LIST OF CLINICAL PRESENTATIONS - Vanderbilt University



LIST OF CLINICAL PRESENTATIONS

ABDOMINAL DISTENSION

2 ASCITES

3 ILEUS (Bowel Obstruction)

ABDOMINAL MASS

5 ADRENAL MASS

6 HEPATOMEGALY

7 SPLENOMEGALY

8 HERNIA

2. RENAL MASS

3. ABDOMINAL DICOMFORT/PAIN (also #008 Blood in Urine - Hematuria)

2. ACUTE ABDOMINAL PAIN SYNDROMES/HEARTBURN/DYSPEPSIA

3. CHRONIC ABDOMINAL PAIN SYNDROMES

4. ANORECTAL PAIN

5. CHILDREN

6. FLANK PAIN

4. ALLERGIC REACTIONS/ATOPY – see also #009Ba Anaphylaxis

5. ATTENTION DEFICIT/HYPERACTIVITY IN CHILDREN

2. ATTENTION DEFICIT HYPERACTIVITY DISORDER (ADHD)

3. LEARNING DISORDERS

4. BEHAVIOR DISORDERS

6. BLOOD FROM GASTROINTESTINAL TRACT

2. UPPER/HEMATEMESIS

3. LOWER/HEMATOCHEZIA/MELENA

7. BLOOD IN SPUTUM (HEMOPTYSIS/LUNG CANCER PREVENTION)

8. BLOOD IN URINE (HEMATURIA)

9. BLOOD PRESSURE ABNORMAL

2. HYPERTENSION

3. HYPERTENSION IN CHILDHOOD

4. HYPERTENSION IN THE ELDERLY

5. MALIGNANT HYPERTENSION

6. PREGNANCY ASSOCIATED HYPERTENSION

7. HYPOTENSION/SHOCK

1. ANAPHYLAXIS

10. BREAST DISORDERS

2. FEMALE (BREAST LUMP/PAIN/DISCHARGE/PREVENTION)

3. GALACTORRHEA

4. MALE (GYNECOMASTIA)

11. BURNS

12. CALCIUM/PHOSPHATE/MAGNESIUM ABNORMAL, SERUM

2. HYPERCALCEMIA

3. HYPOCALCEMIA

4. HYPOPHOSPHATEMIA/FANCONI SYNDROME

5. HYPERPHOSPHATEMIA

6. HYPOMAGNESEMIA

CARDIAC ARREST/RESPIRATORY ARREST

CHEST DISCOMFORT/PAIN/ANGINA PECTORIS

COAGULATION ABNORMALITIES

12 BLEEDING TENDENCY/BRUISING

13 HYPERCOAGULABLE STATE/CLOTTING

CONSTIPATION

15 ADULT CONSTIPATION

16 PEDIATRIC CONSTIPATION/ENCOPRESIS

CONTRACEPTION

COUGH

CYANOSIS/HYPOXIA/LOCAL/GENERAL

20 CYANOSIS/HYPOXIA/APNEA IN CHILDREN

DEFORMITY/LIMP

DEVELOPMENT DISORDER/DELAY – see also #005B

DIARRHEA

24 ACUTE DIARRHEA

25 CHRONIC DIARRHEA

26 PEDIATRIC DIARRHEA

DIPLOPIA (double vision)

DIZZINESS/VERTIGO

DYING PATIENT/BEREAVEMENT

DYSPHAGIA/DIFFICULTY SWALLOWING

DYSPNEA, DYSPNEA AND/OR ABNORMAL X-RAY

32 DYSPNEA, ACUTE

33 DYSPNEA, CHRONIC

34 DYSPNEA/RESPIRATORY DISTRESS, PEDIATRIC

EAR PAIN/DISCHARGE

EDEMA/ANASARCA/ASCITES

37 GENERALIZED

38 UNILATERAL/LOCALIZED

EYE REDNESS/PAIN/DISCHARGE

FAILURE TO THRIVE

41 ELDERLY

42 INFANT/CHILD

FALLS

FATIGUE

FRACTURES/DISLOCATIONS/JOINT INJURIES

46 FRACTURES, NON-TRAUMATIC

47 FRACTURES, TRAUMATIC

GAIT DISTURBANCES/IMBALANCE/ATAXIA

GENETIC CONCERNS

50 AMBIGUOUS GENITALIA/SEXUAL DETERMINATION/DIFFERENTIATION

51 DYSMORPHIC FEATURES

52 PRE-CONCEPTION EVALUATION AND COUNSELING

GLUCOSE, SERUM ABNORMAL/DIABETES MELLITUS/POLYDIPSIA

54 HYPERGLYCEMIA

55 HYPOGLYCEMIA

HAIR AND NAIL DISORDERS

57 ALOPECIA

HEADACHE

1. FACIAL PAIN

2. ORAL/JAW PAIN

HEARING LOSS/DEAFNESS

41. HEMOGLOBIN ABNORMAL

1. ANEMIA/PALLOR, SKIN/MUCOUS MEMBRANE/CONJUNCTIVA

2. POLYCYTHEMIA

42. HIRSUTISM AND VIRILIZATION

43. HOARSENESS/SPEECH AND LANGUAGE ABNORMALITIES

44. HYDROGEN ION CONCENTRATION, ABNORMAL SERUM

1. METABOLIC ACIDOSIS

2. METABOLIC ALKALOSIS

3. RESPIRATORY ACIDOSIS/ALKALOSIS

45. INFERTILITY

46. INCONTINENCE/URINE/STOOL

1. URINE

2. STOOL

3. PEDIATRIC

47. IMPOTENCE/SEXUAL DYSFUNCTION

48. JAUNDICE/SKIN/MUCOUS MEMBRANES/SCLERAE

1. NEONATAL JAUNDICE

49. JOINT PAIN/SWELLING

1. MONO-ARTICULAR (ACUTE, CHRONIC)

2. POLY-ARTICULAR (ACUTE, CHRONIC)

3. PERIARTICULAR

50. LIPIDS, ABNORMAL SERUM

51. LIVER FUNCTION TESTS ABNORMAL, SERUM

52. LUMP/MASS/PAIN, MUSCULO-SKELETAL

53. LYMPHADENOPATHY

1. MEDIASTINAL MASS/ HILAR ADENOPATHY

54. MENSTRUAL CYCLE, ABNORMAL

1. AMENORRHEA/OLIGOMENORRHEA

2. DYSMENORRHEA/PRE-MENSTRUAL SYNDROME

3. ABNORMAL GENITAL TRACT BLEEDING/MENORRHAGIA

55. MENOPAUSE

56. MENTAL STATUS, ALTERED

1. DROWSINESS

2. COMA/IMPAIRED CONSCIOUSNESS

3. CONFUSION/DELIRIUM

4. DEMENTIA/MEMORY DISTURBANCES

57. MOOD DISORDERS

1. BIPOLAR DISORDERS

2. DEPRESSED MOOD/DEPRESSION

58. MOUTH/ORAL DISORDERS

59. MOVEMENT DISORDERS/TIC DISORDERS

60. MURMUR/EXTRA HEART SOUNDS

1. DIASTOLIC MURMUR

2. HEART SOUNDS, PATHOLOGICAL

3. SYSTOLIC MURMUR

61. NECK MASS/GOITER

1. HYPERTHYROIDISM

2. HYPOTHYROIDISM

62. NEWBORN, DEPRESSED

63. NON-REASSURING FETAL STATUS (FETAL DISTRESS)

64. NUMBNESS/TINGLING/ALTERED SENSATION

65. PAIN

1. NOCICEPTIVE

1. VISCERAL

2. SOMATIC

1. GENERALIZED PAIN DISORDERS

2. LOCAL PAIN, SKIN

3. LOCAL PAIN, SHOULDER/ELBOW/HAND/WRIST/ARM

4. LOCAL PAIN, HIP/KNEE/FOOT/ANKLE/LEG

5. LOCAL PAIN, SPINAL/OSTEOPOROSIS

6. LOCAL PAIN, SPINE/LOW BACK PAIN

7. LOCAL PAIN, SPINE/NECK/THORACIC

8. LOCAL PAIN, MYALGIA/SPASM/CRAMPS

2. NEUROPATHIC

1. SYMPATHETIC - COMPLEX REGIONAL PAIN SYND.

2. CENTRAL/PERIPHERAL

66. PALPITATIONS (ABNORMAL ECG - Arrhythmia)

67. PANIC AND ANXIETY

68. PEDIATRIC EMERGENCIES: INFANT/CHILD, ACUTELY ILL

1. CRYING/FUSSING CHILD

2. FLOPPY INFANT/HYPOTONIA

69. PELVIC MASS

70. PELVIC PAIN

1. PELVIC PAIN, ACUTE

2. PELVIC PAIN, CHRONIC

71. PERIODIC HEALTH EXAMINATION/GROWTH AND DEVELOPMENT

1. NEWBORN ASSESSMENT/NUTRITION

2. INFANT & CHILD IMMUNIZATION

3. ADULT HEALTH ASSESSMENT/NUTRITION/EXERCISE

4. PRE-/POST-OPERATIVE MEDICAL EVALUATION/CARE

5. WORK-RELATED HEALTH ISSUES

6. PAP SMEAR/SCREENING/PREVENTION

72. PERSONALITY DISORDERS

73. PLEURAL ABNORMALITIES

74. POPULATION HEALTH/DETERMINANTS

1. HEALTH STATUS and INTERVENTIONS

2. OUTBREAK MANAGEMENT

3. HEALTH OF SPECIAL POPULATIONS

4. ENVIRONMENT

75. POTASSIUM CONCENTRATION, ABNORMAL SERUM

1. HYPERKALEMIA

2. HYPOKALEMIA

76. PREGNANCY

1. ANTEPARTUM CARE

2. INTRAPARTUM/POSTPARTUM CARE

3. OBSTETRICAL EMERGENCIES

77. PREGNANCY LOSS

78. PREMATURITY

79. PROLAPSE/PELVIC RELAXATION

80. PROPTOSIS/PTOSIS

81. PROTEINURIA

82. PRURITUS

83. PSYCHOTIC PATIENT/DISORDERED THOUGHT

84. PULMONARY NODULE/MASS/CHEST X-RAY ABNORMAL

85. PULSE ABNORMALITIES/DIMINISHED/ABSENT/BRUITS

86. PUPIL ABNORMALITIES

87. RENAL FAILURE

1. ACUTE (Anuria/Oliguria/ARF)

2. CHRONIC

88. SCROTAL MASS/SCROTAL PAIN

1. PENILE PAIN/DISCHARGE

89. SEIZURES (Epilepsy)

90. SEXUAL MATURATION

1. ABNORMAL

2. NORMAL

91. SEXUALLY CONCERNED PATIENT

1. GENDER IDENTITY DISORDER

2. LIBIDO, ABNORMAL

3. EJACULATION, ABNORMAL

4. ANORGASMIA/VAGINISMUS/DYSPAREUNIA

92. SKIN PROBLEMS

1. ULCERS/SKIN TUMORS (BENIGN/MALIGNANT)/PREVENTION

2. BLACK DISCOLORATION (MELANOMA)

3. SKIN DRYNESS/SCALING

93. SKIN REDNESS/LOCAL/GENERAL

1. SKIN RASH, MACULES

2. SKIN RASH, PAPULES/BLISTERS/BOILS/URTICARIA±FEVER

3. CHILDHOOD COMMUNICABLE DISEASES

94. SLEEP/CIRCADIAN RHYTHM DIS/SLEEP-APNEA SYND/INSOMNIA

95. SMELL AND TASTE DYSFUNCTION

96. SODIUM CONCENTRATION, ABNORMAL SERUM

1. HYPERNATREMIA

2. HYPONATREMIA

97. SORE THROAT/INFECTIONS/REDNESS, UPPER RESPIRATORY TRACT

1. COMMON COLD

2. SINUSITIS

3. NOSE PLUGGED/RHINITIS/DISCHARGE

98. STATURE, ABNORMAL

1. SHORT STATURE

2. TALL STATURE

STROKE±APHASIA/PREVENTION

041B TRANSIENT ISCHEMIC ATTACKS

99. STRABISMUS &/OR AMBLYOPIA

100. SUBSTANCE ABUSE/DRUG ADDICTION/WITHDRAWAL

1. POISONING/PERFORMANCE DRUGS

101. SUDDEN INFANT DEATH SYNDROME (SIDS)

102. SUICIDAL BEHAVIOR/PREVENTION

1. SUICIDAL BEHAVIOR (ADOLESCENT/ADULT)

103. SUPRA-SELLAR/SELLAR MASS

104. SWEATING, EXCESSIVE/DIMINISHED

105. SYNCOPE/FAINTNESS

106. TEMPERATURE, ABNORMAL/FEVER AND/OR CHILLS

1. HYPERTHERMIA

2. FEVER OF UNKNOWN ORIGIN

3. FEVER IN A CHILD/FEVER IN A CHILD LESS THAN 3 WEEKS

4. RECURRENT INFECTIONS (IMMUNOCOMPROMISED HOST)

5. HYPOTHERMIA

107. TINNITUS

108. TRAUMA, MULTIPLE/ACCIDENTS/PREVENTION

1. ABDOMINAL INJURIES

2. BITES, ANIMAL/INSECTS

3. BONE/JOINT INJURY

4. CHEST INJURIES

5. COLD INJURIES

6. DROWNING

7. EYE/FACE INJURIES

8. HAND INJURIES

9. HEAD TRAUMA/BRAIN DEATH/TRANSPLANT DONATION

10. NERVE INJURIES

11. SKIN WOUNDS/REGIONAL ANAESTHESIA

12. SPINAL TRAUMA

13. TENDON/MUSCLE TRAUMA

14. URINARY TRACT INJURIES

15. VASCULAR INJURIES

109. URINARY FREQUENCY

1. DYSURIA &/OR PYURIA/URETHRAL DISCHARGE/STD’s

2. POLYURIA/POLYDIPSIA

110. URINARY OBSTRUCTION/HESITANCY/PROSTATE CA/SCREENING

111. VAGINAL BLEEDING, EXCESSIVE/IRREGULAR/ABNORMAL

112. VAGINAL DISCHARGE/URINARY SYMPTOMS (Cervicitis, Dysmen.)

1. SEXUALLY TRANSMITTED DISEASES (STDs)

2. VULVULAR LESION

3. VAGINAL PAIN

113. VIOLENCE, FAMILY

1. CHILD ABUSE/PHYSICAL/EMOTIONAL/SEXUAL/SELF-INFLICT

2. ELDERLY ABUSE

3. RAPE/VIOLENCE AGAINST WOMEN

4. ADULT ABUSE/SPOUSE ABUSE

114. VISUAL DISTURBANCE/LOSS/DIMINISHED

1. ACUTE VISUAL LOSS/TRANSIENT/DIMINISHED

2. CHRONIC VISUAL LOSS/DIMINISHED

115. VOMITING/NAUSEA

1. VOMITING/NAUSEA, PEDIATRIC

116. WEAKNESS/PARALYSIS/PARESIS/LOSS OF MOTION

1. PARAPARESIS

2. MONOPARESIS

3. HEMIPARESIS

4. QUADRIPARESIS

5. DISTAL/PROXIMAL/RESTRICTED

117. WEIGHT, ABNORMAL/NUTRITION PROBLEMS

1. WEIGHT GAIN/OBESITY/HYPERPHAGIA

2. WEIGHT LOSS/EATING DISORDERS/ANOREXIA

3. LOW BIRTH WT. (INTRAUTERINE GROWTH RETARDATION)

118. WHEEZING/RESPIRATORY DIFFICULTY (Asthma)

1. LOWER RESPIRATORY TRACT DISORDERS

2. UPPER RESPIRATORY TRACT DISORDERS

119. WHITE BLOOD CELLS, ABNORMALITIES OF

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