PROCEDURES IN PRIMARY CAR

CHILDREN ADULTS AND ELDERLY

Antropometric measurements Vital signs including accurate BP

Developmental milestones evaluation BMI calculation and risk assessment

Neuro Exam Waist circumference

Test for strabismus and visual acuity for
screening Neuro exam

Otoscopy and pnuematic otoscopy Glasgow Coma Scale grading

Lumbar puncture Mini Mental status exam

Removal of foreign body: ear, nose, Basic Ophtha exam: Visual acuity testing,
throat tonometry, EOM testing

Ear irrigation Fundoscopy

Anterior rhinoscopy and nasal Eye drop instillation, application of
decongestion ointments and eye patches
Otoscopy, aural toilette, wick insertion
Use of peak flow meter external ear canal

ECG interpretation Tuning fork test

Rhinoscopy, diagnostic decongestion,
Torniquet test transillumination

PPD test Clinical breast exam

Vaccination Pelvic and internal exam

Minor surgery: Incision, and drainage, Digital rectal examination and prostate
Cyst Excision examination

Circumcision Comprehensive geriatric assessment

Wellness planning Use of peak flow meter

Health Education Nebulization

Foreign body removal

Dix hallpike test and Epley maneuver

Anterior packing for epistaxis

 FNAB
Minor surgery: excision, incision and
drainage

Repair of laceration and suture removal

Nail surgery
Local Anesthetic infiltration, block
anesthesia

Cleaning and dressing of wounds

Debridement

Application of splint and bandaging

Pulmonary rehabilitation

NGT Insertion

Foley catheter insertion

Pap smear

Cardio-pulmonary resuscitation

Endotracheal intubation

IV insertion/cutdown

Gastric lavage

Wellness planning
Home care procedures: Tracheostomy,
Stoma care, bedsore care
ES IN PRIMARY CARE
WOMEN REPRODUCTIVE HEALTH COMMUNICATION SKILLS

Pre natal check up Active Listening skills

CEA, patient centered interviewing or
other pyschoeducational forms of
Normal vaginal delivery intervention
Motivational counseling to change
Episiotomy and Episiorrhapy behavior
Primary care Counseling: Rogerian,
Dilatation and curettage intentional, Gestalt, BST
Family planning counseling for natural
methods Bereavement counseling

Family planning - artificial methods Conduct family meeting

 CASES ENCOUNTERED
Stroke (I64)
Dementia in Alzheimer's disease (F00)
Transient Celebral Ischemic attack (G45.9)
Parkinson's disease (G20)
Senility (R66)
Dacryoadenitis (H04)
Viral Conjunctivitis (B30)
Benign Paroxysmal vertigo (H81.1)

DISEASES OF THE ELDERLY

SKIN DISEASES GENITO-URINARY

Pityriasis versicolor (B36) Acute Pyelonephritis (N10)

Irritant/Contact Dermatitis (L24) BPH (N40)

Impetigo (L01) Vaginitis, Atrophic (N95.2)

Decubitus Ulcers (L89) Sexual Dysfunction (F52)

Furuncle/Carbuncle (L03) Iron Deficiency Anemia (D50)

Seborrheic Dermatitis (I21) Nutritional Anemia, Unspecified (D53.9)

Insect Bites, Urticaria (L50) Kwashiorkor (E40)

Pityriasis Rosea (L42) Mild protein-energy malnutrition (E41)

Vitamin A deficiency (E50) Ascorbic Acid
Alopecia Areata (L63) deficiency (E54)

Ingrowing Nail (L60) Mineral Deficiency (E83)

Hypertension (I10) Osteoarthritis (M13.9)

Rheumatoid Arthritis (M05)
Angina Pectoris (I20) uncomplicated

Atherosclerotic Heart Disease (I25.1) Gouty Arthritis (M10)

Congestive Heart Failure (I50) I & II Osteoporosis (M81)

Chronic Obstructive Pulmonary Disease
(J44) Falls, unspecified (W19)

Community Acquired Pneumonia Musculoskeletal Strain (M61)

Gastroesophageal Reflux disease (GERD)
(K21) Diabetes Mellitus II (E11)
 Dyspepsia (K30)
Constipation (K59)
Functional Diarrhea (K59.1) Hyperlipidemia, unspecified (E87.5)
Acute Pancreatitis (K85)
Diverticulitis (K57)
Obesity (E66)
DNTG/NNTG (E02-04)
Hypercholesterolemia (E78.5)
Influenza (J11)
UTI (N30)
Tuberculosis (J18)
Viral Hepatitis A (B15)
Viral Hepatitis B (B16)
Burns < 10% (T31)
Fall (W19)
Incontinence, stress (N39.3)
Pain (R52.9)

Mixed disorder of acid-base balance

(E87.4) Acidosis (E87.2) Alkalosis (E87.3)
Electrolyte imbalance: Hypokalemia
(E87.5) Hyperkalemia (E87.5)
Fluid overload (E87.7)
Epistaxis (R04)
Acute Abdomen (R10)
Adverse Drug Reaction
E ELDERLY
MENTAL HEALTH

Anxiety Disorder (F41.1)

Depression (F32)
 CHILDREN'S DISEASES
EYE, EAR, NOSE,
NEURO THROAT SKIN DISEASES CARDIAC

External diseases of the

Headache = Migranious eye-Bleparitis (H02.0) Skin Infestations:
headaches (G43.9) / Hordeolum (H00.0) Pediculosis (B85)/Scabies Congenital Heart Disease
Tension headaches (G44.2) Chalazion (H00.1) (B86) (Q24.9)

Skin Infections - bacterial:

Furuncles and Carbuncles Rheumatic Heart Disease
Febrile Convulsion (R56) Conjunctivitis (H109.0) (L02) Cellulitis (L03) (109.9)

Skin Infections - Viral: Congestive Heart Failure

Fainting or Syncope (R55) Error of retraction (H52) Warts (B07) Class 1 (150.0)

Skin Infections - Fungal:

Otitis externa (H60.0) / Pityriasis capitis (dandruff)
Sleep disorders (G47.9) Otitis media (H66.9) (B5)

Concussion (S06.0) Impacted cerumen (H61.2) Seborrheic Dermatitis (L21)

Foreign body, Ears (T16)

Foreign bodies, Nose
(T17.1) Foreign body
Throat (T18.0) Atopic Dermatitis (L20)
Rhinitis (J31.0) / Sinusitis
(J32.9) Miliaria Rubra (L74)

Cheilitis and Cheilosis

(K13.0) Pruritus Ani (L29)
Diseases of the oral cavity -
Stomatitis (K12.1) / Oral
Ulcers
 Upper Respiratory
Infection Pharyngitis (J02.9)
Laryngitis (J04.0)/Tonsilitis
(J03.9) Acute
Nasopharyngitis (J00)
Diphtheria (A36)

Parotitis (Mumps) (B26.9)

Epiglottitis (J05.1)
 PULMO GASTRIC GENITO-URINARY MUSCULO-SKELETAL

Gastroesophageal reflux Urinary Tract Infection

Bronchial Asthma (J45.9) disease (GERD) (K21.9) [Cystitis - (N30.9)] Musculo skeletal pains

Acute Bronchitis
(J20.9)/Acute Bronchiolitis Asymptomatic Bacteriuria
(J21) Gastritis (K29.7) (N39.9) Sprains (t14.3) / Strains

Acute Gastroenteritis (A09)

Bronchopneumonia (J18) Rotavirus (AD8-4) Acute Pyelonephritis (N10) Torticollis (M43.6)

Parasitic Diarrheas =
Pulmonary Tuberculosis Amebiasis (A06.9) Giardia Acute Glomerulonephritis
(A16.9) Lambia (A07.1) (N04) Rheumatic Fever (100)

Sexually Transmitted
Diseases = Chlamydial
Infections (A74.9)
Gonococcal Infections
(A54.9) Syphillis (A50)
Dysentery - Like diarrheas = Trichomonas Vaginalis
Shigellosis (A03.3) (B51) Vaginal Candidosis
Salmonelliosis (A02.0) (A59)

Acute Pancreatitis (K85)

Hemorrhoids,
uncomplicated (I84)
Food Allergy (T78.1)Food
Poisoning (A05) Lactose
Intolerance (E73)

Cholera (A00.9)
 MENTAL HEALTH AND
BEHAVIORAL
SYSTEMIC INFECTIONS EMERGENCIES TOXICOLOGY DISORDERS

Parasitic Diseases (Q89.4)

Ascariasis (B77.9)
Hookworms Infestation
(B76.9) Trichuriasis (B79)
Enterobiasis (B80)
Trichinosis (B79)
Enterobius Vermicularis Substance abuse = Alcohol Separation anxiety disorder
(B80) Taeniasis (B68) Burns < 10% (T31) (F10.1) (F93.0)

Accidental poisoning =
Endemic diseases: Salicylate (T39) / Alkalis
Schistosomiasis (B65.9) and acid (T54.2) / INH Tobacco use / Secondhand
Filariasis (B74) (T37.1) smoke (T65.2) Enuresis, nonorganic (F98)

Habit disorders- tics (F95) /

Mosquito Borne = Dengue trichotillomania (F63.3) /
Fever (A90) Malaria (B54) Acute appendicitis (K35) Opioid use (F11) Uttering (F98.5)

Viral Exanthem - Measles

(B05) Mumps (B26) Rubella
(B06) Exanthem subitum
(B08.2) Erythema
infectiosum (B08.3) Sibling rivalry (F93.3)

Developmental diseases -
ADHD, ADD, Down
Typhoid fever (A01) Syndrome (F81)

Hepatitis A (B15) /
Hepatitis B Autism (F84)

Rabies (A82) Child abuse (T74.9)

Leptospirosis (A27)
 MALNUTRITION

Vitamin Deficiency: Vitamin

A Deficiency (E50) /
Beriberi (E51.1) / Niacin
Deficiency (E52) /
Riboflavin Deficiency
(E53) / Vitamin C
Deficiency (E54) / Vitamin
D Deficiency (E55.9)

Iron Deficiency Anemia

(D50)

Goiter (E01) Non toxic

Goiter (E04) Thyrotoxicosis
with diffuse Goiter (E05)

Marasmus / Kwashiorkor
(E40)

Obesity (E66)
 CASES ENCOUNTERED
Headaches; Migrainous headaches (G43) / Non migrainous headaches (G44)
Seizure disorders (R56)
Infectious diseases of the CNS = Common bacterial meningitis (G00) Encephalitis
CVA / Transient ischemic attacks (G45)
Peripheral Neuropathy: Diabetic Neuropathy (G59)
Sleep disorders = Insomnia (G47)
Bell's Palsy (G51)

ADULT DISEASES
REPRODUCTIVE
EENT GENITO-URINARY HEALTH HEMATOLOGIC
Cystitis, uncomplicated
Conjunctivitis (H10) (N30) Vaginitis (N76) Anemia

External diseases of the

Eye-Blepharitis (H01) / Acute Pyelonephritis, iron Deficiency Anemia
Hordeolum (H00) uncomplicated (N10) Acute Cervicitis (N78) (D50)
Acute Epididymitis,
Chalazion (H00.1) uncomplicated (N45) Dysmenorrhea (N94.4)
Acute Epididimoorchitis, Premenstrual tension
Error of refraction (H52) uncomplicated (N45) syndrome (N94.3)
Benign Prostatic
Glaucoma Hypertrophy (N40) Menopause (N95)

Otitis externa (H60) / Otitis

media (H65) Acute Urethritis (N34) Dysmenorrhea (M94.4)
Urolithiasis, nonobstructive Hyperemesis gravidarum
Impacted cerumen (H61.2) (N20) (O21)

URTI = Acute Tonsilitis (J03)

/ Acute Nasopharyngitis
(J00) / Pharyngitis (J02) / Single spontaneous
Acute Laryngitis (J14) delivery (O80)
Acute / Chronic Pelvic inflammatory
Rhinosinusitis disease (N73)
Unspecified lump in the
Allergic Rhinitis (J30.4) breast (N63)

Unspecified sexual
dysfunction (F52.9) Erectile
Parotitis, Viral and Bacterial dysfunction/premature
(B26) ejaculation
Temporomandibular joint
arthralgia
 Oral Cavity Diseases:
Aphthous Ulcers
Cellulitis (L02)
Carbuncle and furuncle
(L02)
Impetigo (L01)
Varicella Zoster / Herpes
Zoster (B02)
Allergic Dermatitis (L23) /
Irritant Contact Dermatitis
(L24)

Seborrheic Dermatitis (L21)

Pityriasis Rosea (L42)
Urticaria (L50)

Sunburn (L55)

Acne (L70)

Scabies (B86)

Hypertension (I10)
Ischemic Heart Disease
(I20)

Heart Failure Class I, II (I50)

Bronchial Asthma (J45)

Acute Bronchitis (J20)
Pneumonia (J18)
COPD (J44)
Pulmonary Tuberculosis
(A15)
Dyspepsia (K30)
Gastritis (K29)

Gastroesophageal Reflux
Disease (GERD) (K21)
Irritable Bowel Syndrome
(K58)
Hemorrhoids,
uncomplicated (I84)

Acute Gastroenteritis (A08)

Acute Cholecystitis (K81)
Acute Pancreatitis (K85)
 ENDOCRINOLOGY /
METABOLIC /
MUSCULO-SKELETAL NUTRITIONAL INFECTIOUS
Osteoarthritis,
uncomplicated (M13.9) Obesity (E66) Influenza (J11)

Acute gastroenteritis
(A09) / Foodborne
Rheumatoid arthritis, Diabetes Mellitus type II staphylococcal poisoning
uncomplicated (M05) (E11) (A05)
Hyperthyroidism,
Gout, uncomplicated (M10) uncomplicated (E05) Gonorrhea (A54) / Syphillis
Hypothyroidism,
Osteoporosis (M81) uncomplicated (E02) Herpes Simplex (B02)

Myalgia (M79.1) Nontoxic Goiter (E04) Varicella Zoster (B01)

Parasitism: Ascariasis
(B76) / Hookworm (B77_ /
Trichuriasis (B79) /
Enterobiasis (B80) /
Hyperlipidemia, Intestinal parasitism,
Muscle Strain (M62.1) unspecified (E78.5) unspecified (B82.9)
Scoliosis, uncomplicated Hypercholesterolemia Malaria, uncomplicated
(M41) (E78) (B54)

Micronutrient Deficiency:
Chondrocostaljunction Vitamin and mineral
syndrome (Tietze) (M94) deficiency Dengue fever (A90)
Typhoid fever,
Low back pain (M54.5) uncomplicated (A01)
Amoebiasis (A06) /
Giardiasis

Rabies (A82)
Viral hepatitis A (B15) /
Viral hepatitis B (B16)
 Acute stroke,
uncomplicated (G46)
Anaphylaxis

Syncope (R55)
Cerebral concussion

Acute Appendicitis (K35)

INH (T37.1)

Alkali and acids (T54.2)

Salicylates (T39)
Organophosphate (T60)

Depressive episodes (F32)

Anxiety disorders (F41.9)

Dissociative (conversion)
disorders (F44) /
Somatization disorders
(F45)
Alcohol deficiency (F10.2) /
Addictions

Eating disorders (F50)

Insomnia (G47)
Adjustment disorders
(F43.2)