GASTROINTESTINAL

  1. Pain
  2. Abdo swelling
  3. N + V
  4. Anorexia
  5. Heartburn
  6. Waterbrash
  7. Dysphagia
  8. Defecation a. Diarrhoea b. Constipation c. Incontinence
  9. Bleeding a. Hametemesis b. Melena c. Hematochiza
  10. Jaundice a. Dark urine b. Pale stools c. Pruritis
  11. Wt loss
  12. Fever

THYROTOXICOSIS

  1. Cooler weather
  2. Wt loss
  3. Increase appetite
  4. palpitations
  5. Increase sweating
  6. nervousness
  7. irritability
  8. diarrhoea
  9. amenorrhea
  10. proximal muscle weakness

BREAST RISK FACTORS

  1. Family hx-breast/ovarian
  2. Breast Ca < 40
  3. Ovarian Ca <50
  4. Bilateral Br Ca
  5. Ashkenazia Jewish ancestoy
  6. Male Br Ca
  7. Known Gene Mutation

PAIN:

  1. Site
  2. Severity
  3. Radiation
  4. Duration
  5. Frequency
  6. Character
  7. Pattern
  8. Aggrevating/Relieving

DYSPHAGIA

  1. time course
  2. solids vs liquids
  3. progressive a. suggests Ca
  4. reguritation
  5. voice change

Causes:

  • Mechanical vs neuromuscular
  • Intrinsic vs extrinsic

LUMP/SWELLING

  1. Where
  2. Size
  3. shape
  4. duration
  5. symptoms a. pain b. neurology
  6. progression
  7. others
  8. tender

ENDOCRINE

  1. Appetite change
  2. Wt change
  3. Defecation change
  4. Sweating
  5. Hair distribution
  6. Lethargy
  7. Skin changes
  8. Pigmentation
  9. Stature
  10. Impotence
  11. Menstruation
  12. Polyuria
  13. Lump (in neck)

VASCULAR

  1. Claudication - Distance
  2. Rest Pain
  3. Palpitations
  4. Syncope
  5. Chest pain
  6. Rheumatic fever
  7. Occupation
  8. DVT
  9. Past surgery

RISK FACTORS

  1. CAD / MI
  2. Smoking
  3. HTN
  4. Hyperlipids
  5. FHx CAD
  6. DM
  7. Obesity
  8. Male sex
  9. age

ADRENAL INSUFFICIENCY

  1. pigmentation
  2. tiredness
  3. wt loss
  4. anorexia
  5. nausea
  6. diarhoea
  7. nocturia
  8. mental changes
  9. seizures