Functional Enquiry

Question 1

Head

Answer 1

Know what the Date is?
Headaches, concussions, seizures, strokes, dizziness
Nose Bleeds, Loose or sensitive teeth,
Is this the normal?

Question 2

Neck and shoulders

Answer 2

Do you have any pain or stiffness in your neck?
Broken collar bone?
Sleeping well?
Energy levels?

Question 3

Eyes

Answer 3

See if eyes track the flashlight
Blurred vision?
Headaches?

Question 4

Chest
Lungs

Answer 4

-Lungs
Auscultate lungs: chest x6 and back x6
Broken ribs?
Difficulty breathing laying down?
Smoke?
Last time you were sick?
Cough? Frequency? Sputum colour?
History of asthma or bronchitis

Question 5

Legs

Answer 5

Broken Leg or ankle?
Rashes or itchiness
Any black spider web veins?
Numbness or tingling?

Question 6

Feet

Answer 6

Remove shoes
swelling tingling or numbness?
Check pulse x2
Which toe squeezed x2
Push hands against feet up down left right x4

Question 7

Arms

Answer 7

Broken arms?
Any changes in skin colour?

Question 8

Hands

Answer 8

Pulse x2
Any shakiness?
Ever get claw hands?
Cold?
Have patient squeeze hands
W/ closed eyes which finger squeezed?

Question 9

Ears

Answer 9

Look for fluid
Battle signs behind
Bruises behind ears
Vertigo?
Ear aches?
Ringing in ears?

Question 10

Stomach (Gi/Endocrine)

Answer 10

Press Abdo x4
Nausea?
Vomiting?
Antacids?
Difficulty eating?
Drinking regular amounts?
Weight changes?
Mood swings?

Question 11

Bladder (Gu)

Answer 11

Any problems peeing or pooping?
Frequency the same?
Strange smells?
No blood in stool?
strange colours in urine

Question 12

Chest:
Heart (Circulatory System)

Answer 12

Forearm rigidity of sternum
History of heart disease?
Family?
Blood thinners?
Heart burn that goes away in 15
Strange fluttery pulse