Signs and Symptoms

1. Signs and Symptoms

2. Do you have or have you everhad __________? (Related to GI) • abdominal distention • abdominal pain • abdominal rigidity • bad breath • belching • black, tarry stool • bloody stools • breath with fecal odor • clay-colored stools • constipation • diarrhea • difficulty swallowing • excessive appetite • fecal incontinence • gas • heartburn • hiccups • indigestion • increased salivation • loss of appetite • musty sweet breath odor • nausea • rectal bleeding • rectal pain • stomach growling

3. Do you have or have you ever had____________? (Related to lung) • blue discoloration of skin • clubbing of the fingers or toes • cough/barking, nonproductive/ productive • coughing up blood • deep breathing • difficulty breathing • difficulty breathing when lying down • fast breathing • nasal flaring • wheezing

4. Do you have or have you ever had_____________? (Related to the heart) • chest pain • cramping leg pain • fast heart rate • heart attack • high blood pressure • pale skin • red lesions on the palms of hands and soles of the feet • slow heart rate • sudden shortness of breath at night • tender, red or purple lesions on the palms, soles, finger pads, and toes

5. Do you have or have you ever had__________? (related to bladder) • bladder distention • blood in the urine • decreased urine • increased urination • nighttime urination • painful urination • urinary frequency • urinary hesitancy • urinary incontinence • urinary urgency • urine cloudiness

6. Do you have or have you ever had__________? (rashes, itching, irritation) • Bleeding under the skin • Butterfly rash • change in skin color • hives • increasing hair loss • itching • papular rash(small, raised bumps) • rash with filled bubbles • red skin or irritation • skin that’s scaly/oily/ dry • sores • spots on the hands or legs(black, brown, purple, red) • thin, purple, red) • thin, purple streaks on the skin

7. Do you have or have you ever had__________? (Related to neck and neck up) • difficulty speaking • decreased salivation • drooping mouth • facial pain • gum swelling or bleeding • hoarseness • increase salivation • jaw clicking • jaw locking • mouth lesions • nasal drainage • nosebleeds • postnasal drip • sinus pain • swelling of the face/ the jaw/the mouth/ the nose • throat pain or sore throat • toothache

8. Do you have or have you ever had__________? (related to eyes) • abnormal eye movement • area of partial or complete blindness • blindness in one eye • bulging of the eyes • double vision • drainage from the ear • earache • eye drainage • eye pain • eye watering or redness • halo vision • hearing loss • involuntary eye movement • light flashes • night blindness • ringing or buzzing in the ears • sensitivity to light • sunken eyes • swelling of the eyes • tunnel vision • vision loss • visual blurring

9. Do you have or have you ever had__________? (related arm and legs) • arm pain • back pain • bruises • bumps • enlarged finger joint • leg pain • muscle spasm • muscle weakness • swelling, generalized of the arm/of the fingers/of the leg

10. Do you have or have you ever had__________? (Related to brain) • anger • agitation • anxiety • depression • amnesia(loss of memory) • aura • confusion • decreased level of consciousness • difficulty talking • difficulty waking • dizziness • drooling • footdrop • seizure • taste abnormalities • tics(twitching) • vertigo(spinning or dizzy feeling) • headache • insomnia • loss of consciousness • muscle spasm • muscle twitching • sleepiness • swallowing problems • eyelid droop • neck pain • neck stiffness • numbness or tingling • paralysis • raccoon eyes

11. Do you have or have you ever had__________? (related immune system) • breath with ordor • cold intolerance • heat intolence • excessive thirst • fatigue • fever • salt craving • sweating • cold sweat • weight gain • weight loss