1 29 How to Examine a Sick Person CHAPTER 3 To find out the needs of a sick person, first you must ask important questions and then examine him carefully. You should look for signs and symptoms that help you tell how ill the person is and what kind of sickness he may have. Always examine the person where there is good light, preferably in the sunlight never in a dark room. There are certain basic things to ask and to look for in anyone who is sick. These include things the sick person feels or reports (symptoms), as well as things you notice on examining him (signs). These signs can be especially important in babies and persons unable to talk. In this book the word signs is used for both symptoms and signs. When you examine a sick person, write down your findings and keep them for the health worker in case he is needed (see p. 44). QUESTIONS Start by asking the person about her sickness. Be sure to ask the following: What bothers you most right now? What makes you feel better or worse? How and when did your sickness begin? Have you had this same trouble before, or has anyone else in your family or neighborhood had it? Continue with other questions in order to learn the details of the illness. For example, if the sick person has a pain, ask her: Where does it hurt? (Ask her to point to the exact place with one finger.) Does it hurt all the time, or off and on? What is the pain like? (sharp? dull? burning?) Can you sleep with the pain? If the sick person is a baby who still does not talk, look for signs of pain. Notice his movements and how he cries. (For example, a child with an earache sometimes rubs the side of his head or pulls at his ear.)
2 30 GENERAL CONDITION OF HEALTH Before touching the sick person, look at him carefully. Observe how ill or weak he looks, the way he moves, how he breathes, and how clear his mind seems. Look for signs of dehydration (see p. 151) and of shock (p. 77). Notice whether the person looks well nourished or poorly nourished. Has he been losing weight? When a person has lost weight slowly over a long period of time, he may have a chronic illness (one that lasts a long time). Also note the color of the skin and eyes. These sometimes change when a person is sick. (Dark skin can hide color changes. So look at parts of the body where the skin is pale, such as palms of the hands or soles of the feet, the fingernails, or the insides of the lips and eyelids.) Paleness, especially of the lips and inside the eyelids, is a sign of anemia (p. 124). Skin may also go lighter as a result of tuberculosis (p. 179), or kwashiorkor (p. 113). Darkening of the skin may be a sign of starvation (see p. 112). Bluish skin, especially blueness or darkness of the lips and fingernails, may mean serious problems with breathing (p. 79, 167, and 313) or with the heart (p. 325). Blue-gray color in an unconscious child may be a sign of cerebral malaria (p. 186). A gray-white coloring, with cool moist skin, often means a person is in shock (p. 77). Yellow color (jaundice) of the skin and eyes may result from disease in the liver (hepatitis, p. 172, cirrhosis, p. 328, or amebic abscess, p. 145) or gallbladder (p. 329). It may also occur in newborn babies (p. 274), and in children born with sickle cell disease (p. 321). Look also at the skin when a light is shining across it from one side. This can show the earliest sign of measles rash on the face of a feverish child (p. 311). TEMPERATURE It is often wise to take a sick person s temperature, even if he does not seem to have a fever. If the person is very sick, take the temperature at least 4 times each day and write it down. If there is no thermometer, you can get an idea of the temperature by putting the back of one hand on the sick person s forehead and the other on your own or that of another healthy person. If the sick person has a fever, you should feel the difference. It is important to find out when and how the fever comes, how long it lasts, and how it goes away. This may help you identify the disease. Not every fever is malaria, though in some countries it is often treated as such. Remember other possible causes. For example: Common cold, and other virus infections (p. 163). The fever is usually mild. Typhoid causes a fever that goes on rising for 5 days. Malaria medicine does not help. Tuberculosis sometimes causes a mild fever in the afternoon. At night the person often sweats, and the fever goes down.
3 How to Use a Thermometer Every family should have a thermometer. Take the temperature of a sick person 4 times a day and always write it down. 31 How to read the thermometer (using one marked in degrees centigrade C): Turn the thermometer until you can see the silver line. Normal Fever High Fever The point where the silver line stops marks the temperature. How to take the temperature: 1. Clean the thermometer well with soap and water or alcohol. Shake it hard, with a snap of the wrist, until it reads less than 36 degrees. 2. Put the thermometer This thermometer marks 40 degrees C. under the tongue (keeping the mouth shut) or in the armpit if there is danger of biting the thermometer or carefully, in the anus of a small child (wet or grease it first) 3. Leave it there for 3 or 4 minutes. 4. Read it. (An armpit temperature will read a little lower than a mouth reading; in the anus it will read a little higher.) 5. Wash the thermometer well with soap and water. Note: in newborn babies a temperature that is unusually high or unsually low (below 36 ) may mean a serious infection (see p. 275). To learn about other fever patterns, see p. 26 to 27. To learn what to do for a fever, see p. 75.
4 32 BREATHING (RESPIRATION) Pay special attention to the way the sick person breathes the depth (deep or shallow), rate (how often breaths are taken), and difficulty. Notice if both sides of the chest move equally when she breathes. If you have a watch or simple timer, count the number of breaths per minute (when the person is quiet). Between 12 and 20 breaths per minute is normal for adults and older children. Up to 30 breaths a minute is normal for younger children, and 40 for babies. People with a high fever or serious respiratory illness breathe more quickly than normal. For example, more than 30 shallow breaths a minute in an adult usually means pneumonia, as does 60 breaths a minute for a newborn baby. Listen carefully to the sound of the breaths. For example: A whistle or wheeze and difficulty breathing out can mean asthma (see p. 167). A gurgling or snoring noise and difficult breathing in an unconscious person may mean the tongue, mucus (slime or pus), or something else is stuck in the throat and does not let enough air get through. Look for sucking in of the skin between ribs and at the angle of the neck (behind the collar bone) when the person breathes in. This means air has trouble getting through. Consider the possibility of something stuck in the throat (p. 79), pneumonia (p. 171), asthma (p. 167), or bronchitis (mild sucking in, see p. 170). If the person has a cough, ask if it keeps her from sleeping. Find out if she coughs up mucus, how much, its color, and if there is blood in it. Pay attention to the strength, the rate, and the regularity of the pulse. If you have a watch or timer, count the pulses per minute. PULSE (HEARTBEAT) To take the person s pulse, put your fingers on the wrist as shown. (Do not use your thumb to feel for the pulse.) If you cannot find the pulse in the wrist, feel for it in the neck beside the voicebox. Or put your ear directly or the chest and listen for the heartbeat (or use a stethoscope if you have one). NORMAL PULSE FOR PEOPLE AT REST adults from 60 to 80 per minute children to 100 babies to 140
5 33 The pulse gets much faster with exercise and when a person is nervous, frightened, or has a fever. As a general rule, the pulse increases 20 beats per minute for each degree ( C) rise in fever. When a person is very ill, take the pulse often and write it down along with the temperature and rate of breathing. It is important to notice changes in the pulse rate. For example: A weak, rapid pulse can mean a state of shock (see p. 77). A very rapid, very slow, or irregular pulse could mean heart trouble (see p. 325). A relatively slow pulse in a person with a high fever may be a sign of typhoid (see p. 188). EYES Look at the color of the white part of the eyes. Is it normal, red (p. 219), or yellow? Also note any changes in the sick person s vision. Have the person slowly move her eyes up and down and from side to side. Jerking or uneven movement may be a sign of brain damage. Pay attention to the size and color of the pupils (the black window in the center of the eye). If they are very large, it can mean a state of shock (see p. 77). If they are very large, or very small, it can mean poison or the effect of certain drugs. If there is a white glow, it can mean cataracts (see p. 225) or cancer. Look at both eyes and note any difference between the two, especially in the size of the pupils: A big difference in the size of the pupils is almost always a medical emergency. If the eye with the larger pupil hurts so badly it causes vomiting, the person probably has GLAUCOMA (see p. 222). If the eye with the smaller pupil hurts a great deal, the person may have IRITIS, a very serious problem (see p. 221). Difference in the size of the pupils of an unconscious person or a person who has had a recent head injury may mean brain damage. It may also mean STROKE (see p. 327). Always compare the pupils of a person who is unconscious or has had a head injury.
6 34 EARS, THROAT, AND NOSE Ears: Always check for signs of pain and infection in the ears-especially in a child with fever or a cold. A baby who cries a lot or pulls at his ear may have an ear infection (p. 309). Pull the ear gently. If this increases pain, the infection is probably in the tube of the ear (ear canal). Also look for redness or pus inside the ear. A small flashlight or penlight will help. But never put a stick, wire, or other hard object inside the ear. Find out if the person hears well, or if one side is more deaf than the other. Rub your thumb and fingers together near the person s ear to see if he can hear it. For deafness and ringing of the ears see page 327. Throat and Mouth: With a torch (flashlight) or sunlight examine the mouth and throat. To do this hold down tongue with a spoon handle or have the person say ahhhhh... Notice if the throat is red and if the tonsils (2 lumps at the back of the throat) are swollen or have spots with pus (see p. 309). Also examine the mouth for sores, inflamed gums, sore tongue, rotten or abscessed teeth and other problems. (Read Chapter 17.) Nose: Is the nose runny or plugged? (Notice if and how a baby breathes through his nose.) Shine a light inside and look for mucus, pus, blood; also look for redness, swelling, or bad smell. Check for signs of sinus trouble or hayfever (p. 165). SKIN It is important to examine the sick person s whole body, no matter how mild the sickness may seem. Babies and children should be undressed completely. Look carefully for anything that is not normal, including: sores, wounds, or splinters rashes or welts spots, patches, or any unusual markings inflammation (sign of infection with redness, heat, pain and swelling) swelling or puffiness swollen lymph nodes (little lumps in the neck, the armpits, or the groin, see p. 88) Always examine little children between the buttocks, in the genital area, between the fingers and toes, behind the ears, and in the hair (for lice, scabies, ringworm, rashes, and sores). For identification of different skin problems, see pages abnormal lumps or masses unusual thinning or loss of hair, or loss of its color or shine (p. 112) loss of eyebrows (leprosy? p. 191)
7 THE BELLY (ABDOMEN) 35 If a person has pain in the belly, try to find out exactly where it hurts. Learn whether the pain is steady or whether it suddenly comes and goes, like cramps or colic. When you examine the belly, first look at it for any unusual swelling or lumps. The location of the pain often gives a clue to the cause (see the following page). First, ask the person to point with one finger where it hurts. Then, beginning on the opposite side from the spot where he has pointed, press gently on different parts of the belly to see where it hurts most. See if the belly is soft or hard and whether the person can relax his stomach muscles. A very hard belly could mean an acute abdomen perhaps appendicitis or peritonitis (see p. 94). If you suspect peritonitis or appendicitis, do the test for rebound pain described on page 95. Feel for any abnormal lumps and hardened areas in the belly. If the person has a constant pain in the stomach, with nausea, and has not been able to move her bowels, put an ear (or stethoscope) on the belly, like this: Listen for gurgles in the intestines. If you hear nothing after about 2 minutes, this is a danger sign. (See Emergency Problems of the Gut, p. 93.) A silent belly is like a silent dog. Beware!
8 36 These pictures show the areas of the belly that usually hurt when a person has the following problems: Ulcer (see p. 128) Appendicitis (see p. 94) pain in the pit of the stomach first it hurts here later it hurts here Gallbladder (see p. 329) Liver (see p. 172, 144, and 328) the pain often reaches to the back pain here, at times it spreads to the chest Urinary system (see p. 234) mid or low back pain, often goes around the waist to the lower part of the belly Inflammation or tumor of the ovaries, or out-of-place pregnancy (see p. 280) urinary tubes pain on one side or both, sometimes spreading to the back bladder Note: For different causes of back pain see p. 173.
9 MUSCLES AND NERVES 37 If a person complains of numbness, weakness, or loss of control in part of his body, or you want to test it: notice the way he walks and moves. Have him stand, sit, or lie completely straight, and carefully compare both sides of his body. Face: Have him smile, frown, open his eyes wide, and squeeze them shut. Notice any drooping or weakness on one side. If the problem began more or less suddenly, think of a head injury (p. 91), stroke (p. 327), or Bell s palsy (p. 327). If it came slowly, it may be a brain tumor. Get medical advice. Also check for normal eye movement, size of pupils (p. 217), and how well he can see. Arms and legs: Look for loss of muscle. Notice or measure difference in thickness of arms or legs. Watch how he moves and walks. If muscle loss or weakness affects the whole body, suspect malnutrition (p. 112) or a chronic (long-term) illness like tuberculosis. Have him squeeze your fingers to compare strength in his hands and push and pull with his feet against your hand. Any string or ribbon will do to check if the distance around the arms or legs is different. Also have him hold his arms straight out and turn his hands up and down. Have him lie down and lift one leg and then the other. Note any weakness or trembling. If muscle loss and weakness is uneven or worse on one side, in children, think first of polio (p. 314); in adults, think of a back problem, a back or head injury, or stroke. For more information on muscle testing and physical examination of disabled persons, see Disabled Village Children, Chapter 4.
10 38 Check for stiffness or tightness of different muscles: If the jaw is stiff or will not open, suspect tetanus (p. 182) or a severe infection of the throat (p. 309) or of a tooth (p. 231). If the problem began after he yawned or was hit in the jaw, he may have a dislocated jaw. If the neck or back is stiff and bent backwards, in a very sick child, suspect meningitis. If the head will not bend forward or cannot be put between the knees, meningitis is likely (p. 185). meningitis If a child always has some stiff muscles and makes strange or jerky movements, he may be spastic (p. 320). If strange or jerky movements come suddenly, with loss of consciousness, he may have seizures (p. 178). If seizures happen often, think of epilepsy. If they happen when he is ill, the cause may be high fever (p. 76) or dehydration (p. 151) or tetanus tetanus (p. 182) or meningitis (p. 185). To test a person s reflexes when you suspect tetanus, see p To check for loss of feeling in the hands, feet, or other parts of the body: Have the person cover his eyes. Lightly touch or prick the skin in different places. Ask him to say yes when he feels it. Loss of feeling in or near spots or patches on the body is probably leprosy (p. 191). Loss of feeling in both hands or feet may be due to diabetes (p. 127) or leprosy. Loss of feeling on one side only could come from a back problem (p. 174) or injury.
GRIT IN EYE BROKEN LEG BONE WET, COUGHING AND COLD NEAR RIVER BANK STUNG BY BEE CAUSING ANAPHYLACTIC SHOCK HEART ATTACK SUFFERING FROM SHOCK CHOKING SEVERE BLEEDING TO WRIST HYPOTHERMIA ANGINA Localised
Streptococcal Infections Introduction Streptococcal, or strep, infections cause a variety of health problems. These infections can cause a mild skin infection or sore throat. But they can also cause severe,
Pneumonia Pneumonia is an infection that makes the tiny air sacs in your lungs inflamed (swollen and sore). They then fill with liquid. People with mild (not so bad) pneumonia can usually be treated at
GLOBAL INITIATIVE FOR ASTHMA What You And Your Family Can Do About Asthma BASED ON THE GLOBAL STRATEGY FOR ASTHMA MANAGEMENT AND PREVENTION NHLBI/WHO WORKSHOP REPORT NATIONAL INSTITUTES OF HEALTH NATIONAL
Asthma Basics Patient and Family Education This teaching sheet contains general information only. Talk with your child s doctor or a member of your child s healthcare team about specific care of your child.
For the Patient: Paclitaxel injection Other names: TAXOL Paclitaxel (pak'' li tax' el) is a drug that is used to treat many types of cancer. It is a clear liquid that is injected into a vein. Tell your
Influenza (Flu) What is the flu? The flu is an illness caused by flu viruses. The flu may make people cough and have a sore throat and fever. They may also have a runny or stuffy nose, feel tired, have
Injecting Inside the Mouth 135 9 CHAPTER It is possible to treat a tooth without pain. You do this with an injection of local anesthetic. You must inject near the nerve, so to give good injections, you
(mm/dd/yyyy): Have you been to Physicians Urgent Care before? Yes No Arrival Time: If yes, when? Is this a follow-up to a previous visit: Yes No PATIENT INFORMATION Patient s First Name: Middle Name: Last
Center for Interventional Pain 1000 Health Center Drive, Suite 106 Mattoon, IL 61938 217-238-4495 Pain Questionnaire Date First name Last name Middle initial Date of birth Sex Male Female Height Weight
Patient Name: Social Security Number: Date of Birth: / / Sex: M/F (Circle One) Married/Single/Divorced/Widow Address: (Street) (City/State/Zip) Home Phone: ( ) E Mail Address: Would you be interested in
159 CHAPTER11 Taking Out a Tooth Not every painful tooth needs to come out. You must decide how serious the problem is, and then decide if you can treat and save the tooth. Some problems such as root canal
Traditional Chinese For the Patient: Cetuximab Injection Other names: ERBITUX Cetuximab (se tux i mab) is a drug that is used to treat some types of cancer. It is a monoclonal antibody, a type of protein
Fainting - Syncope Introduction Fainting, also known as syncope, is a temporary loss of consciousness. It is caused by a drop in blood flow to the brain. You may feel dizzy, lightheaded or nauseous before
Hemorrhagic Stroke GENERAL INFORMATION: What is a hemorrhagic stroke? A hemorrhagic stroke happens when a blood vessel in the brain bursts. This may happen if the blood vessel wall is weak, or sometimes
Get the Facts About TB TUBERCULOSIS Disease What s Inside: 3 PAGE Get the facts, then get the cure 4 PAGE 9 PAGE 12 PAGE Learn how TB is spread Treatment for TB disease Talking to family and friends about
DEMOGRAPHIC INFORMATION Full name DOB Age Address Email Phone numbers (H) (W) (C) Emergency contact Phone CARE INFORMATION Primary care physician: Address Phone Fax Referring physician: Specialty Address
Staying on Track with TB TUBERCULOSIS Medicine What s Inside: Read this brochure to learn about TB and what you can do to get healthy. Put it in a familiar place to pull out and read when you have questions.
WHEN SHOULD I WORRY? - Your guide to Coughs, Colds, Earache & Sore Throats Information For:- Who is this booklet for? Having an ill child can be a very scary experience for parents. If you understand more
Key Facts about Influenza (Flu) & Flu Vaccine mouths or noses of people who are nearby. Less often, a person might also get flu by touching a surface or object that has flu virus on it and then touching
Bone Marrow or Blood Stem Cell Transplants in Children With Severe Forms of Autoimmune Disorders or Certain Types of Cancer A Review of the Research for Parents and Caregivers Is This Information Right
Community Acquired Pneumonia Client Education Booklet Client means patient/client/resident What is Pneumonia? Pneumonia is an inflammation of the lungs caused by infection. What Pneumonia does When you
MEDICATION GUIDE KOMBIGLYZE XR (kom-be-glyze X-R) (saxagliptin and metformin HCl extended-release) tablets Read this Medication Guide carefully before you start taking KOMBIGLYZE XR and each time you get
Asthma and COPD Awareness Molina Breathe with Ease sm and Chronic Obstructive Pulmonary Disease Molina Healthcare of Michigan Fall 2012 Importance of Controller Medicines Asthma is a disease that causes
MEDICATION GUIDE PROCRIT (PROKRIT) (epoetin alfa) Read this Medication Guide: before you start PROCRIT. if you are told by your healthcare provider that there is new information about PROCRIT. if you are
Changes to and Your Body During Pregnancy 1st Trimester: Conception to Week 16 Your baby s traits and sex are set when the sperm meets the egg. During this time: The brain, nerves, heart, lungs and bones
Guidelines for Hand Foot and Mouth Disease HFMD Hand, foot, and mouth disease, or HFMD, is a contagious illness caused by different viruses. Infants and children younger than 5 years are more likely to
Page 1 of 5 PROCEDURE FOR: MAP-certified staff and RN/LPN MAP-certified staff are to be trained in the use of epinephrine administration via pre-filled autoinjector devices(s) annually. Certified staff
For the Patient: Pazopanib tablets Other names: VOTRIENT Pazopanib (paz oh pa nib) is a drug that is used to treat some types of cancer. It is a tablet that you take by mouth. Tell your doctor if you have
Challenges of Foster Parents who Care for Infants with Neonatal Abstinence Syndrome All Health Care Providers are required by law to make a referral to the Department of Children s Services (DCS) Child
BAILEY CHIROPRACTIC LIFE CENTER Jason A. Bailey, D.C. 224 Southpark Circle East St. Augustine, FL 32086 904-342-4941 Name: Male Female Today s Date: Address: City/State/Zip: Home Phone: ( ) Cell Phone:
MOTOR VEHICLE ACCIDENT QUESTIONNAIRE Thank you in advance for taking the time to complete this form, this will help us to better assess all of your pain concerns and provide you with the best treatment.
Contents Babies from Birth to Age 2... 2 Vaccines give parents the power... 2 Vaccines are recommended throughout our lives... 3 Talk to your doctor... 3 Vaccines are very safe... 3 Whooping Cough (Pertussis)...
Better Breathing with COPD People with Chronic Obstructive Pulmonary Disease (COPD) often benefit from learning different breathing techniques. Pursed Lip Breathing Pursed Lip Breathing (PLB) can be very
Alcohol and drug abuse This chapter explores how alcohol abuse affects our families, relationships, and communities, as well as the health risks associated with drug and alcohol abuse. 1. Alcohol abuse
New Patient Worksheet For Appointment Scheduled with: Date: Time: Personal Information (Please PRINT and complete all sections) Patient Name Date of Birth Address Gender M F City St E-mail Zip Phone Cell
NEW PATIENT HISTORY QUESTIONNAIRE Physician Initials Date PATIENT INFORMATION JHH# DOB# AGE HOME PH CELL PH DAY PH EMAIL Who is your REFERRING PHYSICIAN? (The doctor who referred you to Johns Hopkins Neurology.)
Patient Medication Guide Brochure 1 MEDICATION GUIDE TASIGNA (ta-sig-na) (nilotinib) Capsules Read this Medication Guide before you start taking TASIGNA and each time you get a refill. There may be new
GREY BRUCE HEALTH NETWORK EVIDENCE-BASED CARE PROGRAM Community-Acquired Pneumonia Patient Education Booklet (In-Patient) 2003-2010 Grey Bruce Health Network Table of Contents What is Pneumonia?...1 What
The Occupational Safety and Health Administration (OSHA) Respiratory Protection Standard requires an employee to complete a questionnaire if the employee is required to wear a respirator. You have been
Cocaine Introduction Cocaine is a powerful drug that stimulates the brain. People who use it can form a strong addiction. Addiction is when a drug user can t stop taking a drug, even when he or she wants
Nails Diseases and Problems Introduction Your toenails and fingernails protect the tissues of your toes and fingers. The health of your nails can be a clue to your overall health. There are many diseases
PROTECT YOURSELF PROTECT YOUR FAMILY PROTECT YOUR COMMUNITY from Ebola Things Everyone Should Know and Do gchv flipbook for Interpersonal Communication And Partners What are the signs and symptoms of Ebola?
Interventional Spine Pain Consultants, P.A. Initial Consultation Information Date: / / Date of Birth / / Age: Name: Name of the provider that recommended you to our office? Name of your primary care doctor?
Workman s Compensation Name: Sex: Phone Number: Age: Address (Street/City/State/Zip) Name of Employer: Phone: Address of Employer (Street/City/State/Zip) Date and time of accident?: Where were you taken
Diabetes-Related High and Low Blood Sugar Topic Overview When you have diabetes, you may have high blood sugar levels (hyperglycemia) or low blood sugar levels (hypoglycemia) from time to time. A cold,
Surgery Health Survey Name: Social Security Number: Date of Birth: Please tell us which physician(s) we should contact regarding your visit: REFERRING PHYSICIAN Name: Address: PRIMARY CARE PHSYICIAN Name:
Sore Throat (Pharyngitis; Tonsillopharyngitis; Throat Infection) Pronounced: Fare-en-JY-tis /TAHN-sill-oh-fare-en-JY-tis by Jennifer Lewy, MSW En Español (Spanish Version) Definition A sore throat is the
PATIENT INFORMATION ESTRING (estradiol vaginal ring) Read this Patient Information before you start using ESTRING and each time you get a refill. There may be new information. This information does not
Heroin Introduction Heroin is a powerful drug that affects the brain. People who use it can form a strong addiction. Addiction is when a drug user can t stop taking a drug, even when he or she wants to.
Is it a cold or the flu? How to tell the difference... So you've just woken up with a killer headache, you feel feverish and you can't stop sneezing and coughing. It's the flu. Or is it? Maybe it's a cold.
Medical Intake Form Please complete all of the following as accurately as possible: Name Age Birthdate Sex Address City Zip Phone (H) (W) Occupation Full Time / Part Time Employer Education Level Married
Swine Flu and Common Infections to Prepare For Rochester Recreation Club for the Deaf October 15, 2009 Supporters Deaf Health Community Committee Members Julia Aggas Cathie Armstrong Michael McKee Mistie
GASTROENTEROLOGY PATIENT QUESTIONNAIRE - PLEASE PRINT Full name: Age: Date: Address: Telephone Number: Email address: CHIEF COMPLAINTS(List the problems about which you came to see the doctor) 1) 2) 3)
Lighthouse Chiropractic IF YOU WERE THE DRIVER OF YOUR OWN VEHICLE, SOMEONE ELSE S VEHICLE OR A PASSENGER IN THE VEHICLE, ANSWER THIS SECTION COMPLETELY. Your Auto Insurance Company Name Address Policy
Ear Chickenpox Infections chickenpox Chickenpox Chickenpox is a common, very contagious viral infection that over 90% of people get during childhood unless they have been immunised. After an infection,
What is low back pain? Almost everyone has back pain at one time or another. The pain may be in the center of the back or to one side, or even move down the leg. Symptoms may also include pain in the back
Review Of Systems Y N P a condition you have now a condition you have NEVER had a condition you have had in the past Responses and Comments: 1. General Weight Weight 1 year ago Maximum weight When Height
Breast Cancer Summary Breast cancers which are detected early are curable by local treatments. The initial surgery will give the most information about the cancer; such as size or whether the glands (or
Neonatal Abstinence Syndrome A Guide for Families Contents What is Neonatal Abstinence Syndrome (NAS)?...................... 4 When will my baby show signs of NAS?..................................................
MEDICATION GUIDE VIVITROL (viv-i-trol) (naltrexone for extended-release injectable suspension) Read this Medication Guide before you start receiving VIVITROL injections and each time you receive an injection.
Page 1 of 6 Chemotherapy Side Effects Worksheet Medicines or drugs that destroy cancer cells are called cancer chemotherapy. It is sometimes the first choice for treating many cancers. Chemotherapy differs
PATIENT EDUCATION patienteducation.osumc.edu What is Gemcitabine (jem-site-a been)? Gemcitabine is a chemotherapy medicine known as an anti-metabolite. Another name for this drug is Gemzar. This drug is
Guide for Ambulance Services Please call 119when you need an ambulance service This guide explains how to use ambulance services in Japan and what you should note when you use it. How to call an ambulance
Chemotherapy What It Is, How It Helps What s in this guide If your doctor has told you that you have cancer, you may have a lot of questions. Can I be cured? What kinds of treatment would be best for me?
MEDICAL HISTORY AND SCREENING FORM The purpose of preventive exams is to screen for potential health problems and provide education to promote optimal health. It is best practice for chronic health problems
Type 2 diabetes Definition Type 2 diabetes is a lifelong (chronic) disease in which there are high levels of sugar (glucose) in the blood. Type 2 diabetes is the most common form of diabetes. Causes Diabetes
Heat Illnesses Introduction Heat illnesses happen when the body becomes too hot and cannot cool itself. There are several different types of heat-related illnesses. This includes heat cramps, heat exhaustion,
Patient Information Once Weekly FOSAMAX (FOSS-ah-max) (alendronate sodium) Tablets and Oral Solution Read this information before you start taking FOSAMAX *. Also, read the leaflet each time you refill
A spinal cord injury is damage to your spinal cord that affects your movement, feeling, or the way your organs work. The injury can happen by cutting, stretching, or swelling of the spinal cord. Injury
What is in this leaflet CHLORPHENAMINE New Zealand Consumer Medicine Information The medicine you have purchased contains chlorphenamine. This leaflet is intended to provide information on the active ingredient
Headaches in Children A headache is one of the most common complaints of children and teenagers. Fussiness, crankiness and not being able to sleep may be the only signs of head pain in children who are
Whooping Cough Introduction Whooping cough is a serious bacterial infection of the lungs and breathing tubes. It is also called pertussis. About 16 million cases of whooping cough happen worldwide each
MODULE 3: Positioning and Carrying Blankets, pillows and towels, sandbags, carpet on the floor, a doll with floppy limbs that can be positioned i.e. not a hard plastic doll, display materials. Icebreaker