Clinical Presentation List (Exhibit 4)

GENERAL

health promotion/disease prevention also know as "routine check-ups"

including newborn, child, adolescent, adult and elderly
including assessment of occupational health hazards
including injury prevention counseling
including routine "screening issues"

substance abuse genetic counseling fatigue, malaise, lethargy fever and chills include fever in immunocompromised host edema counseling and care of the dying patient preoperative assessment.

MIND

suicidal /dangerous behavior anxiety

include panic attacks

psychosis

include delusions and hallucinations

mood disorders

include depression and mania personality disorders

sleep disorders

include insomnia

NERVOUS SYSTEM

loss of consciousness, coma seizures acute confusion Dementia headache muscle weakness, include paresis, paralysis numbness and tingling gait disturbances, include falls dizziness and vertigo speech language disorders

CARDIOVASCULAR

chest pain palpitations

include dysrhythmias

murmur cardiac arrest shock include hypotension hypertension diminished or absent pulses bruits

RESPIRATORY

cough shortness of breath noisy breathing, strider, choking

include wheezing

cyanosis

include hypoxia hemoptysis

RENAL- URINARY

dysuria acute urinary retention oliguria/anuria polyuria abnormal urinalysis

include proteinuria, hematuria

management of renal failure

include acute and chronic

scrotal mass scrotal pain

ABDOMINAL-GASTROINTESTINAL

oral lesions swallowing difficulties

include dysphagia

abdominal pain

include acute and chronic dyspepsia

abdominal mass

include hepatomegaly, splenomegaly

ascites hematemesis vomiting blood in stool jaundice

include abnormal liver enzymes

constipation diarrhea

include acute and chronic

pain on defecation hemorrhoid abdominal wall hernia

REPRODUCTIVE

contraception pregnancy

include normal and complicated
management of obstetrical emergencies

abnormal pap smear pelvic pain

include acute and chronic

infertility abnormal menstrual cycle

include amenorrhea, dysfunctional bleeding, dysmenorrhea

evaluation for sexually transmitted disease vaginal discharge sexual dysfunction

including impotence menopause

BLOOD

anemia abnormal bleeding abnormal bruising abnormal clotting abnormal white blood cells

HEAD AND NECK

facial pain acute sore throat rhinorrhea hoarseness neck pain neck mass

EAR

ear pain tinnitus hearing loss

EYE

visual impairment

include blurred vision

eye pain

include eye injuries, eye redness and irritation

childhood strabismus and amblyopia

MUSCULOSKELETAL/EXTREMITY

Back pain extremity pain

include claudication, myalgia

acute joint pain

include monoarticular and polyarticular

chronic joint pain

include monoarticular, polyarticular

muscle pain swollen extremity myalgia

METABOLIC

abnormal serum electrolytes

sodium, potassium, calcium

acid/base disturbance abnormalities of serum cholesterol and lipids management of diabetes poisoning and drug ingestion

NUTRITION

obesity weight loss nutritional support

LYMPHATIC

lymphadenopathy

SKIN

hair and nail complaints skin infections

including acne, cellulitis

skin rash skin tumors

GROWTH AND DEVELOPMENT

abnormal growth

include failure to thrive

abnormal sexual development

include virilization, hirsutism

breast abnormalities

include lumps, pain, discharge

PEDIATRIC

newborn assessment

include congenital malformations

neonatal respiratory distress neonatal jaundice enuresis problem child

include learning disorders, behavior disorders

communicable diseases of childhood

EVALUATION AFTER INJURY

major trauma

initial assessment and management
evaluation and management of

head injury
spine injury

chest injury

abdominal injury
extremity injury

include fractures and dislocations

burns
include evaluation and stabilization of major burns
include management of minor burns

minor trauma

including strains, sprains, lacerations

bites and stings drowning sexual assault

include exposure to sexually transmitted disease

hypothermia and exposure family violence

include child, spouse and elderly abuse

Back to exhibits