The Common Symptom Guide

For every symptom the user of

The Common Symptom Guide

must always ask the following descriptors:

1

The patient? s age.

2

The mode of onset of a symptom: a. Description of events coincident with onset. b. Whether there have been similar episodes in the past. c. Whether the onset was gradual or sudden. d. The total duration of the symptom.

3

The location of the symptom (if applicable). The location should be anatomically precise.

4

The character of the symptom (e.g., dull, sharp, or burning pain).

5

The radiation of the symptom (if applicable). Radiation of the symptom (the pattern of spread) is most often applicable to a patient? s description of pain or an abnormal sensation.

6

Precipitating or aggravating factors.

7

Relieving or ameliorating factors.

8

Past treatment or evaluation of the symptom: a. When, where, and by whom? b. What studies were performed in the past and what were the results

(i.e., blood studies, x-rays, etc.)? c. Past diagnosis and treatment.

9

Course of the symptom (getting worse, getting better).

10

Effect of the symptom on normal daily activities.

The Common Symptom Guide

Notice

Medicine is an ever-changing science. As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy are required. The authors and the publisher of this work have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards accepted at the time of publication. However, in view of the possibility of human error or changes in medical sciences, neither the editors nor the publisher nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they are not responsible for any errors or omissions or for the results obtained from use of such information. Readers are encouraged to confirm the information contained herein with other sources. For example and in particular, readers are advised to check the product information sheet included in the package of each drug they plan to administer to be certain that the information contained in this book is accurate and that changes have not been made in the recommended dose or in the contraindications for administration. This recommendation is of particular importance in connection with new or infrequently used drugs.

Copyright 1997 The McGraw-Hill Companies, Inc. Click Here for Terms of Use.

Fourth Edition

The Common Symptom Guide

A Guide to the Evaluation of Common Adult and Pediatric Symptoms

John H. Wasson, M.D.

Professor of Clinical Community and Family Medicine and Medicine Herman O. West Chair of Geriatrics Dartmouth?Hitchcock Medical Center Hanover, New Hampshire

B. Timothy Walsh, M.D.

William and Joy Ruane Professor of Clinical Psychiatry Columbia University

College of Physicians and Surgeons New York, New York

Mary C. LaBrecque B.S.N., A.R.N.P.

Instructor in Community and Family Medicine Dartmouth?Hitchcock Medical Center Hanover, New Hampshire

Harold C. Sox, Jr., M.D.

Joseph M. Huber Professor and Chair of Medicine Dartmouth?Hitchcock Medical Center Hanover, New Hampshire

Robert Pantell, M.D.

Professor of Pediatrics Director, Division of General Pediatrics University of California at San Francisco

San Francisco, California

Dartmouth Primary Care COOP

McGraw-Hill Health Professions Division

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