Borchers Andrea Ann (ed.) Handbook of Signs & Symptoms 2015

Nipple discharge

clinical history and physical examination diagnostic tests

medical causes patient counseling

Nipple retraction

Nocardiosis, productive cough and Nocturia

clinical history and physical examination diagnostic tests

medical causes patient counseling

Nocturnal myoclonus, insomnia and Non-Hodgkin’s lymphoma, lymphadenopathy and Nonproductive cough. See Cough, nonproductive Normal arterial pulse

Norovirus

abdominal pain and with diarrhea nausea and vomiting

North American blastomycosis, productive cough and Nuchal rigidity

Nutritional deficiency, confusion and Nystagmus

O

Obesity, hepatomegaly and Obsessive-compulsive disorder, anxiety and Obstructive sleep apnea, stertorous respirations Obstructive uropathy, flank pain and

Occipital lobe lesion, hemianopsia and Occlusive vascular disease, leg pain in Ocular deviation

clinical history and physical examination medical causes

patient counseling

Ocular laceration, eye pain and Ocular muscle dystrophy, ptosis and Ocular trauma

ptosis vision loss

Oculomotor nerve palsy mydriasis and nonreactive pupils

Oligomenorrhea

clinical history and physical examination diagnostic tests

medical causes patient counseling

Oliguria

clinical history and physical examination development of

diagnostic tests medical causes patient counseling

Olivopontocerebellar atrophy, ataxia and Olivopontocerebellar degeneration, dysarthria and Opisthotonos

clinical history and physical examination diagnostic tests

medical causes meningitis and patient counseling

Optic atrophy, vision loss Optic neuritis

eye pain and scotoma vision loss visual blurring

Oral cavity tumor, dysphagia and Orbital blowout fracture

diplopia and

ocular deviation and Orbital cellulitis

diplopia and edema of face and with exophthalmos with eye discharge

Orbital choristoma, exophthalmos and Orbital emphysema, exophthalmos and Orbital fracture, subcutaneous crepitation and Orbital tumor

diplopia and

ocular deviation and Organic disorders

depression and violent behavior

Orthopnea

Orthostatic hypotension dizziness and pallor and syncope tachycardia

Ortolani’s sign

Ossicle dislocation, tinnitus and Osteoarthritis

bony crepitation and muscle atrophy and muscle weakness and

Osteomyelitis arm pain and

edema of leg and Otalgia. See Earache Otitis externa

earache and and hearing loss otorrhea and tinnitus

Otitis media earache and

and hearing loss otorrhea and tinnitus

Otorrhagia

Otorrhea Otosclerosis

and hearing loss tinnitus

Ovarian cyst

abdominal mass and abdominal pain and

Ovarian insensitivity, amenorrhea and

Ovarian tumors, postmenopausal vaginal bleeding

Ovaries, amenorrhea and

P

Paget’s disease

breast nodule and breast ulcer and nipple discharge and vision loss

Pain, insomnia and Pallor

history and physical examination localized pallor

medical causes patient counseling

peripheral oxyhemoglobin Palpitations

characteristics diagnostic tests drugs

history and physical examination medical causes

patient counseling Pancreatic cancer

clay colored stools with hepatomegaly splenomegaly

Pancreatic islet cell tumor, excessive weight gain Pancreatitis

abdominal pain and back pain and chest pain and

clay colored stools jaundice and nausea and vomiting

Papillary muscle rupture, murmurs and Papillary necrosis, flank pain and Papular rash

antihistamine and antipruritic lotion history and physical examination medical causes

patient counseling

Paradoxical pulse Paralysis

classification complications

history and physical examination medical causes

patient counseling Paralytic ileus

abdominal distention and absent bowel sounds and hypoactive bowel sounds

Parapsoriasis, scaly skin and

Parasite infestation, exophthalmos and Paraurethral gland inflammation, dysuria and Parenchymatous lung disease, apnea and Paresthesia

definition

history and physical examination medical causes

patchy sensory loss patient counseling

Paretic gait. See Gait, steppage Parietal lobe lesion, hemianopsia and Parkinson’s disease

with cogwheel rigidity dysarthria and dysphagia and dystonia and

with gait, propulsive muscle atrophy and muscle weakness and paralysis

tremors

Paroxysmal atrial tachycardia Paroxysmal nocturnal dyspnea

diagnostic tests

history and physical examination left-sided heart failure

medical causes patient counseling

Parry-Romberg syndrome

miosis and ptosis

Peau d’orange

history and physical examination mammography and breast biopsy medical causes

patient counseling Pediculosis

genital lesions and pruritus and

Pelvic inflammatory disease abdominal pain and chills and dysmenorrhea and

Pemphigoid

gum bleeding and mouth lesions and vesicular rash

Pemphigus, mouth lesions and Penile cancer

with genital lesions, male priapism

Penile disorders, impotence and Peptic ulcer

chest pain and hematemesis hematochezia and melena and nausea and

Perforated ulcer abdominal pain and back pain and

Periarteritis nodosa, mottled skin and Pericardial effusion, generalized edema and Pericardial friction rub

auscultation findings components medical causes patient counseling patient preparation

physical examination

Pericarditis

chest pain and generalized edema and with hepatomegaly

with jugular vein distention pericardial friction rub pulsus paradoxus

Periodontal disease, gum bleeding and Peripheral arterial occlusion, cyanosis and

Peripheral arterial trauma, increased capillary refill and Peripheral arteriovenous fistula, bruits and

Peripheral cyanosis Peripheral nerve trauma

muscle flaccidity and muscle weakness and paresthesia

Peripheral neuropathy anhidrosis and

with hypoactive DTR muscle atrophy and muscle flaccidity and paralysis

paresthesia Peripheral vascular disease

absent/weak pulse and bruits and

with increased capillary refill ptosis

Perirenal abscess CVA tenderness and flank pain

Peristaltic waves, visible

history and physical examination intestinal obstruction

medical causes nasogastric suctioning patient counseling

Peritonitis

abdominal distention and abdominal pain and abdominal rigidity and

nausea and vomiting Peritonsillar abscess drooling and

throat pain

Pernicious anemia, anorexia and

Peroneal muscle atrophy, gait, steppage and Peroneal nerve trauma, gait, steppage and Pesticide poisoning

diaphoresis and drooling and fasciculations and

Petechiae

Pharyngitis, throat pain and

Phenytoin, lymphadenopathy caused by Pheochromocytoma

anxiety and diaphoresis and hypertension and

Philadelphia cervical collar Phobias, anxiety and Photophobia

causes, signs and symptoms diagnostic tests, patient preparation history and physical examination medical causes

patient counseling Photopsias. See Light flashes Pituitary tumor

amenorrhea and with gynecomastia hemianopsia and vision loss

Pityriasis rosea papular rash pruritus

Pityriasis, scaly skin

Placental dysfunction, low birth weight and Plague (Yersinia pestis)

chest pain and chills and

dyspnea and fever and headache and hemoptysis and

lymphadenopathy and productive cough and tachypnea

Pleural cancer, clubbing and Pleural effusion

chest expansion and dyspnea and nonproductive cough and shallow respirations

Pleural friction rub emergency interventions

history and physical examination inflammation

medical causes patient counseling

patient’s respiratory status and vital signs thoracic surgery and radiation therapy

Pleural pressure gradient disruption, apnea and Pleurisy

chest pain and pleural friction rub

Plummer-Vinson syndrome, dysphagia and Pneumonia

accessory muscles and anxiety and

chest expansion and chest pain and chills and

costal and sternal retraction crackles and

cyanosis and diaphoresis and dyspnea and hemoptysis and

nonproductive cough and pleural friction rub productive cough and

rhonchi tachypnea

Pneumothorax anxiety and

chest expansion and chest pain and cyanosis and dyspnea and

nasal flaring and nonproductive cough and shallow respirations subcutaneous crepitation and tachycardia

tachypnea Poisoning

ataxia and myoclonus and

Poliomyelitis dyspnea and

fasciculations and Polycystic kidney disease

and flank pain hematuria and hypertension and

Polycystic ovary syndrome, amenorrhea and Polycythemia vera

cyanosis and epistaxis and gum bleeding and mottled skin splenomegaly

systemic lupus erythematosus Polydipsia

definition

diuretics and demeclocycline history and physical examination medical causes

patient counseling patient monitoring

Polymorphic light eruption, papular rash Polymorphous light eruption, butterfly rash and