Non Pain Checklist

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DOCTOR AID @ PM

The Vital Checklist Way

D 
Duration [1]
  • How long have you experienced these symptoms?
O  
Onset
  • When did this start?
C 
Character/ Quality
  • Can you describe your symptoms?
T 
Time of onset
Diurnal variation [2]
  • Did it start all of a sudden or build up slowly over a period of time?
  • Any variation in the symptoms in the morning or evening?
O 
Occasion
  • What were you doing when the symptoms started?
R 
Rate of progression [3]
  • Have your symptoms become worse since they started?
A 
Associated features [4]
  • Any other symptoms associated with it?
I 
Increasing factors [5]
  • What makes it worse?
D 
Decreasing factors[ [6]
  • What makes it better?
P 
Previous episode [7]
  • Any medications that helped you with in the past?
M 
Medications[ [8]
  • Pain starts in the back and goes into the legs
D 
Duration [1]

;s y{k.k dc ls gS\

O  
Onset

;s y{k.k dc izkjEHk gq,\

C 
Character/ Quality

vki vius y{k.kksa dk o.kZu dj ldrs gSa\

T 
Time of onset
Diurnal variation [2]

vkidk nnZ dc izkjEHk gqvk\
;s nnZ vpkud ;k /khjs&/khjs 'kq: gqvk\

O 
Occasion

vki D;k dj jgs Fks tc nnZ 'kq: gqvk\

R 
Rate of progression [3]

D;k vkids y{k.k igys ls cnrj gq, gSa\

A 
Associated features [4]

dksbZ vU; y{k.k gS\

I 
Increasing factors [5]

D;k bls cnrj cuk nsrk gS\

D 
Decreasing factors[ [6]

D;k bls cgrj cuk nsrk gS\

P 
Previous episode [7]

vrhr esa fdlh Hkh blh rjg dk nnZ gqvk gS\

M 
Medications[ [8]

vkidks dkSu lh nokvksa us enn dh\

D 
Duration [1]

ieh l`Cx ikMny icr qoN hn ?

O  
Onset

SurUAwq kdoN hoeI ?

C 
Character/ Quality

kI qusI Awpxy l`CxW bwry ivsqwr iv`c d`s skdy ho ?

T 
Time of onset
Diurnal variation [2]

kI ieh ie`k smyN dI imAwd qy Acwnk SurU jW hOlI-hOlI SurU hoey sI ?
svyr jw Swm dy l`CxW iv`c koeI Prk ?

O 
Occasion

l`CxW dI SurUAwq vylyH qusI kI kr rhy sI ?

R 
Rate of progression [3]

SurUAwq qoN bwAd kI quhwfy l`Cx ivgV gey hn ?

A 
Associated features [4]

koeI hor sMbMiDq l`Cx hn ?

I 
Increasing factors [5]

ikhnW kwrnW krky l`Cx ivgVdy hn ?

D 
Decreasing factors[ [6]

l`Cx bihqr iks qrHW huMdy hn ?

P 
Previous episode [7]

kI ies qrHW pihlw vI hoieAw hY ?

M 
Medications[ [8]

kI pihlW iksy pRkwr dIAW dvweIAW ny quhwfI shwieqw kIqI hY ?

D 
Duration [1]

మీకు ఈ లక్షణాలు ఎంత కాలం నుండి ఉన్నాయి?

O  
Onset

ఇది ఎప్పుడు మొదలైంది?

C 
Character/ Quality

మీ లక్షణాలను వివరించగలరా?

T 
Time of onset
Diurnal variation [2]

ఆకస్మాత్తుగా మొదలైందా లేదా క్రమేపి ఆరంభం అయిందా?
ఊదయం, సాయంత్రం సమయాల్లో లక్షణాలలో ఏమైనా తేడా ఉందా?

O 
Occasion

లక్షణాలు మొదలైనప్పుడు మీరు ఏం చేస్తున్నారు?

R 
Rate of progression [3]

లక్షణాలు మొదలైనప్పటి నుండి ఇప్పటికి తీవ్రమయ్యాయా?

A 
Associated features [4]

ఇంకా ఎవైనా లక్షణాలు ఉన్నాయా?

I 
Increasing factors [5]

ఆ లక్షణాలని అధికం చేయడానికి తోడ్పాటు అందించే కారకాలు ఏమైనా ఉన్నాయా?

D 
Decreasing factors[ [6]

ఏం చేస్తే బాగుంటుంది?

P 
Previous episode [7]

గతంలో ఇలాంటి సంఘటనలు జరిగాయా?

M 
Medications[ [8]

గతంలో నొప్పి తగ్గించడానికి ఏమైనా మందులు ఉపయోగపడ్డాయా?

D 
Duration [1]

یہ علامات آپ کو کب سے ہیں؟

O  
Onset

یہ کب شروع ہوا؟

C 
Character/ Quality

کیا آپ درد کی علامتیں بتا سکتے ہیں؟

T 
Time of onset
Diurnal variation [2]

کیا یہ اچانک شروع ہوایاں کچھ وقت میں آہستہ آہستہ شروع ہوا ؟
صبح یاں شام کو علامات میں کوئی تبدیلی آتی ہے ؟

O 
Occasion

آپ کیا کر رہے تھے جب علامات شروع ہوئی؟

R 
Rate of progression [3]

جب سے درد شروع ہوا کیا علامات میں شدت آئی؟

A 
Associated features [4]

کیا اس درد کی کوئی اور بھی علامت ہے؟

I 
Increasing factors [5]

کس چیز سے درد بڑھتا ہے؟

D 
Decreasing factors[ [6]

کس چیز سے درد بہتر ہوتا ہے ؟

P 
Previous episode [7]

درد ہوا؟ آپ کو پہلے کبھی ایسا

M 
Medications[ [8]

کوئی ایسی دوائی جس کے پہلے لینے سے فرق پرا ہو؟

D 
Duration [1]

С какого времени у Вас эти симптомы?

O  
Onset

Когда это началось?

C 
Character/ Quality

Можете ли Вы подробно рассказать o симптомах?

T 
Time of onset
Diurnal variation [2]

Это началось внезапно или медленно?
Изменение симптомов утром или вечером?

O 
Occasion

Чем Вы занимались когда начались эти симптомы?

R 
Rate of progression [3]

Симптомы усилились с момента начала?

A 
Associated features [4]

Есть другие симптомы ?

I 
Increasing factors [5]

Что усиливает симптомы ?

D 
Decreasing factors[ [6]

Что ослабевает симптомы ?

P 
Previous episode [7]

Был ли у Вас подобный приступ симптомов раньше?

M 
Medications[ [8]

Лекарства, которые помогали Вам с этими симптомами?

D 
Duration [1]

Desde quando tem esses sintomas?

O  
Onset

Quando começaram esses sintomas?

C 
Character/ Quality

Você pode descrever o que sente?

T 
Time of onset
Diurnal variation [2]

Os sintomas surgiram subitamente ou surgiram aos poucos?
Alguma mudança nos sintomas durante o dia, tarde ou à noite?

O 
Occasion

O que estava fazendo quando sentiu isso?

R 
Rate of progression [3]

O sintoma vem piorando com o passar dos dias?

A 
Associated features [4]

Existe algum outro sintoma associado?

I 
Increasing factors [5]

O que você faz que piora o que está sentindo?

D 
Decreasing factors[ [6]

O que você faz que melhora o que está sentindo?

P 
Previous episode [7]

Algum episódio semelhante no passado?

M 
Medications[ [8]

Alguma medicação aliviou sua dor no passado?

D 
Duration [1]

നിങ്ങൾക്കു എത്ര നാളായി ഈ പ്രശ്നം ഉണ്ട്?

O  
Onset

തുടക്കം എങ്ങനെ ആയിരുന്നു?

C 
Character/ Quality

ലക്ഷണങ്ങൾ വിശദമായി വിവരിക്കാമോ?

T 
Time of onset
Diurnal variation [2]

നിങ്ങൾക്കിതു പെട്ടന്ന് ഉണ്ടായതാണോ?
ഈ ലക്ഷണങ്ങൾക്കു രാവിലെയോ, വൈകിട്ടോ, രാത്രിയിലോ എന്തെങ്കിലും മാറ്റം വരുന്നുണ്ടോ?

O 
Occasion

നിങ്ങളെന്തു ചെയുമ്പോൾ ആണിത് ആരംഭിച്ചത്?

R 
Rate of progression [3]

ദിനംപ്രതി ലക്ഷണങ്ങൾ കൂടുന്നുണ്ടോ?

A 
Associated features [4]

അനുബന്ധപ്രശ്നങ്ങൾ ഉണ്ടോ?

I 
Increasing factors [5]

ലക്ഷണങ്ങളെ അധികരിപ്പിക്കുന്നതു എന്താണ്?

D 
Decreasing factors[ [6]

ലക്ഷണങ്ങളെ ഭേദപ്പെടുത്തുന്നതു എന്താണ്?

P 
Previous episode [7]

മുൻപ് ഇതുപോലെ ഉണ്ടായിട്ടുണ്ടോ?

M 
Medications[ [8]

ലക്ഷങ്ങൾ കുറയ്ക്കാനായി ഏതെങ്കിലും മരുന്ന് ഉപയോഗിക്കുന്നുണ്ടോ?

D 
Duration [1]

منذ متى و انت تعاني من هذه الاعراض؟

O  
Onset

متى بدأت الاعراض؟

C 
Character/ Quality

هل تستطيع ان تصف هذه الاعراض لي؟

T 
Time of onset
Diurnal variation [2]

هل بدأت هذه الأعراض بصورة مفاجئة ام تدريجية؟
هل تتفاوت شدة الاعراض بين النهار و الليل؟

O 
Occasion

ما الذي كنت تفعله عندما بدأت عندك الأعراض؟

R 
Rate of progression [3]

هل ساءت حدة الأعراض عما كانت عليه في البداية؟

A 
Associated features [4]

هل هناك اية اعراض اخرى مصاحبة لذلك؟

I 
Increasing factors [5]

ما الذي يجعل الأعراض اكثر سوءا؟

D 
Decreasing factors[ [6]

ما الذي يجعل الأعراض تتحسن؟

P 
Previous episode [7]

هل عانيت من أي من هذه الأعراض في السابق؟

M 
Medications[ [8]

هل استخدمت اية ادوية للمساعدة على تخفيف حدة الالم في السابق؟

I  
Infection of the feet or other skin issues

ನಿಮ್ಮ ಕಾಲು ವೈದ್ಯರನ್ನು ನೀವು ನಿಯಮಿತವಾಗಿ ಭೇಟಿ ನೀಡುತ್ತೀರಾ?

C  
Cholesterol(checked every 3-6 months if uncontrolled) [3]

ಕಡಿಮೆ ಮತ್ತು ಅಧಿಕ ರಕ್ತದ ಸಕ್ಕರೆಯ ದಾಖಲೆ

R  
Record of low and high blood sugars [4]

ನೀವು ನಿಮ್ಮ ಪ್ರಾಥಮಿಕ ಆರೈಕೆ ವೈದ್ಯರಿಗೆ ನಿಯಮಿತ ಅನುಸರಣೆಗಾಗಿ ಹೋಗುತ್ತೀರಾ?

U  
Urine protein and kidney function [5]

ík{ku ík{khk VeÍeþeÞLkLke rLkÞr{ík {w÷kfkík ÷E hõík [fkMkýe yLku ÞwrhLk xuMx fhkðku Aku ?

S  
Sleep apnea [6]

ô½{kt LkMkfkuhk çkku÷u Au ?
ík{kuLku Ãkqhíkk «{ký{kt Wt½ LkÚke ykðíke íkuðwt ÷køku Au ?
rËðMk ËhBÞkLk Úkkfu÷k ÷køkku y™u ô½ s ykÔÞk fhu íkuðwt ÷køku Au?

H  
Heart disease [7, 8]

ík{kuLku ÓËÞ hkuøk Au ?

D  
Depression [9]

ík{ku WËkMkeLkíkk fu níkkþk y™w¼ðku Aku ?

I  
Impotence [10]

ík{kuLku ®÷øk Lkk WíÚkkLk{kt ftE VuhVkh ÷køku Au ?

A  
A1C [11, 12]

Hb A1c rLkÞr{ík [fkMkýe fhkuðku Aku ?

B  
Blood pressure [13]

ík{kuLku nkE çkeÃke Au ?

E  
Eye: Diabetic retinopathy [14, 15]

ík{u rLkÞr{ík ík{khe ykt¾Lke íkÃkkMk ykt¾Lkk zkuõxh ÃkkMku fhkðe Au ?

T  
Tingling/ numbness in limbs: Diabetic Neuropathy [16]

zkÞkçkexef LÞwhkuÃkÚke ÷kune ¼ú{ý fu MktðuËLk{kt ½xkzku ?

E  
Ear check-up (Peripheral neuropathy) [17]

ík{kuLku Mktíkku÷Lk ò¤ððk{kt fu Mkkt¼¤ðk{kt fkuE íkf÷eV ?

S  
Stomach problems (Gastroparesis, constipation) [18-20]

ík{kuLku ðnu÷e ík]ÂÃík, Wçkfk, W÷xe fu sBÞk ÃkAe ÃkuxLkwt Vw÷ðwt ÚkkÞ Au?
ík{kuLku fçkrsÞkík Au ?

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D 
Duration [1]

ík{kuLku ykðwt õÞkhÚke ÷køku Au ?

O  
Onset

õÞkhu þYykík ÚkE ?

C 
Character/ Quality

ík{khk ÷ûkýku fu ík{Lku þwt ÚkkÞ Au íku rðøkíkÃkqðof sýkðku.

T 
Time of onset
Diurnal variation [2]

Ëw¾kðkLke þYykík y[kLkf ÚkÞu÷e fu Äe{u Äe{u ?
Mkðkh Mkkts yk ÷ûkýku{kt fkuE VuhVkh ?

O 
Occasion

ík{Lku ÷ûkýku Ëu¾kÞk íÞkhu ík{u þwt fÞwO ?

R 
Rate of progression [3]

þYykík ÚkÞk çkkË yk ÷ûkýku Lke økt¼ehíkk{kt fkuR VuhVkh ÚkÞku ?

A 
Associated features [4]

yLÞ çkeò fkuE ÷ûkýku ?

I 
Increasing factors [5]

÷ûkýku{kt ¾hkçke fkuLkk îkhk ÚkkÞ Au ?

D 
Decreasing factors[ [6]

fkuLkk îkhk íku{kt MkkY sýkÞ Au ?

P 
Previous episode [7]

¼qíkfk¤{kt ykðwt fkuE ð¾ík ÚkÞu÷wt ?

M 
Medications[ [8]

¼qíkfk¤{kt fkuE Ëðk ÷eÄu÷ nkuÞ yLku íkuLkkÚke fkuE VkÞËku ÚkÞku nkuÞ íkuðwt ?

D 
Duration [1]
  • Desde cuando tienes estos síntomas?
O  
Onset
  • Cuando empezaron estos síntomas?
C 
Character/ Quality
  • Puedes describir lo que sientes?
T 
Time of onset
Diurnal variation [2]
  • Los síntomas surgieron subitamente o surgieron de forma gradual?
  • Algun cambio en los síntomas durante el día, tarde o noche?
O 
Occasion
  • Que estabas cuando sentistes eso?
R 
Rate of progression [3]
  • Empeora con el pasar de los dias?
A 
Associated features [4]
  • Existe otro síntoma asociado?
I 
Increasing factors [5]
  • Existe algo que empeore el dolor?
D 
Decreasing factors[ [6]
  • Existe algo que alivie el dolor?
P 
Previous episode [7]
  • Algun episodio similar en el pasado?
M 
Medications[ [8]
  • Alguna medicina alivio tu dolor en el pasado?
D 
Duration [1]

இது எவ்வளவு நாளாக இருந்துகொண்டு இருக்கிறது?

O  
Onset

இது எப்படி தொடங்கியது?

C 
Character/ Quality

உங்கள் அறிகுறிகள் விவரிக்க?

T 
Time of onset
Diurnal variation [2]

நீங்கள் முதலில் கவனித்தது எப்பொழுது?
பகலிரவு மாற்றங்கள் இருக்கிறதா?

O 
Occasion

இது நடந்த போது நீங்கள் என்ன செய்து கொண்டிருந்தீர்கள்?

R 
Rate of progression [3]

இது வளர்ச்சி அடையும் விகிதம் என்ன?
இது நாளுக்கு நாள் மோசமாகி வருகிறதா?

A 
Associated features [4]

இதனோடு தொடர்புள்ள வேறு அம்சங்கள் இருக்கிறதா?

I 
Increasing factors [5]

இது எதனால் அதிகரிக்கிறது?

D 
Decreasing factors[ [6]

இது எதனால் குறைகிறது?

P 
Previous episode [7]

கடந்த காலத்தில் இதே போன்ற பிரச்சனைகள் எப்பொழுது வந்தது?

M 
Medications[ [8]

இதற்க்கு முன்னால் எடுக்கொண்ட மருந்துகள் உங்களுக்கு நிவாரணம் அளித்ததா?

Reference

  • Baloh, R.W., Vertebrobasilar insufficiency and stroke. Otolaryngol Head Neck Surg, 1995. 112(1): p. 114-7.
  • von Brevern, M., et al., Epidemiology of benign paroxysmal positional vertigo: a population based study. J Neurol Neurosurg Psychiatry, 2007. 78(7): p. 710-5.
  • Furman, J.M. and S.P. Cass, Benign paroxysmal positional vertigo. N Engl J Med, 1999. 341(21): p. 1590-6.
  • Kerber, K.A., et al., Stroke among patients with dizziness, vertigo, and imbalance in the emergency department: a population-based study. Stroke, 2006. 37(10): p. 2484-7.
  • Marzo, S.J., et al., Diagnosis and management of post-traumatic vertigo. Laryngoscope, 2004. 114(10): p. 1720-3.
  • Watson, S.R., G.M. Halmagyi, and J.G. Colebatch, Vestibular hypersensitivity to sound (Tullio phenomenon): structural and functional assessment. Neurology, 2000. 54(3): p. 722-8.
  • Knox, G.W. and A. McPherson, Meniere’s disease: differential diagnosis and treatment. Am Fam Physician, 1997. 55(4): p. 1185-90, 1193-4.
  • Guneri, E.A. and O. Kustutan, The effects of betahistine in addition to epley maneuver in posterior canal benign paroxysmal positional vertigo. Otolaryngol Head Neck Surg, 2012. 146(1): p. 104-8.
ABOUT

I started my medical career in 1995 when I joined KMC, Manipal, one of the prestigious institutions in India. KMC, Manipal is in Karnataka,and people speak Kannada and Tulu. I remember the lecture in medical school when our professor explained the importance of integrating communication skills with the clinical skills. He emphasized the need to learn the local language. India is a diverse country with many languages and dialects. Our professor asked us a straightforward question, if we cannot understand the patient’s pain, then how will we treat it. He explainedthe difference between a symptom and a sign and made a funny acronym to describe the characteristics of both. Read More...

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