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- 1
- Do you sneeze frequently?
- .
- 2
- Do you have sore or watery eyes?
- .
- 3
- Is your throat sore?
- .
- 4
- Is your voice hoarse?
- .
- 5
- Do you cough a great deal?
- .
- 6
- Is your nose runny?
- .
- 7
- Do you have headaches?
- .
- 8
- Do you have a fever, (greater than 100F)?
- .
- 9
- Are you exposed frequently to very dusty places?
- .
- 10
- Does your skin itch?
- .
- 11
- Does your throat feel dry?
- .
- 12
- Do you wheeze when you breath?
- .
- 13
- Is your nose congested?
- .
- 14
- Have you recently had the flu?
- .
- 15
- Do you feel ill in general?
- .
- 16
- Do you have difficulty swallowing?
- .
- 17
- Do you have sore muscles?
- .
- 18
- Do you have any pain or discomfort in your chest?
- .
- 19
- Have you had your tonsils removed?
- .
- 20
- Do you have attacks of your symptoms rather than
- them being present all the time?
- 21
- Do you have a cough product of green, yellow, or
- red sputum, rather than a non-productive cough?
- 22
- Do you feel like you cannot catch your breath?
- .
- 23
- Do you seem to perspire a great deal even when you
- are not exerting yourself?
- 24
- Is your pulse fast? A normal pulse should be
- between 60 and 90.
- 25
- Do you have attacks of shortness of breath where
- you are afraid that you might pass out?
- 26
- Does your skin have a slightly bluish tinge?
- .
- 27
- When you cough does your sputum have any
- streaks of blood or red in it?
- 28
- Do you feel mentally confused? Not in full
- possession of your intellectual faculties?
- 29
- Are you delirious, unable to carry on intelligent
- speech or have poor muscular control?
- 30
- Do you have a non-productive cough, rather than
- one that produces sputum?
- 31
- Do you have any pain when you take a deep breath
- or when you cough?
- 32
- Do you ever develop severe chest pain or a heavy
- feeling over the chest?
- 33
- Are you having fevers and chills?
- .
- 34
- Are your symptoms chronic, i.e., lasting over six
- weeks?
- 35
- Do you have fingernails that curve down over the
- finger tips with tender fleshy bases (clubbing)?
- 36
- Do your symptoms seem to worsen with exertion
- rather than at rest?
- 37
- Do you smoke?
- .
- 38
- Do you feel like the room is spinning or that you
- can't keep your balance?
- 39
- Do you have palpitations, skipped beats, or feel
- that your heart is beating fast or irregularly?
- 40
- Do your ankles swell? When you take off your
- socks have they made deep impressions?
- 41
- Are you vomiting or do you feel like vomiting?
- .
- 42
- Do you have any abdominal pain or discomfort?
- .
- 43
- Is your stool loose? Do you have diarrhea?
- .
- 44
- Have you had your appendix removed?
- .
- 45
- Does your skin or the whites of your eyes
- have a yellow tinge (jaundice)?
- 46
- Do you feel tense or anxious?
- .
- 47
- Do you have insomnia? Do you waken at night and
- can't get back to sleep?
- 48
- Do you have a tremor, a fine shaking movement of
- one arm or a pronounced twitch?
- 49
- Are your stools hard or do you have difficulty
- passing them? Are your stools infrequent?
- 50
- Do you feel that you have a poor memory or
- that you are frequently forgetting things?
- 51
- Have you lost or nearly lost the ability to
- speak?
- 52
- Have you noticed any blood in your stool
- or that you have black, thick, sticky stools?
- 53
- Are you male? Indicate Yes. If female, indicate No.
- If you want a general analysis indicate Don't Know.
- 54
- Do you have a stiff or painful neck?
- .
- 55
- Have you sustained any head trauma, even slight
- head trauma?
- 56
- Have your stools changed in consistency or
- shape or do they have an abnormal color?
- 57
- Do you have a lot of gas, i.e. frequent belching and
- passing gas?
- 58
- Do you have any episodes of light-headedness or
- fainting spells?
- 59
- Do you have an itch anywhere on your body?
- .
- 60
- Do you have any type of skin rash?
- .
- 61
- Do you have any areas of weakness or tingling
- anywhere on your body?
- 62
- Are you overweight? Indicate Yes. For underweight
- indicate No. If ideal weight indicate Don't know.
- 63
- Is there any pain or discomfort in your
- face or forehead?
- 64
- Is there any swelling under your skin?
- .
- 65
- Is your urine an abnormal color, red or dark brown?
- .
- 66
- Do you seem to be urinating more frequently than usual?
- .
- 67
- Does it hurt or burn when you urinate?
- .
- 68
- Do you have any visual difficulties: blurring, double
- vision or flashing lights not corrected by glasses?
- 999999999
- Common cold
- .02,1,.9,.05,2,.8,.02,3,.8,.02,5,.6,.01,6,1,.01,7,.2,.01,8,.5,.01,15,.8,.01,34,0,.01,999
- Allergic rhinitis
- .01,1,1,.01,2,1,.01,6,.9,.01,10,.7,.01,11,.7,.01,12,.6,.01,20,.9,.01,999
- Sinusitis
- .01,14,.8,.01,13,.9,.01,15,.8,.01,7,.6,.01,22,.5,.01,2,.5,.001,6,.5,.01,63,.9,.01,999
- Pharyngitis
- .02,3,1,.01,16,.9,.01,8,.5,.01,11,.9,.01,37,.8,.3,64,.4,.01,999
- Tonsillitis
- .001,3,1,.01,7,.9,.01,15,1,.01,16,.7,.07,19,0,.5,8,.8,.01,34,0,.01,64,.8,.01,999
- Influenza
- .01,3,.9,.01,1,.9,.01,6,.5,.01,7,.7,.01,8,1,.01,15,1,.01,17,.8,.01,18,.6,.01,34,0,.01,999
- Laryngitis
- .01,4,1,.01,8,.6,.01,15,.05,.01,16,.7,.01,37,.8,.3,999
- Tumor of the Larynx
- .00004,4,1,.01,34,.99,.01,37,.8,.3,999
- Acute Bronchitis
- .005,5,.1,.01,8,1,.01,12,1,.01,15,1,.01,18,.5,.01,21,1,.01,31,.9,.01,34,0,.01,22,.9,.01,999
- Chronic Bronchitis
- .005,5,1,.01,12,.9,.01,14,.5,.01,21,1,.01,22,.8,.01,34,1,.01,36,.9,.01,37,.8,.3,999
- Asthma
- .02,12,.8,.01,22,1,.01,23,.5,.01,24,.5,.01,25,.5,.01,26,.5,.01,31,.8,.01,999
- Emphysema
- .01,22,1,.01,5,.001,.01,26,.8,.01,12,.001,.01,22,.001,.01,37,.8,.3,999
- Pneumonia
- .003,8,1,.01,15,1,.01,18,.8,.01,22,1,.01,23,.5,.01,26,.5,.01,28,.1,.01,29,.02,.01,27,.2,.01,31,.9,.01,36,.1,.9,7,.9,.01,17,.9,.01,32,.5,.001,999
- Pleurisy
- .001,31,.8,.01,32,.8,.01,22,.5,.01,5,.8,.01,8,.9,.01,15,1,.01,34,0,.01,999
- Pneumothorax
- .0002,18,.8,.01,22,.8,.01,32,.8,.01,999
- Bronchiectasis
- .000001,21,1,.01,27,.5,.01,5,1,.01,14,.5,.01,999
- Lung Abscess
- .000001,33,.9,.01,18,.5,.01,21,.5,.01,27,.5,.01,999
- Pneumoconiosis
- .001,22,1,.01,36,1,.01,21,.8,.01,9,1,.001,999
- Lung Cancer
- .001,5,1,.01,21,.8,.01,27,.5,.01,22,.5,.01,18,.8,.01,12,.5,.01,37,.99,.3,999
- Interstitial Fibrosis
- .000001,22,.8,.01,35,.8,.01,21,.6,.01,999
- Pulmonary edema
- .001,22,.9,.01,25,.9,.01,30,.5,.01,27,.5,.01,26,.5,.01,12,.8,.01,999
- Gastritis
- .01,41,.8,.01,43,.8,.01,42,.5,.01,8,.4,.01,37,.9,.5,999
- Hiatal Hernia
- .001,18,.9,.01,32,.5,.001,42,.8,.001,57,.9,.01,16,.9,.01,41,.8,.01,999
- Duodenal ulcer
- .01,37,.8,.2,42,.99,.001,41,.8,.01,999
- Peptic ulcer
- .01,42,.9,.001,18,.5,.01,20,.8,.01,41,.7,.01,56,.9,.01,62,.0001,.01,999
- Diverticular disease
- .001,42,.6,.001,43,.5,.01,41,.5,.01,8,.5,.01,49,.5,.01,999
- Crohn's disease
- .0001,42,.9,.001,43,.9,.01,15,.9,.01,8,.7,.01,62,.00001,.01,999
- Intestinal obstruction
- .00001,42,.9,.001,43,.8,.01,41,.5,.01,999
- Appendicitis
- .001,34,.1,.9,42,.9,.001,41,.8,.01,8,.8,.01,44,0,.5,999
- Food poisoning
- .001,42,.5,.001,41,.9,.01,43,.9,.01,7,.8,.01,999
- Gastroenteritis
- .01,41,.8,.01,42,.7,.001,43,.9,.01,8,.5,.01,999
- Kidney stones
- .001,42,.7,.001,999
- Acute pyelonephritis
- .001,42,.9,.001,8,.8,.01,41,.7,.01,67,.9,.01,999
- Gallstones
- .01,42,.5,.001,41,.5,.01,57,.9,.01,999
- Cholecystitis
- .001,42,.8,.001,8,.9,.01,41,.8,.01,45,.8,.001,999
- Shingles
- .001,42,.5,.001,18,.5,.001,60,.9,.01,59,.9,.01,2,.6,.01,46,.5,.01,999
- Deep vein thrombosis
- .0005,40,.8,.01,999
- Rheumatoid arthritis
- .001,15,.8,.01,17,.8,.01,40,.5,.001,999
- Heart failure
- .001,22,.9,.01,36,.5,.01,25,.5,.001,12,.6,.01,18,.5,.001,32,.3,.001,40,.5,.01,42,.5,.01,28,.3,.001,47,.9,.01,999
- Anxiety
- .01,46,.9,.01,28,.3,.01,47,.6,.01,39,.8,.01,23,.6,.01,48,.6,.01,16,.3,.01,43,.2,.01,22,.5,.01,50,.5,.01,57,.5,.01,58,.5,.01,15,.5,.01,7,.5,.01,4,.5,.01,999
- Depression
- .01,47,.5,.01,7,.5,.01,49,.5,.01,50,.5,.01,15,.5,.01,62,.8,.05,999
- Myocardial infarction
- .01,18,.5,.01,32,.9,.001,20,.5,.01,36,0,.2,38,.5,.01,22,.5,.01,23,.5,.01,41,.5,.01,15,.9,.01,999
- Angina
- .01,37,.8,.3,18,.9,.01,36,.9,.01,22,.5,.01,23,.5,.01,38,.5,.01,41,.3,.01,999
- Pulmonary embolism
- .0001,22,1,.01,18,.7,.01,21,.6,.01,27,.5,.001,25,.5,.001,26,.4,.0001,999
- Stroke
- .001,28,.8,.01,38,.7,.01,51,.8,.001,58,.9,.01,61,.9,.01,999
- Transient Ischemic Attack
- .001,28,.8,.01,38,.7,.01,51,.8,.001,34,0,.01,20,.5,.01,58,.9,.01,999
- Tuberculosis
- .0001,7,.5,.01,8,.5,.01,12,.5,.01,15,.5,.01,18,.5,.01,5,.5,.01,30,.5,.01,27,.5,.001,22,.5,.01,62,.0001,.01,23,.5,.01,999
- Hemorrhoids
- .01,52,.9,.001,49,.8,.01,56,.9,.01,59,.5,.01,999
- Hypothyroidism
- .001,49,.8,.01,17,.5,.01,24,0,.01,23,.001,.01,39,.001,.01,4,.5,.01,43,0,.01,46,.001,.01,62,.9,.05,999
- Irritable Colon
- .0007,43,.5,.01,49,.5,.01,42,.8,.001,41,.3,.01,57,.9,.01,999
- Colon Cancer
- .001,43,.9,.01,49,.8,.01,52,.5,.001,42,.5,.001,56,.9,.01,62,.0001,.01,999
- Ulcerative Colitis
- .0004,42,.8,.001,43,.8,.01,52,.6,.001,23,.5,.01,41,.5,.01,8,.5,.01,34,.4,.01,56,.9,.01,999
- Meniere's Disease
- .0005,38,.9,.001,41,.8,.01,34,.5,.01,20,.9,.01,999
- Cervical Spondylosis
- .006,54,.9,.01,7,.5,.01,38,.5,.01,58,.9,.01,61,.5,.01,999
- Subdural Hematoma
- .000001,55,.99,.0001,28,.9,.001,7,.9,.01,41,.9,.01,38,.9,.01,20,.5,.01,34,.5,.01,999
- Brain Tumor
- .0000001,7,.9,.01,41,.9,.01,38,.8,.01,50,.8,.01,38,.8,.01,999
- Meningitis
- .0000001,8,.9,.01,7,.9,.01,41,.9,.01,28,.7,.01,54,.9,.01,2,.9,.01,60,.5,.01,999
- Subarachnoid Hemorrhage
- .00001,7,.99,.01,54,.9,.01,38,.7,.01,28,.7,.01,41,.8,.01,2,.8,.01,999
- Acute Glaucoma
- .01,2,.9,.01,7,.9,.01,41,.7,.01,20,.8,.01,34,.8,.01,63,.8,.01,68,.9,.01,999
- Temporal Arteritis
- .001,7,.9,.01,8,.7,.01,17,.7,.01,2,.8,.01,63,.99,.01,999
- Dyspepsia
- .1,18,.7,.01,57,.7,.01,42,.7,.01,41,.7,.01,46,.5,.01,20,.9,.01,999
- Heart Block
- .0003,22,.5,.01,58,.8,.01,39,.6,.01,18,.6,.01,999
- Pernicious Anemia
- .0004,22,.9,.01,58,.9,.01,39,.9,.01,36,.9,.01,45,.5,.01,42,.5,.01,50,.5,.01,28,.4,.01,999
- Migraine
- .1,7,1,.01,15,.9,.01,41,.9,.01,43,.5,.01,2,.9,.01,20,.9,.01,34,.9,.01,63,.99,.01,999
- Hypertension
- .15,7,.5,.01,39,.5,.01,15,.5,.01,34,.9,.01,999
- Eczema
- .03,59,.9,.01,60,1,.01,999
- Urticaria
- .03,59,.9,.01,60,1,.01,46,.5,.01,999
- Scabies
- .001,59,1,.01,60,1,.01,999
- Measles
- .02,15,1,.01,8,1,.01,6,.9,.01,2,.9,.01,11,.9,.01,5,.9,.01,43,.5,.01,60,.8,.01,7,.5,.01,34,0,.01,999
- Rubella
- .01,8,.5,.01,60,.9,.01,58,.2,.01,34,0,.01,64,.5,.01,999
- Chicken Pox
- .001,60,1,.01,59,1,.01,8,.8,.01,7,.5,.01,15,.5,.01,34,0,.01,999
- Psoriasis
- .02,46,.6,.01,3,.5,.01,60,.99,.01,59,.9,.01,999
- Pityriasis Rosea
- .01,60,1,.01,59,.9,.01,34,.5,.01,999
- Acne Rosacea
- .01,60,.9,.01,2,.5,.01,34,.8,.01,999
- Thyrotoxicosis
- .001,46,.9,.01,47,.8,.01,48,.9,.01,23,.9,.01,39,.9,.01,22,.8,.01,43,.8,.01,62,.00001,.01,2,.5,.01,24,.9,.01,64,.3,.01,68,.3,.01,999
- Diabetes Mellitus
- .01,62,.0001,.01,61,.5,.01,2,.5,.01,66,.99,.01,68,.1,.01,999
- Stomach Cancer
- .0003,41,.5,.01,42,.7,.001,62,.0001,.01,52,.6,.001,56,.5,.01,999
- Atrial Fibrillation
- .001,39,.8,.01,38,.5,.01,42,.4,.01,58,.5,.01,999
- Hodgkin's Disease
- .0001,23,.5,.01,63,.6,.01,54,.8,.01,59,.7,.01,64,.99,.01,999
- Lymphoma
- .0001,64,.9,.01,54,.8,.01,15,.8,.01,62,.001,.01,8,.8,.01,23,.5,.01,59,.8,.01,999
- Mumps
- .01,64,.99,.01,8,.8,.01,15,.9,.01,16,.7,.01,54,.6,.01,3,.8,.01,999
- Bell's Palsy
- .0003,51,.9,.01,63,.5,.01,999
- Parkinson's Disease
- .001,48,.9,.01,51,.8,.01,42,.3,.01,50,.2,.01,28,.1,.01,999
- Rheumatic Fever
- .01,3,.8,.01,15,.8,.01,8,.8,.01,64,.8,.01,60,.6,.01,59,.001,.01,48,.1,.01,999
- Cystitis
- .01,66,.9,.01,65,.9,.01,67,.9,.01,8,.5,.01,999
- Kidney Tumor
- .001,8,.6,.01,62,.0001,.01,42,.5,.01,42,.5,.01,65,.7,.01,999
- Bladder Tumor
- .0004,65,.9,.01,42,.5,.01,66,.5,.01,67,.5,.01,8,.3,.01,999
- Iritis
- .0005,2,.9,.01,68,.9,.01,999
- Acute Hepatitis
- .001,8,.8,.01,15,.8,.01,17,.5,.01,42,.5,.01,45,.5,.01,41,.5,.01,999
- THE END
-