Metabolic alterations and abnormal laboratory values

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

Skin manifestations

0034 paleness 11/9/6a
0035 cyanosis 12/3/2a
0036 jaundice (icterus), including neonatal jaundice 5/3/2a
0037 acute swelling and/or changing colour of body partsE 4/3/4a
0038 skin inflammation 5/5/4a
0039 skin eruptions, skin rash 10/5/3a
0040 acne 3/0/0a
0041 boils 3/0/0a
0042 increased bleeding tendency (haemorrhagic diathesis) 8/1/5a
0043 itching 5/2/1a
0044 skin blisters 2/0/2a
0045 insect sting 2/3/0a
0046 wounds 2/1/0a
0047 burn/cold injury* 4/1/2a
0048 electrical trauma* 2/0/0a
0049 skin ulcers 3/0/0a
0050 mole (naevus) 3/1/2a
0051 change of skin pigmentation 3/1/0a
0052 skin tumors 3/0/1a
0053 excess hair (hirsutism) 2/0/2a
0054 lack of hair (alopecia) , excess loss of hair 2/0/1a
0055 abnormalities of the nails 4/1/1a

Head, face, neck

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

Ear, nose, mouth, tongue, throat, voice

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

Eyes

0083 slow loss of vision 7/1/2a
0084 sudden partial or temporary loss of vision or visual field* 3/6/2a
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) 2/0/0a
0089 double vision (diplopia) 1/3/1a
0090 photophobia 1/2/2a
0091 acute eye pain*, burning in the eye 1/2/1a
0092 foreign body / sandy feeling in the eye 0/2/0a
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) 1/1/1a
0101 trauma to the eye* 0/3/1a
0102 swollen eyes / swollen eyelids 0/2/1a

Breast, chest, heart, blood pressure, pulse

0103 breast: sense of weight/pain/tension 0/0/1a
0104 breast: change in size/outline/symmetry 0/2/2a
0105 gynaecomastia 2/1/1a
0106 breast lump 0/0/0a
0107 breast: retracted skin / nipple 1/0/3a
0108 breast: discharging nipple, including galactorrhea 1/2/1a
0109 breast: eczema of nipple / areola 0/0/0a
0110 swollen axilla 2/0/2a
0111 wheezing respiration 10/4/1a
0112 dyspnoea* 18/11/7a
0113 apneaE 2/7/1a
0114 increased respiratory frequency 13/6/2a
0115 painful respiration 8/6/1a
0116 cough 14/6/3a
0117 haemoptysis 5/7/2a
0118 tightness of the chest, chest discomfort 9/3/2a
0119 chest pain* 5/7/5a
0120 chest trauma* 2/3/0a
0121 pleural effusion 0/0/0a
0122 palpitations 5/4/1a
0123 irregular pulse / bradycardia / tachycardiaE 5/2/3a
0124 pulseless patient* 2/4/3a
0125 high blood pressure 10/7/3a
0126 low blood pressure 10/7/4a
0127 vascular injuries 8/9/4a

Abdomen, stomach, bowels

0128 food intolerance 1/2/1a
0129 disorder of food passage, including dysphagia 3/3/2a
0130 regurgitation/belching of undigested food 4/2/1a
0131 swallowed foreign body 0/1/4a
0132 bloated abdomen / swollen sensation in abdomen 4/3/3a
0133 abdominal mass 0/1/0a
0134 abdominal traumaE 1/0/0a
0135 heartburn (pyrosis) 3/1/0a
0136 epigastric pain 11/7/3a
0137 nausea, vomiting 14/15/4a
0138 abdominal painE 20/5/1a
0139 flatulence 2/1/0a
0140 diarrhea 8/3/1a
0141 constipation 3/3/0a
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 2/4/1a
0145 painful defecation 1/4/1a
0146 faecal incontinence (encopresis) 1/3/1a
0147 rectal blood loss 7/2/1a
0148 anal itching / anal pain 0/0/0a

Pelvic symptoms, urogenital problems

0149 dysuria 5/2/3a
0150 disordered micturation 4/2/1a
0151 urinary incontinence (enuresis) 2/6/2a
0152 altered appearance of urine 6/4/3a
0153 loin painE 1/0/3a
0154 swelling in groin 0/0/3a
0155 scrotal painE 2/2/2a
0156 scrotal mass / swelling 2/0/0a
0157 urethral discharge 0/2/2a
0158 anomaly of male external genitalia 2/3/0a
0159 painful coitus (dyspareunia) 2/1/1a
0160 erectile / ejaculatory dysfunction 0/0/1a
0161 premenstrual syndrome 0/1/0a
0162 disorders of menstruation and menstrual cycle 1/2/0a
0163 dysmenorrhoea 3/1/0a
0164 pelvic pain 6/6/2a
0165 pelvic mass 1/3/5a
0166 uterine prolapse/pelvic relaxation 0/1/1a
0167 midcycle pain 0/2/1a
0168 vaginal bleeding: intermenstrual / postmenopausal / during pregnancyE / post partum 3/2/2a
0169 vaginal discharge 1/3/3a
0170 abnormal female external genitalia 2/0/1a
0171 premature menopause 0/0/0a
0172 complaints related to the menopause, including flushing 0/0/0a
0173 request for contraception 1/0/0a
0174 request for delaying menstruation 0/0/0a
0175 suspicion of pregnancy 1/0/1a
0176 request for genetic counselling 2/1/1a
0177 request for abortion 0/0/0a
0178 infertile couple 0/0/0a
0179 high risk pregnancy 3/2/2a
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 1/1/3a
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 7/3/1a
0189 typical fractures: radius / scaphoid / finger / humerus / clavicle / vertebra / ribs / femur / pelvis / ankle 9/1/1a
0190 laceration, open wound 3/1/1a
0191 traumatic amputation of limbE 0/0/2a
0192 wound with delayed healing or infection 0/1/2a
0193 contusion, soft tissue bruising 8/2/2a
0194 distortion of joint: ankle / hand 3/2/1a
0195 dislocation of joint: shoulder / finger 0/2/1a
0196 shoulder trauma 1/0/0a
0197 knee injury 1/1/0a
0198 trauma to the back including spinal cord traumaE 3/6/2a
0199 polytraumaE 5/1/1a
0200 swollen or painful joints 11/1/0a
0201 deformities of joints 5/6/1a
0202 morning stiffness 1/3/0a
0203 reduction of strength and/or joint motility 2/10/1a
0204 muscular pain (myalgia) / cramps 2/5/1a
0205 back pain 9/3/6a
0206 abnormal gait 6/4/1a
0207 abnormal posture 6/4/3a
0208 exercise-induced leg pain (claudication) 1/0/0a
0209 leg edema / generalised edema 2/0/0a
0210 leg ulcers 0/2/0a
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 4/0/2a
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 1/1/1a
0221 abnormal growth: slowing / acceleration 2/4/1a
0222 sudden infant death 0/3/0a
0223 precocious puberty, delayed puberty 1/2/0a
0224 hyperactive child 0/0/0a

Elderly persons, aging

0225 cognitive impairment in elderly person 4/3/0a
0226 elderly patient dependent in basic activities of daily living 6/0/0a
0227 falls in elderly person 2/0/1a
0228 failure to thrive and malnutrition in elderly person 2/0/1a
0229 hearing / vision impairment in elderly person 4/0/0a
0230 immobility, bedridden patient 5/1/0a
0231 mobility impairment in elderly person 3/0/2a
0232 pain in elderly person 1/0/0a
0233 polypharmacy in elderly person 5/1/0a
0234 sexual dysfunction in elderly person 0/0/0a
0235 sleep disorder in elderly person 1/0/0a
0236 social isolation in elderly person 2/1/1a
0237 urinary incontinence in elderly person 1/0/0a

Disorders of consciousness, balance, orientation, gait, movement

0238 dizziness/vertigo, acute*/chronic 8/6/3a
0239 impairment / loss of consciousness, comaE 12/17/3a
0240 falls 5/6/3a
0241 twitch, convulsion, seizureE 5/3/2a
0242 acute paralysis including hemiplegia* 5/2/1a
0243 tingling (paraesthesia) 2/6/1a
0244 change in sense of touch in the skin 4/6/0a
0245 abnormal involuntary movements (dyskinesia)/tic disorders 2/5/1a

Mental, behavioural and psychological problems

0246 disorder of speech / of language 5/2/1a
0247 acute change in behaviour*/personality 6/4/4a
0248 obsessive-compulsive symptoms 3/0/0a
0249 aggressive and violent behaviour towards others* 3/2/0a
0250 autoaggressive behaviour, risk of suicide* 3/2/3a
0251 self-neglect 4/2/1a
0252 loss of initiative and interest 6/2/1a
0253 change in emotions and moods 7/4/2a
0254 nervousness / tension / anxiety / acute stress 9/7/5a
0255 agitation 5/3/3a
0256 confusion 6/1/4a
0257 forgetfulness, disorders of memory 4/2/3a
0258 disorder of attention and concentration 4/4/3a
0259 insomnia / sleep-wake cycle disturbances 6/4/1a
0260 abuse of alcohol 14/9/6a
0261 smoking, use of tobacco 11/12/4a
0262 abuse of medicines 7/17/2a
0263 illicit drug abuse and dependence 8/6/1a
0264 suspicion of poisoningE 1/2/3a

Other reasons for medical consultation or problems in medical care

0265 infant and child immunization / periodic health examination for infants and children 5/1/2a
0266 request for check-up, health examination / for immunization 10/4/0a
0267 counseling / immunizations, before / after trip to foreign (tropical) country 8/1/0a
0268 pre-operative medical evaluation 2/0/0a
0269 request for medical certificate 2/0/0a
0270 psychological / physical / sexual abuse 4/1/0a
0271 fear of cancer / of heart disease / of HIV / of veneral disease / of other serious disease 13/7/8a
0272 terminal disease, the dying patient 4/2/5a

Psychosocial and interpersonal problems

0273 loss / death / illness of someone close 0/2/4a
0274 problems at work / concerning work conditions 3/10/5a
0275 absenteeism/non-attendance (school/work) 2/7/2a
0276 financial problems of patient, unemployment 1/5/0a
0277 problems in relationship parents/partner/child 5/10/2a