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54 Cards in this Set
- Front
- Back
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General Questions
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Weight changes
Fatigue Weakness Fever/chills night sweats |
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Skin
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hair, skin, nail changes, itching, rashes, sores, lumps, moles (nevi)
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Head
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Trauma, headache and location, frequency, nausea/vomiting, visual changes
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eyes
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glasses, contacts, blurriness, tearing, itching, acute loss of vision
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ears
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hearing loss, tinnitus, vertigo, discharge, earache
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nose/sinuses
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rhinorrhea, stuffiness, sneezing, itching, allergy, epistaxis
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mouth, throat, neck
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bleeding gums, hoarseness, sore throat, swollen neck
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breasts
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skin changes, masses/lumps, pain, discharge, self exams
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cardiac
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hypertension, murmurs, angina, palpitations, dyspnea on exertion, orthopnea, paroxysmal nocturnal dyspnea, edema, last EKG
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respiratory
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dyspnea, wheeze, cough, sputum, hemoptysis, pneumonia, asthma, bronchitis, emphysema, tuberculosis, last chest x-ray
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GI
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appetite, nausea/vomiting, indigestion, dysphagia, bowel movement frequency/change, stool color, diarrhea, constipation, bleeding (hemetemesis, hemorrhoids, melena, hematechezia), abdominal pain, jaundice, hepatitis
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urinary
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frequency, hesitancy, urgency, polyuria, dysuria, hematura, nocturia, incontinence, stones, infection
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genital male
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penile discharge, sores, testicular pain/masses, hernias
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genital female
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menarche, period regularity, frequency, duration, dysmenorrhea, last period, itching, discharge, sores, pregnancies and complications, miscarriages/abortions, birth control, menopause, hot flashes, sweats
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general genital
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STD history/ treatment, sex interest, function, problems, contraception methods.
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vascular
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leg edema, claudication, varicose veins, thromboses/emboli
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musculoskeletal
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muscle weakness, pain, joint stiffness, range of motion, instability, redness, swelling, arthritis, gout
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neurological
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loss of sensation/numbness, tingling, tremors, weakness/paralysis, fainting/blackouts, seizures
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hematologic
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anemia, easy bruising/bleeding, petechiae, purpura, transfusions
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endocrine
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heat/cold intolerance, excessive sweating, polyuria, polydipsia, polyphagia, thyroid problems, diabetes
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psychiatric
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mood, anxiety, depression, tension, memory
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vellus hair
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adult hair that is short, fine, soft, and non pigmented
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terminal hair
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adult hair that is coarse, longer, thicker and pigmented
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clubbing of nails
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normally the angle between the nail plate and the proximal nail fold should be about 160 degrees. if angle approaches or exceeds 180 and distal finger appears thickened and enlarged this is present
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tinnitus
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an auditory sensation in the absence of sound heard in 1 or both ears, such as ringing, buzzing, hissing or clicking
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vertigo
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sensation of dizziness, either of spinning oneself or of external objects whirling around oneself.
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rhinorrhea
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runny nose
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epistaxis
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bloody nose (nose bleed)
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sore throat
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pharyngitis
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hoarseness
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laryngitis
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hypertension
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high blood pressure
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murmur
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heart sound audible with the stethoscope, generated by disruptions in the passage of blood within the heart or blood vessels.
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angina
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chest pain/ chest discomfort
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palpitations
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beating of the heart that is so vigorous that the patient is aware of it; causes include exertion, emotional stress, hyperthyroidism, and various heart diseases
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dyspnea
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difficult and labored breathing, SHORTNESS OF BREATH
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orthopnea
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shortness of breath when lying down
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hemoptysis
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coughing up blood or bloodstained sputum from the respiratory tree.
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dysphagia
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difficulty in swallowing
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hemetemesis
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vomiting blood
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melena
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stool or vomit that is stained black with blood
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hematoechezia
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bright red blood in stool (diff from melena)
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jaundice
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yellow, icterus appearance of body
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polyuria
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increased urination
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dysuria
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pain when urinating
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hematura
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blood in urine
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nocturia
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need to get up in the night to urinate.
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dysmenorrhea
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pain during menstruation
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claudication
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pain while walking often seen with peripheral artery disease where in the legs the arteries are hardened which decreases blood flow
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thromboses/emboli
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blood clots
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paresthesia
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unusual sensation such as numbness, tingling or burning.
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petechiae
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purple or red pinpoint spots on the skin, the result of minute hemorrhages into the dermal or submucosal layers
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purpura
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brownish-red or purple discolorations on the skin as the reuslt of hemorrhage into the tissue; also a group of disorders characterized by purpura
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polydipsia
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extreme thirst
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polyphagia
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extreme hunger
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