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PALPITATIONS
CC FAGAT
Cardiac arrhythmia Caffeine Fever Anemia Hypoglycemia - HB1C FINGER GLUCOSE TEST, NON FASTING GLUCOSE Anxiety hyperThyroidsim
NIGHT SWEATS
TB HIV LMC PPH
lymphoma - cbc w differentials
menopause- FSH, estrogen levels - irregular periods with symptoms, menopause no period 12 months
carcinoid- 5HIAA- URINE
pheochromcytoma- 24 hour collection urine metanephrine
POF
hyperthyroidism TSH, FT4, Ft3
CONSTIPATION
CHIDDS Colon cancer- digital rectal exam, occult blood test, colonoscopy Hypothyroidis IBS Diet DM- fasting glucose, Depression Drugs dehydration Diveritculitis
SOB
(cap)2 fat
congestive heart failure ECHO+electrolytes COPD aspiration pneumonia anemia pneumonia pulmonary embolism - ct angiograph + chest x ray fibrosis - chest x ray , PFT asthma -PFT chest x ray TB- sputum acid fast stain, chest x ray
diarrhea
GC PHAIL UDC PDC
Gastroenteritis - cbc, stool leukocyte and culture, BMP
Chrons
Pseudomembranous colitis - c-difficile toxin
hyperthyroidism
Aids
IBS
Lactose intolerance - hydrogen breath test lactose
ulcerative colitis -
dysentery- ova and parasite, stool
cancer- rectal exam, stool occult, colonoscopy
Pancreatitis - lipase ,amylase, liver enzymes
giardiasis- stool ova and parasites ( giardia antigen,
celiac-
BLADDER INCONTINENCE
MOSU Motor Overflow - any fullness of your belly- dribbling large volume of urine Stress Urge
post-void residual volume test
Bladder test bladder
U/A urine culture
Has it impaired performance of your daily activities? Are you consuming more fluids than usual?
BURING WITH URINATION
PAPU on CTV PYELONEPHRITIS - allergic/irration prostates/prostatitis urthetits - gonorrhea +chlamdyia screening- NAAT urine, gram stain and culture urethral disharge cystitis- U/A, gram stain trauma vulvovaginitis
HEEL PAIN
WRSS WNT TWOFFP + PARC FAT
TIME HURTS MOST- plantar facsistis WALKING OVER USE FRACTURE FOREIGN BODY POPPING SOUND
confusion/ forgetfulness
shaft death daily activities Dressing ( do you dress by yourself) Eating ( do you eat by yourself) Ambulatory ( can you find our way home) Toiletry ( do you use the bathroom by yourself) Hygiene ( do you shower by your self)
Executive function Shopping House work Accounting ( do you pay your own bills) Food prep ( do you do your own cooking ) Transportation (do you drive how is your eye sight and hearing)
Fall (subdural hematoma) /fx dementia
Out of mind delirium ( heat stroke, diarrhea, infection)
Running: urine ( incontinence), normal pressure hydrocephalus
Gait ( normal pressure hydrocephalus
Eating ( diet b12)
Tingling/numbness/weakness - vascular dementia
Speech difficulty vascular dementia
Hypothyroidism
Iewy body
Mood ( do you enjoy the activities that you used to enjoy previously sigecaps trouble sleeping early morning awakening)
DYSPHAGIA
MMAZ GEEE VSS
Do you have problems swallowing solid, liquids, or both?
Do you have difficulty swallowing during initiation, middle, or end?
Have you experienced pain during swallowing?
Do you have a craving for ice/clay?
Esophagitis:Pain on swallowing + fever
Pharyngitis (ear/eye/nose discharge, ear fullness)
HIV (lumps & bumps, diarrhea, IVDA, weight loss, unsafe sex.
Gerd-stricture- solid food- painful swallowing
Diffuse esophageal Spasm- solids and liquids - barium swallow
Esophageal cancer- solid food
Zencker
Achalasia - solid and liquids
Plummer-Vinson Syndrome
Myasthenia gravis
Mitral stenosis Stricture - solids
Scleroderma- solid and liquids- any changes to your skin(telangiectasis) any thickening of your skin
HIP PAIN
WRSS WNT + BRASS OOF
BRUSITIS REFFERED PAIN ARTERIAL INSUFFIENCY SPRAIN/STEROID USE OSTEOARTHRTIS OSTEOPROSIS FRACTURE
WEIGHT LSOSS
HAMID MD hypothyroidism anorexia infection (TB/HIV) Depression Malabsorption DM
