General Pain

USOH SOB (dyspnea)

Fever Sputum production
Chills Coughing blood (hemoptysis)
Night sweats Wheezing
Appetite Breasts
Weight Lumps
Weakness Bloody discharge
Fatigue Milky discharge (galactorrhea)
Pain Pain
Anhedonia Self-examination
Skin Cardiac
Rashes Chest pain
Itching Palpitations
Hives SOB (dyspnea)
Easy bruising o On exertion
Change in moles o Lying flat (orthopnea)
Loss of pigment o Awakening from sleep (PND)
in hair pattern o Swelling of feet or other regions (edema)
Head Vascular
Dizziness Pain in legs, calves, thighs, hips, buttocks when
Headaches walking (claudication)
Trauma Leg swelling (edema)
Fainting Blood clots (thrombophlebitis)
Eyes Ulcers
Use of glasses Gastrointestinal
in vision Appetite
Double vision (diplopia) NVDC
Pain Vomiting blood (hematemesis)
Redness Swallowing difficulty/pain
Discharge Heartburn (dyspepsia)
H/o glaucoma Abdominal pain
Cataracts in stool color/caliber
Ears Black, tarry stools (melena)
Hearing loss Rectal bleeding (hematochezia)
Use of hearing aid Hemorrhoids
Discharge Urinary
Pain Frequent urination (frequency)
Ringing (tinnitus) Urinating at night (nocturia)
Nose Abrupt urge to urinate (urgency)
Nosebleeds (epistaxis) Difficulty starting stream
Discharge Incontinence
Loss of smell (anosmia) Blood in urine (hematuria)
Mouth and throat Painful urination (dysuria)
Bleeding gums Female genital
Painful swallowing (odynophagia) Lesions/discharge/itching
Difficulty swallowing (dysphagia) Age at menarche
Hoarseness Interval b/w menses
Tongue burning (glossodynia) Duration of menses
Tooth pain Amount of flow
Neck Last menses
Lumps Bleeding b/w periods
Goiter Pregnancies
Stiffness Abortions/miscarriages
Chest Libido
Cough Dyspareunia
 Orgasm function Endocrine
Age at menopause DM
Menopausal symptoms Excessive thirst
Postmenopausal bleeding Frequent urination
Male genital Numbness or tingling of hands/feet
Lesions/discharge Weight gain or loss
Erectile function Episodes of confusion, sweating, light-headedness
Orgasm function (hypoglycemic reaction)
Testis swelling/pain Blurred vision
Libido Date of last eye examination
Hernia Thyroid
Neuropsychiatric Swelling in neck
Fainting Weight gain or loss
Paralysis Palpitations or racing heart
Numbness Tremulousness
Tingling Hair loss (alopecia)
Tremors Dry skin
Loss of memory Heat or cold intolerance
Mood changes Loss of skin pigment (vitiligo)
Sleep Constipation or diarrhea
Nervousness
Speech disorders
Poor balance (ataxia)
Hallucinations
Seizures
Musculoskeletal
Weakness
Pain
Stiffness