7/28/2019 Approach to Symptoms

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APPROACH TO SYMPTOMS

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2/23

Changes in body weight

Rapid loss/gain

How often do you check your

weight? When did the weight loss/gain

begin?

How much is the weightloss/gain?

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3/23

FATIGUE

Sense of weariness or loss of

energy

WEAKNESS

Demonstrable loss of muscularpower

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4/23

FEVER

Acute/chronic

Low, moderate or high grade

Measured

Feverish/unusually hot

Time of day - or Associated S/S: body malaise,

headache, muscle/joint pains

7/28/2019 Approach to Symptoms

5/23

CHANGES IN THE SKIN, NAILS, HAIR

Rashes flat (macular), papular, vesicular,etc.

Sores, ulcerations, abrasions, avulsions, etc

Itchiness

Lumps/masses

Moles which change in appearance

Color changes

Alopecia

7/28/2019 Approach to Symptoms

6/23

HEADACHE

Location one-sided, bilateral

Steady, throbbing, pulsating, etc

Acute/chronic, changes in the pattern Severity, associated s/s (vomiting, n &

v, dizziness, fainting spells)

Family history

7/28/2019 Approach to Symptoms

7/23

EYES

Blurring of vision, blindness(one/bilateral)

Double vision (diplopia), squinting

Specks or spots (scotomas)

Flashing lights Redness, pain, excessive tearing,

dryness, discharges

7/28/2019 Approach to Symptoms

8/23

EARS

Hearing loss one/bilateral,onset (gradual/sudden),

preceding event Earache

Dizziness (vertigo)

Ringing (tinnitus)

7/28/2019 Approach to Symptoms

9/23

NOSE & SINUSES

Nasal discharges & stuffiness

Sneezing

Watery eyes

Itchiness

Discomfort Nose bleeding (Epistaxis)

7/28/2019 Approach to Symptoms

10/23

MOUTH, THROAT, NECK

Bleeding (gums)

Sore tongue, throat,hoarseness

Swollen glands,lumps/masses

7/28/2019 Approach to Symptoms

11/23

BREASTS

Pain

Discomfort Discharges

Lumps

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12/23

CHEST

Pain, discomfort, palpitations, dyspnea,orthopnea, paroxysmal nocturnal dyspnea

Cough, wheezes

Presence of sputum (dry or productive)

- volume, color, consistency, odor

(+)/(-) fever, smoking

Hemoptysis streaking, pure

7/28/2019 Approach to Symptoms

13/23

GASTROINTESTINAL TRACT

difficulty swallowing (dysphagia)

Painful swallowing (odynophagia)

Indigestion: heartburn

Excessive gas: belching, bloating,distention, flatus, hiccups

Abdominal pain

Nausea & Vomiting

Changes in appetite

7/28/2019 Approach to Symptoms

14/23

GIT

Retching, regurgitation

Vomiting

Bowel movements, changes in habits,character of stools

Constipation

Jaundice/icterus

Bleeding (hematemesis, hematochezia,melena)

7/28/2019 Approach to Symptoms

15/23

URINARY TRACT

Pain- lumbar, suprapubic,hypogastric

Dysuria, urgency, frequency Nocturia

Hematuria (gross, tea-colored)

Incontinence

Color of urine, odor

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16/23

GENITAL SYSTEM

MALES

Penile discharges, sores, growth

Impotence

FEMALES

Menstrual hx: menarche, amenorrhea,

menopause Polymenorrhea, menorrhagia,

dysmenorrhea

7/28/2019 Approach to Symptoms

17/23

Female GS

Amenorrhea (Pregnancy)

Itchiness

Discharges

7/28/2019 Approach to Symptoms

18/23

PERIPHERAL VASCULAR SYSTEM

Pain, swelling

Coldness/numbness

Redness

Tenderness

Color changes

7/28/2019 Approach to Symptoms

19/23

MUSCULOSKELETAL SYSTEM

Joints: pains, swelling,stiffness, LOM, tenderness,

warmth, redness Myalgia

Pain

7/28/2019 Approach to Symptoms

20/23

NERVOUS SYTEM

Fainting spells, loss of consciousness,syncope/fainting (partial or completeLOC w/ interruption of awareness of

oneself & of surroundings)

Seizure

Weakness, paralysis

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Loss or altered sensation,paresthesias (tingling sensations)

Tingling, pricking

Feelings of warmth, coldness,pressure

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HEMATOLOGIC

Bleeding

Acquired or congenital

Bruising

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ENDOCRINE

Polyuria, polydipsia,polyphagia

Temperature intolerance