Metabolic alterations and abnormal laboratory values

0019 hyperglycaemia/diabetes mellitus 10/8/3a
0020 hypoglycaemia 7/8/4a
0021 abnormal serum calcium/phosphate 8/4/3a
0022 abnormal pH of blood 4/12/4a
0023 abnormal serum lipids 6/8/3a
0024 abnormal liver function tests 5/8/2a
0025 abnormal serum potassium/magnesium 4/4/3a
0026 abnormal serum sodium 3/4/1a
0027 abnormalities of white blood cells 7/9/11a
0028 anaemia 12/7/3a
0029 polycythaemia/elevated haemoglobin 2/2/0a
0030 hypoxia, hypoxaemia 13/9/4a
0031 hypercapnia / hypocapnia 0/5/0a
0032 proteinuria 9/6/2a
0033 renal failure, acute/chronic 14/6/7a

Skin manifestations

0034 paleness 11/8/4a
0035 cyanosis 11/4/1a
0036 jaundice (icterus), including neonatal jaundice 6/2/1a
0037 acute swelling and/or changing colour of body partsE 6/2/3a
0038 skin inflammation 3/2/4a
0039 skin eruptions, skin rash 7/4/1a
0040 acne 0/0/0a
0041 boils 0/0/0a
0042 increased bleeding tendency (haemorrhagic diathesis) 9/0/5a
0043 itching 3/1/0a
0044 skin blisters 1/0/1a
0045 insect sting 0/2/0a
0046 wounds 4/0/0a
0047 burn/cold injury* 3/0/2a
0048 electrical trauma* 2/0/0a
0049 skin ulcers 2/0/0a
0050 mole (naevus) 2/1/1a
0051 change of skin pigmentation 2/2/0a
0052 skin tumors 2/1/0a
0053 excess hair (hirsutism) 0/0/2a
0054 lack of hair (alopecia) , excess loss of hair 0/0/1a
0055 abnormalities of the nails 1/1/1a

Head, face, neck

0056 headache, recurring/chronic 4/8/4a
0057 headache, sudden/new* 8/8/3a
0058 facial pain 1/6/4a
0059 lack of/diminished facial movement 2/7/2a
0060 lockjaw (trismus) 2/3/1a
0061 trauma to the headE including cerebral trauma 2/1/0a
0062 face injuries 4/2/1a
0063 toothache 2/2/0a
0064 neck pain 3/6/2a
0065 stiffness of neck 5/3/1a
0066 swelling in the neck 4/5/0a
0067 goitre 2/1/3a

Ear, nose, mouth, tongue, throat, voice

0068 ear ache 3/1/0a
0069 discharge from ear 4/0/1a
0070 loss of hearing, slow/sudden* 4/2/1a
0071 ringing in the ears (tinnitus) 3/0/0a
0072 nose bleed (epistaxis) 5/2/0a
0073 nasal obstruction 3/3/2a
0074 nasal discharge 4/0/2a
0075 snoring 3/2/2a
0076 abnormalities of lips/tongue/mouth 4/2/2a
0077 increased secretion of saliva 2/3/2a
0078 dry mouth / dry throat 3/1/0a
0079 foetor oris (halitosis) 0/1/0a
0080 sore throat 3/2/0a
0081 problems with denture 2/3/2a
0082 alteration of voice (hoarseness, aphonia, dysphonia) 6/4/4a

Eyes

0083 slow loss of vision 7/1/2a
0084 sudden partial or temporary loss of vision or visual field* 3/7/2a
0085 squint (strabismus) 0/2/0a
0086 night-blindness 1/0/0a
0087 floating objects in the eye 0/4/0a
0088 light flashes (photopsia) 4/0/0a
0089 double vision (diplopia) 1/4/1a
0090 photophobia 1/1/3a
0091 acute eye pain*, burning in the eye 1/2/1a
0092 foreign body / sandy feeling in the eye 1/2/0a
0093 itching eye 1/1/0a
0094 red eye 1/3/1a
0095 tearing eye 1/2/1a
0096 eye obscured by pus or mucus 1/1/1a
0097 blepharospasm 0/1/0a
0098 abnormal eye movements 0/3/2a
0099 abnormalities of pupils 1/2/2a
0100 exophthalmos (proptosis) 0/1/0a
0101 trauma to the eye* 0/3/1a
0102 swollen eyes / swollen eyelids 0/1/2a

Breast, chest, heart, blood pressure, pulse

0103 breast: sense of weight/pain/tension 2/0/1a
0104 breast: change in size/outline/symmetry 1/2/2a
0105 gynaecomastia 2/1/1a
0106 breast lump 2/0/0a
0107 breast: retracted skin / nipple 1/0/2a
0108 breast: discharging nipple, including galactorrhea 1/2/0a
0109 breast: eczema of nipple / areola 0/0/0a
0110 swollen axilla 2/0/3a
0111 wheezing respiration 11/4/2a
0112 dyspnoea* 26/13/5a
0113 apneaE 2/7/1a
0114 increased respiratory frequency 15/6/2a
0115 painful respiration 8/6/1a
0116 cough 14/4/4a
0117 haemoptysis 5/6/3a
0118 tightness of the chest, chest discomfort 10/3/2a
0119 chest pain* 8/7/3a
0120 chest trauma* 3/3/0a
0121 pleural effusion 4/1/0a
0122 palpitations 7/5/2a
0123 irregular pulse / bradycardia / tachycardiaE 5/2/3a
0124 pulseless patient* 2/3/3a
0125 high blood pressure 9/8/3a
0126 low blood pressure 11/9/4a
0127 vascular injuries 10/7/4a

Abdomen, stomach, bowels

0128 food intolerance 1/2/1a
0129 disorder of food passage, including dysphagia 6/4/2a
0130 regurgitation/belching of undigested food 5/2/1a
0131 swallowed foreign body 1/2/3a
0132 bloated abdomen / swollen sensation in abdomen 3/3/2a
0133 abdominal mass 0/1/0a
0134 abdominal traumaE 2/0/0a
0135 heartburn (pyrosis) 3/2/0a
0136 epigastric pain 12/6/3a
0137 nausea, vomiting 15/17/3a
0138 abdominal painE 21/9/1a
0139 flatulence 1/1/0a
0140 diarrhea 9/3/1a
0141 constipation 3/5/0a
0142 haematemesis, melaena* 7/4/3a
0143 altered colour or consistency of feces / blood / mucus / pus in feces 7/6/2a
0144 alteration of defecation pattern 2/3/1a
0145 painful defecation 1/5/1a
0146 faecal incontinence (encopresis) 0/4/1a
0147 rectal blood loss 7/3/1a
0148 anal itching / anal pain 0/1/0a

Pelvic symptoms, urogenital problems

0149 dysuria 6/3/3a
0150 disordered micturation 5/2/1a
0151 urinary incontinence (enuresis) 2/6/2a
0152 altered appearance of urine 5/4/2a
0153 loin painE 1/0/3a
0154 swelling in groin 0/0/4a
0155 scrotal painE 2/2/1a
0156 scrotal mass / swelling 2/0/0a
0157 urethral discharge 1/2/1a
0158 anomaly of male external genitalia 3/0/0a
0159 painful coitus (dyspareunia) 2/2/1a
0160 erectile / ejaculatory dysfunction 0/0/1a
0161 premenstrual syndrome 0/1/0a
0162 disorders of menstruation and menstrual cycle 2/2/0a
0163 dysmenorrhoea 1/1/0a
0164 pelvic pain 5/5/2a
0165 pelvic mass 1/1/5a
0166 uterine prolapse/pelvic relaxation 1/0/1a
0167 midcycle pain 0/2/0a
0168 vaginal bleeding: intermenstrual / postmenopausal / during pregnancyE / post partum 2/3/1a
0169 vaginal discharge 1/4/1a
0170 abnormal female external genitalia 3/0/0a
0171 premature menopause 0/0/0a
0172 complaints related to the menopause, including flushing 0/1/0a
0173 request for contraception 1/0/0a
0174 request for delaying menstruation 0/0/0a
0175 suspicion of pregnancy 1/0/0a
0176 request for genetic counselling 2/1/1a
0177 request for abortion 0/0/0a
0178 infertile couple 1/0/0a
0179 high risk pregnancy 2/2/2a
0180 poor/excessive weight gain in pregnancy 0/0/3a
0181 fever during pregnancy 1/0/0a
0182 hypertension during pregnancy 3/1/0a
0183 abdominal pain during pregnancy 1/1/2a
0184 edema during pregnancy 0/0/0a
0185 lack of foetal movement 0/0/1a
0186 loss of amniotic fluid 2/2/0a
0187 premature labour 2/2/1a

Bones, joints, back, extremities

0188 acute pain in limbsE 8/2/1a
0189 typical fractures: radius / scaphoid / finger / humerus / clavicle / vertebra / ribs / femur / pelvis / ankle 8/1/2a
0190 laceration, open wound 4/1/0a
0191 traumatic amputation of limbE 0/0/1a
0192 wound with delayed healing or infection 3/3/1a
0193 contusion, soft tissue bruising 7/2/2a
0194 distortion of joint: ankle / hand 3/1/1a
0195 dislocation of joint: shoulder / finger 0/0/1a
0196 shoulder trauma 1/0/0a
0197 knee injury 2/1/0a
0198 trauma to the back including spinal cord traumaE 5/6/2a
0199 polytraumaE 4/2/2a
0200 swollen or painful joints 10/2/0a
0201 deformities of joints 5/5/1a
0202 morning stiffness 1/3/0a
0203 reduction of strength and/or joint motility 2/10/1a
0204 muscular pain (myalgia) / cramps 3/4/1a
0205 back pain 9/3/4a
0206 abnormal gait 7/3/1a
0207 abnormal posture 4/2/3a
0208 exercise-induced leg pain (claudication) 2/0/0a
0209 leg edema / generalised edema 3/0/0a
0210 leg ulcers 2/1/0a
0211 pain / burning / numbness in the feet 0/0/0a

Newborn, child, development

0212 irritable/crying infant 4/4/3a
0213 hypotonic / floppy infant 2/2/2a
0214 diaper rash 0/0/1a
0215 problems with breast feeding 4/0/2a
0216 failure to thrive in infancy and childhood 9/0/1a
0217 refusal to eat / drink in infancy and childhood 2/2/2a
0218 enuresis / encopresis in infancy and childhood 0/0/0a
0219 limp/pain in lower extremity in children 2/1/0a
0220 motor / mental retardation / developmental delay in infancy and childhood 6/2/1a
0221 abnormal growth: slowing / acceleration 7/5/1a
0222 sudden infant death 0/3/0a
0223 precocious puberty, delayed puberty 2/2/0a
0224 hyperactive child 0/0/0a

Elderly persons, aging

0225 cognitive impairment in elderly person 4/3/1a
0226 elderly patient dependent in basic activities of daily living 5/0/0a
0227 falls in elderly person 4/1/0a
0228 failure to thrive and malnutrition in elderly person 4/0/0a
0229 hearing / vision impairment in elderly person 3/1/1a
0230 immobility, bedridden patient 3/2/0a
0231 mobility impairment in elderly person 5/1/1a
0232 pain in elderly person 2/2/0a
0233 polypharmacy in elderly person 8/2/0a
0234 sexual dysfunction in elderly person 1/0/0a
0235 sleep disorder in elderly person 1/0/0a
0236 social isolation in elderly person 2/2/1a
0237 urinary incontinence in elderly person 2/0/0a

Disorders of consciousness, balance, orientation, gait, movement

0238 dizziness/vertigo, acute*/chronic 8/9/2a
0239 impairment / loss of consciousness, comaE 15/16/5a
0240 falls 5/7/3a
0241 twitch, convulsion, seizureE 5/3/2a
0242 acute paralysis including hemiplegia* 6/2/1a
0243 tingling (paraesthesia) 2/7/1a
0244 change in sense of touch in the skin 5/6/0a
0245 abnormal involuntary movements (dyskinesia)/tic disorders 2/4/1a

Mental, behavioural and psychological problems

0246 disorder of speech / of language 4/2/0a
0247 acute change in behaviour*/personality 5/6/4a
0248 obsessive-compulsive symptoms 3/1/0a
0249 aggressive and violent behaviour towards others* 5/2/0a
0250 autoaggressive behaviour, risk of suicide* 5/2/2a
0251 self-neglect 5/2/0a
0252 loss of initiative and interest 7/2/1a
0253 change in emotions and moods 7/4/2a
0254 nervousness / tension / anxiety / acute stress 14/7/4a
0255 agitation 7/3/3a
0256 confusion 7/3/4a
0257 forgetfulness, disorders of memory 5/2/5a
0258 disorder of attention and concentration 6/3/2a
0259 insomnia / sleep-wake cycle disturbances 7/3/1a
0260 abuse of alcohol 14/14/6a
0261 smoking, use of tobacco 13/13/4a
0262 abuse of medicines 8/20/3a
0263 illicit drug abuse and dependence 9/8/1a
0264 suspicion of poisoningE 2/1/3a

Other reasons for medical consultation or problems in medical care

0265 infant and child immunization / periodic health examination for infants and children 4/1/2a
0266 request for check-up, health examination / for immunization 10/4/0a
0267 counseling / immunizations, before / after trip to foreign (tropical) country 7/1/0a
0268 pre-operative medical evaluation 3/0/0a
0269 request for medical certificate 2/0/0a
0270 psychological / physical / sexual abuse 3/0/0a
0271 fear of cancer / of heart disease / of HIV / of veneral disease / of other serious disease 11/7/8a
0272 terminal disease, the dying patient 5/2/4a

Psychosocial and interpersonal problems

0273 loss / death / illness of someone close 0/1/4a
0274 problems at work / concerning work conditions 2/10/8a
0275 absenteeism/non-attendance (school/work) 2/5/5a
0276 financial problems of patient, unemployment 1/3/1a
0277 problems in relationship parents/partner/child 5/9/2a