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Y1-2
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General
Fever
Chills
Night sweats
Appetite
Weight change
Weakness
Fatigue
Pain
Anhedonia
Skin
Rash
Hives (urticaria)
Itching (pruritus)
Easy bruising
Change in moles
Head
Dizziness
Headaches
Trauma history
Eyes
Glasses/contact lenses
Change in vision
Double vision (diplopia)
Pain
Redness
Discharge
Ears
Hearing loss
Use of hearing aid
Discharge
Pain
Tinnitus
Nose
Nosebleeds (epistaxis)
Discharge
Loss of smell (anosmia)
Mouth/Throat
Bleeding gums
Pain on swallowing
Dysphagia
Hoarseness
Tongue burning
Tooth pain
Neck
Lumps
Goiter
Stiffness
Chest
Cough
Shortness of breath
Sputum
Hemoptysis
Wheezing
Breasts
Lumps
Discharge
Pain
Cardiac
Chest pain
Palpitations
Dyspnea on exertion
Paroxysmal nocturnal dyspnea
Vascular
Pain +/- walking
Leg swelling
Thrombophlebitis
Ulcers
Gastrointestinal
Nausea
Vomiting/hematemesis
Heartburn
Pain
Constipation
Diarrhea
Change in stool
Melena
Rectal bleeding
Hemorrhoids
Urinary
Frequency
Nocturia
Urgency
Difficulty starting
Stream
Incontinence
Hematuria
Dysuria
Neuropsychiatric
Fainting
Paralysis
Numbness
Tingling
Tremors
Memory loss
Mood changes
Sleep
Nervousness
Speech disorders
Gait disorders
Hallucinations
Seizures
Musculoskeletal
Weakness
Pain
Stiffness
Range of motion
Genital
Lesions/discharge
Libido/function