Fluid retention: peripheral leg edema (2+) and abdominal edema, ascites, hepatic congestion –
related
Elevated jugular venous pressure (JVP) –
... [Show More] related
Fine crackles in lower bases – related
S3, S4 with pansystolic murmur – related
Displaced PMI 2 cm lateral – related
HTN – related
Tachycardia – related
Positive JVP with hepatojugular reflux – related
50 pack-year hx of smoking, quit 6 mo ago – unknown
Cough (white frothy sputum) – unknown
Indiscriminate salt intake – unknown
Hx of CAD – unknown
Obesity – unknown
Fatigue – related
Hepatomegaly – related
/ How can I help you today?
/ Do you have any other symptoms or concerns we should discuss?
/ Do you have pain anywhere? If so, where?
/ What symptom is the most distressing to you?
/ Can you tell me about any current or past medical problems you may have had?
/ Do you have heart disease and/or have you ever had a heart attack?
/ Have you ever been diagnosed with a congenital heart problem?
Do you have any cardiovascular problems?
/ Do you have high blood pressure?
/ Do you have high cholesterol?
/ Do you have a history of high lipids or triglycerides?
/ Do you have a history of irregular heartbeats?
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/ Do you have a history of heart failure?
/ Have you had any recent blood or lab test? What were the results?
/ Have you ever had an ECG (EKG)?
/ Any previous medical, surgical, or dental procedures?
/ Have you ever been hospitalized?
/ What childhood illnesses have you had?
/ Have you ever been told you have a heart murmur or valve problem?
/ Do you have any allergies, such as medications, food and/or latex, for example?
/ Are you taking any prescription medications? Metoprolol, Ramipril, Aspirin, Clopidogrel,
Atorvastatin
/ Are you taking any over-the-counter or herbal medications?
/ When was your last physical?
/ Are your immunizations up to date?
/ What cancer screening tests have you had, and what were the results?
/ What cholesterol screening tests have you had, and what were the results?
/ Have you had a colonoscopy?
/ Have you recently traveled? Where did you go?
/ Tell me about the health of your grandparents, parents, and children?
/ Are there any diseases that run in your family?
/ Do you know of any genetic diseases that are found in your family?
/ Do your religious cultural beliefs prevent you from receiving certain types of medical care or
treatment?
/ Do you drink alcohol? If so, what do you drink and how many drinks per day?
/ Has drinking alcohol ever caused you problems?
/ Do you use any recreational drugs? If so, what?
/ Do you now or have you ever smoked or chewed tobacco?
/ Tell me about your daily exercise or sports that your play.
/ Tell me about your social/leisure activities.
/ On average, how many hours per night do you sleep?
/ How is your family and family life?
/ Do you have any children? Spouse? Significant partner?
/ Do you have medical insurance?
/ Can you afford the co-pays for your clinic visits and medications?
What community resources do you have access to that can provide assistance?
Do you have easy/adequate access to transportation necessary for daily living and healthcare
needs?
/ Where were you born and where did you grow up?
/ Do you have problems with fatigue/tiredness?
/ When did the fatigue/tiredness start?
/ Is your fatigue unrelated to physical effort?
/ Does your fatigue/tiredness improve after a good night’s rest?
/ Do you have any other symptoms associated with your fatigue/tiredness?
/ How severe is your fatigue/tiredness? [Show Less]