General
Symptoms by presentation
Age
Gender
Brain & central nervous system (nervous system)
Neurological/Psychological
Emergency
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Sudden weakness, numbness, tingling, or loss of movement in your face, arm, or leg, especially on only one side of your body.
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Sudden changes in vision.
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Sudden trouble speaking.
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Sudden confusion or trouble understanding simple statements.
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Sudden, severe headache that is different from past headaches.
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Sudden problems with walking or balance.
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Suicidal Ideation
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Numbness, tingling, weakness, or inability to move a part or all of one side of the body (paralysis).
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Dimness, blurring, double vision, or loss of vision in one or both eyes.
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Loss of speech, trouble talking, or trouble understanding speech.
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Sudden, severe headache.
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Dizziness, unsteadiness, or the inability to stand or walk, especially if other symptoms are present.
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Confusion or a change in level of consciousness or behavior.
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Severe nausea or vomiting.
Nonemergency Issues
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Acalculia
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Acrophobia
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Agnosia
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Agoraphobia
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Akathisia
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Akinesia
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Alexia
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Amusia
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Anhedonia
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Anomia
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Anosognosia
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Anxiety
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Apraxia
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Arachnophobia
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Ataxia
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Bradykinesia
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Cataplexy (G47.4)
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Chorea
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Claustrophobia
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Confusion
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Deliberate Self Harm And Drug Overdose
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Depression
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Dysarthria
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Dysdiadochokinesia
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Dysgraphia
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Dystonia
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Euphoria
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Hallucination
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Headache
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Hemiballismus And Ballismus
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Homicidal Ideation
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Insomnia (F51.0, G47.0)
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Lhermitte's Sign
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Mania (F30)
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Paralysis
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Paranoia Or Persecution
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Paresthesia
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Phobia (see The List Of Phobias)
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Prosopagnosia
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Sciatica
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Somnolence (R40.0)
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Tic
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Tremor
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Persistent or sudden onset of a headache
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A headache that changes or is different
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Loss of feeling or tingling
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Weakness or loss of muscle strength
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Sudden loss of sight or double vision
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Memory loss
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Impaired mental ability
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Lack of coordination
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Muscle rigidity
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Tremors and seizures
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Back pain which radiates to the feet, toes, or other parts of the body
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Muscle wasting and slurred speech
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Agitation—anxious, restless, panicky, nervous, rapid speech and movement
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Anger, aggressively hostile
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Defiance
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Violence: Threatening self, others
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Suicidal gestures or talk
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Shouting, crying out, crying
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Isolates self, refuses to talk
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Obsessive-compulsive actions
Observable signs
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Personal appearance: Poor hygiene, grooming, dress
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History of alcohol or drug abuse
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Delusions or visions: Hears voices, may want to follow “orders” of voices; talks to unseen persons
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Persecution: Believes others are plotting against him, no one understands him, blames others for problems
Observable signs
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Speech or language
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Cannot talk or does not appear to understand what you are saying (aphasia)
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Result of brain injury (head trauma, stroke, brain tumor, neurological disease, epilepsy, migraine) to specific brain areas—NOT a cognitive disorder
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Broca’s area—controls language/speech
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Wernicke’s area—control language interpretation
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Talks, but word choice is unusual
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Quality, pace, articulation
Observable signs
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Age (with any of the above signs)
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15-25 years of age
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Over 40 years of age
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The elderly
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Symptoms of a panic attack include:
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Racing or pounding heartbeat
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Heart palpations or an irregular heartbeat
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Dizziness
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Tingling or numbness of the fingers and mouth
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Uncontrollable shaking as though the person is very cold and teeth chattering
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Shortness of breath
Ocular
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Amaurosis Fugax (G45.3) And Amaurosis
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Blurred Vision
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Dalrymple's Sign
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Double Vision (H53.2)
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Exophthalmos (H05.2)
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Mydriasis/Miosis (H570)
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Nystagmus
Cardiovascular
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Arrhythmia
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Bradycardia (R00.1)
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Chest Pain (R07)
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Claudication
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Palpitation (R00.2)
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Tachycardia (R00.0)
Emergency
Symptoms of a heart attack can include:
- Discomfort, pressure, heaviness, or pain in the chest, arm, or below the breastbone
- Discomfort radiating to the back, jaw, throat, or arm
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- Fullness, indigestion, or choking feeling (may feel like heartburn)
- Sweating, nausea, vomiting, or dizziness
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- Extreme weakness, anxiety, or shortness of breath
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- Rapid or irregular heartbeats
- Palpitations (a feeling of skipped heart beats, fluttering or "flip-flops," or feeling that your heart is "running away").
- Pounding in your chest.
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- Dizziness or feeling light-headed.
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- Fainting.
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- Shortness of breath.
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- Chest discomfort.
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- Weakness or fatigue (feeling very tired).
Symptoms of Atrial Fibrillation
Atrial fibrillation (AF) is a type of arrhythmia. Most people with AF experience one or more of the following symptoms:
- Heart palpitations (a sudden pounding, fluttering, or racing feeling in the heart).
- Lack of energy; tired.
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- Dizziness (feeling faint or light-headed).
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- Chest discomfort (pain, pressure, or discomfort in the chest).
- Shortness of breath (difficulty breathing during activities of daily living).
Some patients with atrial fibrillation have no symptoms. Sometimes these episodes are briefer.
Symptoms of Heart Valve Disease
Symptoms of h eart valve disease can include:
- Shortness of breath and/or difficulty catching your breath. You may notice this most when you are active (doing your normal daily activities) or when you lie down flat in bed.
- Weakness or dizziness.
- Discomfort in your chest. You may feel a pressure or weight in your chest with activity or when going out in cold air.
- Palpitations (this may feel like a rapid heart rhythm, irregular heartbeat, skipped beats, or a flip-flop feeling in your chest).
If valve disease causes heart failure, symptoms may include:
- Swelling of your ankles or feet. Swelling may also occur in your abdomen, which may cause you to feel bloated.
- Quick weight gain (a weight gain of two or three pounds in one day is possible).
Symptoms of heart valve disease do not always relate to the seriousness of your condition. You may have no symptoms at all and have severe valve disease, requiring prompt treatment. Or, as with mitral valve prolapse, you may have severe symptoms, yet tests may show minor valve disease.
Symptoms of Heart Failure
Symptoms of heart failure can include:
- Shortness of breath noted during activity (most commonly) or at rest, especially when you lie down flat in bed.
- Cough that is productive of a white mucus.
- Quick weight gain (a weight gain of two or three pounds in one day is possible).
- Swelling in ankles, legs, and abdomen.
- Dizziness.
- Fatigue and weakness.
- Rapid or irregular heartbeats.
- Other symptoms include nausea, palpitations, and chest pain.
Like valve disease, heart failure symptoms may not be related to how weak your heart is. You may have many symptoms, but your heart function may be only mildly weakened. Or you may have a severely damaged heart, with little or no symptoms.
Symptoms of Congenital Heart Defects
Congenital heart defects may be diagnosed before birth, right after birth, during childhood, or not until adulthood. It is possible to have a defect and no symptoms at all. Sometimes it can be diagnosed because of a heart murmur on physical exam or an abnormal EKG or chest X-ray in someone with no symptoms.
In adults, if symptoms of congenital heart disease are present, they may include:
- Shortness of breath.
- Limited ability to exercise.
- Symptoms of heart failure (see above) or valve disease (see above).
Congenital Heart Defects in Infants and Children
Symptoms of congenital heart defects in infants and children may include:
- Cyanosis (a bluish tint to the skin, fingernails, and lips).
- Fast breathing and poor feeding.
- Poor weight gain.
- Recurrent lung infections.
- Inability to exercise.
Symptoms of Heart Muscle Disease (Cardiomyopathy)
Many people with cardiomyopathy have no symptoms or only minor symptoms, and live a normal life. Other people develop symptoms, which progress and worsen as heart function worsens.
Symptoms of cardiomyopathy can occur at any age and may include:
- Chest pain or pressure (occurs usually with exercise or physical activity, but can also occur with rest or after meals).
- Heart failure symptoms (see above).
- Swelling of the lower extremities.
- Fatigue.
- Fainting.
- Palpitations (fluttering in the chest due to abnormal heart rhythms).
Some people also have arrhythmias. These can lead to sudden death in a small number of people with cardiomyopathy.
Symptoms of Pericarditis
- Chest pain. This pain is different from angina (pain caused by coronary artery disease). It may be sharp and located in the center of the chest. The pain may radiate to the neck and occasionally, the arms and back. It is made worse when lying down, taking a deep breath in, coughing, or swallowing and relieved by sitting forward.
- Low-grade fever.
- Increased heart rate.
Gastrointestinal
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Anorexia (R63.0)
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Belching (R14)
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Bloating (R14)
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Blood In Stool: Melena (K92.1), Hematochezia
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Constipation (K59.0)
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Diarrhea (A09, K58, K59.1)
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Dyspepsia (K30)
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Dysphagia (R13)
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Fecal Incontinence
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Flatulence (R14)
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Haematemesis
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Nausea (R11)
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Odynophagia
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Proctalgia Fugax
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Pyrosis (R12)
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Rectal Malodor
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Steatorrhea
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Vomiting (R11)
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Apnea
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Bradypnea (R06.0)
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Cough (R05)
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Dyspnea (R06.0)
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Hemoptysis (R04.2)
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Hypoventilation
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Hyperventilation
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Pleuritic Chest Pain
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Sputum Production (R09.3)
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Tachypnea (R06.0)
Urologic
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Dysuria (R30.0)
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Hematuria (R31)
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Impotence (N48.4)
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Polyuria (R35)
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Retrograde Ejaculation
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Strangury
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Urinary Frequency (R35)
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Urinary Incontinence (R32)
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Urinary Retention
Integumentary
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Abrasion
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Alopecia
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Anasarca (R60.1)
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Blister (T14.0)
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Edema (R60)
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Hirsutism
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Itching (L29)
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Laceration
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Paresthesia (R20.2)
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Rash (R21)
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Urticaria (L50)
Obstetric / Gynaecological
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Abnormal Vaginal Bleeding
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Bloody Show Preceding Onset Of Labour
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Infertility
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Labour Pains
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Painful Intercourse (N94.1)
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Pelvic Pain
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Vaginal Bleeding In Early Pregnancy / Miscarriage
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Vaginal Bleeding In Late Pregnancy
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Vaginal Discharge
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Vaginismus
Symptoms by presentation
Pain
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Abdominal pain
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Back pain
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Chest pain
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Otalgia (Earache)
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Headache
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Chronic pelvic pain
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Toothache (ache)
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Vaginal (Pain)
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Rectal pain
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Dermatomal pain
I feel:
Chills
Fever
Paresthesia (numbness, tingling, electric tweaks)
Light-headed
Dizzy
Dizzy – about to black out
Dizzy – with the room spinning around me
My mouth is dry
Nauseated
Sick
like I have the flu
like I have to vomit
Short of breath
Sleepy
Sweaty
Thirsty
Tired
Weak
I can't:
Breathe normally
Hear normally:
losing hearing
sounds are too loud
ringing or hissing in my ears
Move one side – arm and/or leg
Pass a bowel action normally
Pass urine normally
Remember normally
See properly:
Blindness
blurred vision
double vision
Sleep normally
Smell things normally
Speak normally
Stop passing watery bowel actions
Stop scratching
Stop sweating
Swallow normally
Taste properly
Walk normally
Write normally
General
cachexia (R64)
loss of appetite (R63.0)
weight loss (R63.4)
weight gain (R63.5)
dry mouth (R68.2)
fatigue (R53)
malaise
asthenia
muscle weakness (M62.8)
pyrexia (R50)
jaundice (P58, P59, R17)
pain
abdominal pain (R10)
chest pain (R07)
bruising (Sx0 (x=0 through 9))
epistaxis (R04.0)
tremor (R25.1)
convulsions (R56)
muscle cramps (R25.2)
tinnitus (H93.1)
dizziness / vertigo (R42)
syncope (R55)
hypothermia (T68)
hyperthermia (T670)
discharge
bleeding
swelling
deformity
sweats
chills and shivering
Review of systems
There are 11 or 14 systems recognized by the
Constitutional symptoms
unexplained weight loss, night sweats, fatigue/malaise/lethargy, sleeping pattern, appetite, fever, itch/rash, recent trauma, lumps/bumps/masses, unexplained falls
Eyes
visual changes, headache, eye pain, double vision, scotomas (blind spots), floaters or "feeling like a curtain got pulled down" (retinal hemorrhage vs amaurosis fugax)
Ears, nose, mouth, and throat (ENT)
Runny nose, frequent nose bleeds (epistaxis), sinus pain, stuffy ears, ear pain, ringing in ears (tinnitus), gingival bleeding, toothache, sore throat, pain with swallowing (odynophagia)
Cardiovascular
chest pain, shortness of breath, exercise intolerance, PND, orthopnoea, oedema, palpitations, faintness, loss of consciousness, claudication
Respiratory
cough, sputum, wheeze, haemoptysis, shortness of breath, exercise intolerance
Gastrointestinal
Abdominal Pain
Anorexia
Bloating
Bright Red Blood Per Rectum (BRBPR
Cramping
Diarrhea/Constipation
Difficulty Swallowing (solids Vs Liquids)
Dry Heaves Of The Bowels (tenesmus)
Food Avoidance
Foul Smelling Dark Black Tarry Stools (melaena)
Hematochezia)
Inability To Pass Gas (obstipation)
Indigestion
Nausea/Vomiting
Unintentional Weight Loss
Vomiting Blood (haematemesis)
Gastrointestinal Symptoms:
Abdominal Pain
Nausea
Vomiting
Heartburn
Regurgitation
Difficulty Swallowing
Painful Swallowing
Change in Bowels
Diarrhea
Constipation
Bloody Stools
Black Stools
Abdominal Bloating
Excess Belching
Excess Flatus
Jaundice
Weight Loss
Poor AppetitieOther Symptoms:_____ Chronic Cough
_____ Shortness of Breath
_____ Coughing up Blood
_____ Chest Pain
_____ Palpitations
_____ Easy Bruising
_____ Easy Bleeding
_____ Blood in Urine
_____ Painful Urination
_____ Difficulty Urinating
_____ Weakness Arm/Leg
_____ Numbness Arm/Leg
_____ Blurred Vision
_____ Severe Headache
_____ Fever/Chills
Genitourinary
Urinary: Irritative vs Obstructive symptoms: Micturition – incontinence, dysuria, haematuria, nocturia, polyuria, hesitancy, terminal dribbling, decreased force of stream
Genital: Vaginal – discharge, pain, Menses – frequency, regularity, heavy or light (ask about excessive use of pads/tampons, staining of clothes, clots always indicate heavy bleeding), duration, pain, first day of last menstrual period (LMP), gravida/para/abortus, menarche, menopause, contraception (if relevant), date of last smear test and result
Musculoskeletal
pain, misalignment, stiffness (morning vs day long; improves/worsens with activity), joint swelling, decreased range of motion, crepitus, functional deficit, arthritis
Integumentary/Breast
pruritus, rashes, stria, lesions, wounds, incisions, acanthosis nigricans, nodules, tumors, eczema, excessive dryness and/or discoloration. Breast pain, soreness, lumps, or discharge.
Neurological
Special senses – any changes in sight, smell, hearing and taste, seizures, faints, fits, funny turns, headache, pins and needles (paraesthesiae) or numbness, limb weakness, poor balance, speech problems, sphincter disturbance, higher mental function and psychiatric symptoms
Psychiatric
depression, sleep patterns, anxiety, difficulty concentrating, body image, work and school performance, paranoia, anhedonia, lack of energy, episodes of mania, episodic change in personality, expansive personality, sexual or financial binges
Endocrine
Hyperthyroid: prefer cold weather, mood swings, sweaty, diarrhoea, oligomenorrhoea, weight loss despite increased appetite, tremor, palpitations, visual disturbances;
Hypothyroid – prefer hot weather, slow, tired, depressed, thin hair, croaky voice, heavy periods, constipation, dry skin
Diabetes: polydipsia, polyuria, polyphagia (constant hunger without weight gain is more typical for a type I diabetic than type II), symptoms of hypoglycemia such as dizziness, sweating, headache,hunger, tongue dysarticulation
Adrenal: difficult to treat hypertension, chronic low blood pressure, orthostatic symptoms, darkening of skin in non-sun exposed places
Reproductive (female): menarche, cycle duration and frequency, vaginal bleeding irregularities, use of birth control pills, changes in sexual arousal or libido
Reproductive (male): difficulty with erection or sexual arousal, depression, lack of stamina/energy
Hematologic/lymphatic
anemia, purpura, petechia, results from routine hemolytic diseases screening, prolonged or excessive bleeding after dental extraction / injury, use of anticoagulant and antiplatelet drugs (including aspirin), family history of hemophilia, history of a blood transfusion, refused for blood donation
Allergic/immunologic
"Difficulty breathing" or "choking" (anaphylaxis) as a result of exposure to anything (and state what; e.g. "bee sting"). Swelling or pain at groin(s), axilla(e) or neck (swollen lymph nodes/glands), allergic response (rash/itch) to materials, foods, animals (e.g. cats); reaction to bee sting, unusual sneezing (in response to what), runny nose or itchy/teary eyes; food, medication or environmental allergy test(s) results.
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