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85 Cards in this Set
- Front
- Back
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General5
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Weight changes
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General5
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Night sweats
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General5
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fever/chills
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General5
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Weakness
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General5
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Fatigue
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Skin6
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Changes in color texture
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Skin6
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changes in nails or hair
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Skin6
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rashes
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Skin6
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masses
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Skin6
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excessive sweating
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Skin6
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Excessive itching
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Head4
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Head trauma
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Head4
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Headache
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Head4
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Syncope
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Head4
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Verigo
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Eyes7
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changes in acuity
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Eyes7
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blurring loss of vision
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Eyes7
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double vision
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Eyes7
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photophobia
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Eyes7
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excessive tearing
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Eyes7
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Contacts/lenses?
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Eyes7
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date of last exam
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Ears4
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acuity changes
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Ears4
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discharge
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Ears4
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tinnitus
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Ears4
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pain
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Nose 7
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changes in smell
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Nose 7
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nasal obstruction
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Nose 7
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nasal postnasal discharge
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Nose 7
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sinus pain
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Nose 7
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sinusitis attacks
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Nose 7
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frequency/severity of head colds
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Nose 7
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epistaxis
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Mouth7
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toothache/absessed teeth
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Mouth7
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dentures
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Mouth7
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bleeding swollen gums
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Mouth7
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pain/buring of tongue or mouth
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Mouth7
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changes in taste
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Mouth7
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sore throat
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Mouth7
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horseness
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Neck 1-4
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pain
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Neck 2-4
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swelling
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Neck 3-4
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masses
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Neck4- 4
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stiffness at rest or motion
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Lungs7
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hemoptysis
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Lungs7
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cough
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Lungs7
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expectoration - character, 24 hr volume
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Lungs7
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chest pain
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Lungs7
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dyspnea
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Lungs7
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wheezing
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Lungs7
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TB exposure
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Heart1-11
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orthopnea
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Heart2-11
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PND - parozysmal nocturnal dyspnea
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Heart3-11
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palpitations
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Heart4-11
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precordial chest pain, pressure
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Heart5-11
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edema
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Heart6-11
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claudication
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Heart7-11
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syncope
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Heart8-11
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history of hypertension
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Heart9-11
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history of MI
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Heart10, 11- 11
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last cardiac eval and excersize tolerance
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Breast 3
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pain
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Breast 3
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masses
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Breast 3
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discharge
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GI 8"up"
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anorexia
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GI 8"up"
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odynophagia
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GI 8"up"
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dysphagia
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GI 8"up"
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nausea
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GI 8"up"
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vomit
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GI 8"up"
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hematemesis
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GI 8"up"
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food intolerances
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GI 8"up"
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heartburn
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GI 5"mid"
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abdominal pain
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GI 5"mid"
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hx of gallstones
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GI 5"mid"
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colon polyps
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GI 5"mid"
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ulcers
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GI 5"mid"
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hepatitis
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GI 8"end"
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changes in BM
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GI 8"end"
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frequency, appearence BM
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GI 8"end"
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use of laxitives
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GI 8"end"
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diarrhea/constipation
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GI 8"end"
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rectal bleeding
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GI 8"end"
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melena
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GI 8"end"
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hemorroids
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GI 8"end"
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flatulance
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