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17 Cards in this Set
- Front
- Back
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What are the five general review questions
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Have you had any fevers?
Have you had any chills? Have you had any night sweats? Any weight loss or gain? Are you tired or fatigued? |
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What are the 5 dermatologic questions
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Do you have a rash or new skin lesion?
Does the rash itch Any changes in moles (ABCD) Any changes in hair texture Any changes in your nails |
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What are the nine head and neck/ endocrine questions
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Do you have headaches? Where?
Do you have any dizziness or lightheadedness? Do you have any neck pain? Have you noticed any neck masses or swollen glands? Do you have any neck stiffness? Have you noticed any tremors or shakes Any new changes in your hair or skin Any constipation or diarrhea Have you noticed any excessive thirst and or frequent urination? |
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What are the 5 ear questions
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Do you have any hearing loss
Do you use hearing aids Have you had any ear pains or earaches Do you have any ringing in your ears Do you have any discharge or pus from your ears |
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What are the 4 nose/sinuses questions
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Do you have any nasal discharge? What color?
Do you have nose bleeds? Do you have any sinus pains or pressure? Do you have any post nasal drip? |
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What are the 5 throat and oral cavity questions
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Do you have any sores in your mouth
Do you have any tooth or gum problems Do you have a sore throat Have you noticed any hoarseness Do you wear dentures |
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What are the 8 eye exam questions
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Have you had a change in vision
Do you uses glasses/contacts Have you had any double vision Do you have blurred vision Any redness of your eyes Any discharge from your eyes Any excessive tearing or dryness in your eyes Have you had any eye trauma |
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What are the 5 axilla/breast questions
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Lumps or masses in breasts?
Any discharge from nipples? Any breast pain/tenderness? Any swollen glands under arms? Breast exam done monthly? |
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What are the 6 pulmonary questions
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Do you have a new cough
Are you bringing up any sputum/phlegm. What color? Are you coughing up blood Do you have pain with breathing Are you short of breath Have you noticed any wheezing when you breathe |
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What are the 5 cardiovascular questions
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Have you had any chest pain
Have you been short of breath w/ exertion, while lying flat, or while sleeping and have to sit up to breathe? Have you had any palpitations? Have you had swelling in your legs/feet? Do you have pain in your calves while walking? |
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What are the 16 abdominal questions
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Do you have any difficulty swallowing
Do you have pain on swallowing Have you had any heartburn Are you having any abdominal pain Have you had a loss of appetite Do you have any nausea Have you had any vomiting Have you had any diarrhea Have you had any constipation Have you noticed a change in your bowel habits Have you had any black,tarry stools Have you had any bloody stools Have you noticed a change in the caliber of your stool size Have you noticed your skin or eyes turning yellow Do you have any hemorrhoids Have you noticed any easy bleeding or bruising |
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What are the 8 genito-urinary questions
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Do you have to urinate more frequently
Do you feel the urge to urinate more often Have you had any pain or burning on urination Have you noticed any blood in your urine Have you had any problems with loss of urine or bladder control Do you wake up at night to urinate & how often Have you noticed a change in urine color/odor Have you noticed a change in your libido |
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What are the 5 gynecologic questions
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Regularity and heaviness of menses?
Do you have any pain with menses? Have you had any hot flashes? Have you had any problems with vaginal dryness? Have you noticed any spotting between menses or after menopause? |
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What are the five male questions
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Do you have difficulty starting your stream
Have you noticed any lesions on your penis Have you had any penile discharge Have you had any problems with erection Have you noticed a scrotal or testicular mass? |
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What are the 6 musculoskeletal questions
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Do you have any pain in your joints. Which ones?
Have you noticed any joint or muscle stiffness Have you had swelling in your joints? Which ones? Have you noticed any muscle weakness? Where? Do you have any muscle tenderness? Where? Do you have any back pain? Upper/Lower? |
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What are the 8 neurologic questions
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Do you have any numbness & where?
Do you have any tingling & where? Have you had any problems with your memory? Have you had any new headaches & where? Have you noticed any dizziness or vertigo? Do you have any problems with tremors Have you had any episodes of blacking out or a loss of consciousness Do you have any problems with unsteadiness or loss of balance? |
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What are the 10 psychiatric questions
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Do you have any problems with anxiety
Do you have any: -Difficulty getting to sleep/waking up early? -Loss of interest in doing things? -Feelings of guilt? -Problems with lack of energy/feelings of fatigue? -Poor concentration? -Loss of appetite/increase in appetite -Problems with thinking slowly/moving slowly -Thoughts of suicide Have you seen people or things that others do not see? (hallucinate?) |
