician guide to physician or physicians
9. Physician hospitalist (takes care of patients in hospital)
10. Physician forensic psychiatry
11. Physician forensic pathology
12. Physician guide to other physicians through Internet
Answer should be at least one of the physicians on the list.
If a physician can guide all of above listed, it is proof of extraordinary intellectual abilities.

Human medical conditions
What should a medical doctor know about a medical condition?

What is it?
What causes it?
What are the risk factors?
What's normal?
How is it diagnosed?
What are the types of this medical condition?
What are the symptoms?
What are the signs?
What are the clinical findings?
What are the lab or investigation findings?
What are the workable treatment options?
What is the best setting or location to treat this medical condition?
What do you think can help?
When is counseling required?
When is medication required?
How long should medication last?
What type of medication is available?
When is surgical intervention indicated?
How could this be prevented?

Examples of patient profile.
Why patient profile needs to be created?
From birth until now, medical history is essential for correct diagnosis and treatment.

Community-based patient profile.
Detainees’ patient profile.

How should a community-based patient profile and detainee patient profile look?
Community-based patient profile should look like this.
How should you elaborate your profile?
What should I know about you?
Patient Profile

New Patient Consultation
http://www.qureshiuniversity.com/medicalhistory.html

Medical emergency
http://www.qureshiuniversity.com/medicalemergency.html

First Name: ---------
Last Name:
Favourite Name(Nickname):---------
Age:-
Address: Mailing Address:
- City:
State:
Zip:
Telephone:
Email Address:
Location of Residence:
Activities of everyday living: Sedintry life/Active Life
Anthropometric measurements: Height: 169 cms 5.5 feet
Weight: 54 kgs 118.8 lbs
Eye Color: Brown
Hair Color: Black
Body mass index
Annual health assessment:On November 8, 2012 annual health assessment was done.
Annual Physical Examinations:
Abilities/skills(Talents):
Address from birth until now:
Assets:
Additional Information: (Elaborate on any section of this Individual's Profile)
Allergies:
Appointment Scheduling Instructions:
Scheduling an appointment
Canceling an existing appointment
Modify an existing appointment
Next Appointment Date
Time
Click on the box for appointment types and select the appropriate option:
a. Routine Labs
b. Drug Screen
c. Glucose Tolerance Test (GTT)
d. Pediatric Draw
Birthplace:
Contact Information:
Complaint or issue type:
Chief Complaint:
Children: No
Complaint/reason for consultation: Cough on November 8, 2012.
Children: Yes
Current Medications schedule:
Current diet:
Current treatments:
Date of Birth: -
Date of last yearly assessment/physical exam:
Date of last blood tests:
Diagnosis:_________
Duties, if any:
Date of last physical/annual exam:
Date of last blood tests:
Emergency issues, if any:
Emergency Contact Name: Emergency Contact Name:
Phone:
Email Address:
Relationship:
Educational level:
English Ability: None, Basic, Intermediate, Advanced
Emergency Contact Name: Phone:
Email Address:
Relationship:
Emergency:
Emergency medical record:
Emergency Department record:
Education:
Family/relationship:
Food likes/dislikes:
Fun and relaxation interests:
Follow-up medical consultation: November 9, 2012 (Cancelled)Advised oral medication instead of injection verbally
Next consultation November 17, 2012
Family History:
Family structure or size:
Friends:
Food:
Final Diagnosis:
Gender:
Goals/dreams/plans:
Geographic Preferences:
General Physical Status: Walks:
Stairs:
Help Needed with Mobility:
Bed:
Wheelchair:
Transfers: Fall Risk:
Vision:
Fracture Risk:
Health Calculators:
Habits: Drinking: No
Smoking: No
Hospitalization records: Date and Time of Admission:
Health Status: Health Issues (Describe limitations in daily activity, minimum required care by nurse or physician, frequency of ______, etc):
Immunization Record: Tetanus
Pneumonia Vaccine
Flu Vaccine
Hepatitis B Vaccine Other
ID:
Identity Card:
Internet health care resource for the resident:
Language:
Location of Residence:
Last updated: November 8, 2015
Completed By:
Date Completed:
Title:
Living situation:
Law applicable to specific scenarios:
Location of individual at this point:
Languages abilities:
Likes/dislikes:What I don't like:
Spiritual wants/interests:
Other significant interests/preferences:
The important people in my life are:
My dreams for the future are:
What most people like about me best:
What I like best about others:
My gifts and talents are:
Medical history: Present history
Medical Record:
Medical record correction:
Medical doctor to medical doctor communication about patient:
Mental status examination:Normal
Medications: Current Medications:Inhaler, Oral steriods(November 10, 2012)
Dosage:
Reason for Taking:
Directions:
Doctor: __________
Date Started:
Medical emergency resource for the resident:
Major Achievements:
Name and contact information: First Name:
Last Name:
Nickname:
Contact Information: Telephone:
Your Email Address:
Normal day:
Other Languages: -
Outpatient medical services record:
Problem/Complaint:
Personal Profile: Key Skills:
    Communication
    Teamwork
    Leadership
    Initiative
    Interpersonal skills
    Numeracy
    Planning & organising
    Problem solving
    Flexibility
    Enthusiasm.
General skills:
Technical skills:
Management skills:
Language skills:
Other languages skills:
Photograph:-
Primary Language Understood:
Primary Means of Expression:
Profession:
Primary health care physician for the resident:
Physical fitness:
Past History:
Personality questions:
Physical examination:
Vitals: Consciousness is extremely essential in reaching a correct diagnosis and treatment. Consciousness, pulse, blood pressure, respiratory rate, temperature. Review of systems
Primary Care Physician Name, Address and Phone:
Profession:
Products or services abilities:
Primary Care Physician Name, Address and Phone:
Publications:
Protective devices/medical equipment: (If Other)
Race:
Relationship status:
Referred by:
Relatives:
Relationships:
Religion/spirituality/beliefs: Muslim
Referred by: Mailing Address:
Remarks:
State and outside state travel:
Self Help Skills Status: Eating:
Dressing:
Bathing:
Toothbrushing:
Toileting:
Medication Administration:
Services and Supports Needed:
Signs/Symptoms:
Social Interests:
Surgical history:
Special needs:
State ID Card:
Tests:
Travel history:
Treatment:
Work interests:
Medical Record
What goals do you have for your consultation today?
Primary Care
OB/Gyn
Other

www.qureshiuniversity.com/medicalrecordnewpatient.html

What are the sources of medical history?
Patient.
Family.
Patient not responding to medical history questions.
Community member.
Police officer.
Referral from medical doctor.
Other.
http://www.qureshiuniversity.com/patient.html

Detainee patient profile should look like this.

Name of patient: Samia Qazi
Address: Central Jail, Srinagar, Kashmir.
Diagnosis: Antisocial personality disorder.
Diagnosis last updated: November 11, 2015
Physician diagnosing and treating for public interest: Doctor Asif Qureshi.
Treatment Plan: Imprisonment.
Antipsychotic medication.
Weekly review with community updates.
Further custodial interrogation.

Physical Examination Quick Reference Guide
General Physical Examination
Examination of the cardiovascular system, including auscultation of the heart.
Examination of the respiratory system.
Examination of the abdomen.
Checking for hernia and lumps in the groin and scrotum.
Examining lumps.
Neurological history and examination.
Competence at orthopaedic examination, which should include back examination, neurological examination of the lower limbs for knee and hip history and examination purposes, shoulder examination, and assessment of ankle injuries.
Examination of tender, hot swollen joints.
Gynaecological history and examination.
Breast lumps and breast examination.
Peripheral pulses.
ENT examination.
Examination of the eye.
Mental state examination.
General Physical Examination

General appearance
?Pre-exam checklist: WIPE:
• Wash your hands
• Introduce yourself to pt
• Position pt
• Expose the area
?Always examine from the R side of the pt.
?Ask pt. if tenderness anywhere, before start touching them.
?Skin colors. See Skin Colors Reference.

Posture, weight, body shape
?If pt. enters, examine gait.
?Posture, stature, height..
?Obesity [BMI = kg/m^2. Normal <25].
?Limb amputations, deformities.
?Physique expected for age.

Hydration

?Sunken orbits.
?Mucus membrane dryness.
?Axillae.
?Skin turgor [pinch skin: normal returns immediately].
?Postural hypotension [less BP when sit, stand].
?Peripheral perfusion [press nose, time capillary return].
?Examine weight loss over hours.

Vital signs

?Often logged on ward chart.
?See Taking Vital Signs Reference.

Nails

?Clubbing.
?Nail signs.
?Nail fold.
?See Nails Reference.

Hands

?Palms:
• Palmar erythema (cirrhosis, polycythaemia, pregnancy).
• Pigmentation of crease (Addison's, but normal in asians, blacks).
• Pallor of palmar crease. Better results if hyperextend fingers, or stretch skin on either side of crease (anemia).
• Dupuytren's contracture [fibrosis, contracture of palm's fascia] (liver dz, epilepsy, trauma, elderly).
?Joints:
• Herberdens, Bouchards (OA).
• Swollen PIP, distal PIP spared (RA).

Head

?Hair: deficiency, excess.
?Facial hallmarks (Down's, Grave's, acromegaly, Cushing's, etc).
?Teeth: nicotine stains.

Examination tips

?Initial examination is from the foot of the bed.
?Always ask if any part tender, before touching pt.
?Watch pt's head as palpate, to look for pain flinches.
?Percussion is R middle finger hitting middle of middle phalynx of L middle finger.
?To measure circumference of limbs, choose the bony landmark on each, measure down the correct distance, then take the circumference at that point.

General Systems Review

Cardiovascular

?Chest pain, pressure
?Shortness of breath, exertion required
?Lie flat or use pillows, how many pillows
?Awoke breathless at night
?Noticed heart racing, aware of heartbeat
?Ankle swelling
?Cold/ blue hands, feet

Pulmonary

?Cough: sputum, blood
?Shortness of breath, wheeze
?Snore loudly, apnea
?Fever, night sweats
?Recent chest X-ray
?Breast: lumps, bleeding, masses, discharge

Alimentary

?Weight, appetite changes
?Abdominal pain or discomfort
?Bloating, distention
?Indigestion
?Nausea, vomiting: contents
?Bowel habits: change, number
?Incontinence, constipation/ diarrhea
?Stool: colour, blood/ black, consistency, mucous

Nervous

?Headaches
?Vision, hearing, speech troubles
?Dizziness, vertigo
?Faints, seizures, blackouts
?Weakness, numbness
?Sleep disturbances
?Ataxia, tremors
?Concentration, memory

Genitourinary

?Incontinence
?Frequency, dysuria, nocturia
?Genitourinary pain, discomfort
?Hesitancy, dribbling
?Changes to quantity, colour
?Blood in urine
?Genital rashes, lumps
?Sex life problems
?Pain, bleeding in periods

Endocrine

?Prefer hot or cold weather
?Sweating
?Fatigue
?Hand trembling
?Neck swelling
?Skin, hair, voice changes
?Thirst

Integumental

?Itchiness
?Rashes
?Bruising
?Swelling
?Colour changes

Hematological

?Bruise easily, difficulty stopping bleeds
?Lumps under arms, neck, loin
?Clots in legs, lungs
?Fevers, shakes, shivers

Rheumatoid

?Joints: pain, stiffness, swollen
?Variation in joint pain during day
?Fingers painful/ blue in cold
?Dry mouth, red eyes
?Skin rash
?Back, neck pain
Anything else you think I should know?
Here are further guidelines.

Who has established these resources?
Doctor Asif Qureshi
Doctor Asif Qureshi can guide all types of physicians. In addition to physicians, Doctor Asif Qureshi can guide a teacher, lawyer, engineer, and other executives in the state and outside the state.

Diagnosis and treatment by a physician is process of investigation.
Questions doctor on duty needs to answer.

Is it a medical emergency?

___________________________

What is the diagnosis?

___________________________

How did you reach this diagnosis?

___________________________

In what setting/location does this medical condition need treatment?

Treatment required on the spot.
Treatment required in the medical emergency room.
Treatment required in the intensive care unit.
Treatment required in the ward.
Treatment required in the operating room.
Treatment required at home.
Treatment required Internet health care.
Treatment required in OPD consultation.

___________________________

What treatment do you recommend for this patient?

___________________________

What are other treatment options for this patient?

No other treatment option.
Other treatment options are enumerated.

___________________________

Prescription
Last Updated: August 22, 2017