BODY FINDINGS
SKIN FINDINGS
-HAIR FINDINGS
-LYMPH NODE FINDINGS
HEAD FINDINGS
-EYE FINDINGS
-EAR FINDINGS
-NOSE
-MOUTH
NECK
-TRUNK
CHEST
-BREAST/AXILLAE
-CARDIOVASCULAR SYSTEM
ABDOMEN FINDINGS
-DIGESTIVE SYSTEM FINDINGS
-URINARY FINDINGS
-ANORECTAL AREA
MUSCULOSKELETAL FINDINGS
-BACK
-EXTREMITIES
-PERIPHERAL VASCULAR SYSTEM
NERVOUS SYSTEM FINDINGS
-CRANIAL NERVE FUNCTION
-REFLEXES
-SENSORY SYSTEM
-MOTOR SYSTEM
-COORDINATION
-CONSCIOUSNESS LEVEL
-MENTAL STATUS
PSYCHIATRIC FINDINGS
INFECTIOUS/PARASITIC FINDINGS
IMMUNOLOGICAL/ALLERGIC FINDINGS
METABOLIC/NUTRITIONAL FINDINGS
ENDOCRINE FINDINGS
PHYSICAL AGENT FINDINGS
ONCOLOGICAL FINDINGS
HEMATOLOGIC FINDINGS
GENETIC FINDINGS
FINDINGS UNCLASSIFIED
-CLINICAL FINDINGS
--BODY FINDINGS
--SKIN FINDINGS
---HAIR FINDINGS
---LYMPH NODE FINDINGS
--HEAD FINDINGS
---EYE FINDINGS
---EAR FINDINGS
---NOSE
---MOUTH
--NECK
---TRUNK;TORSO
--CHEST;THORAX
---BREAST/AXILLAE
---CARDIOVASCULAR SYSTEM
--ABDOMEN FINDINGS
---DIGESTIVE SYSTEM FINDINGS;GI FINDINGS
---URINARY FINDINGS
---ANORECTAL AREA
--MUSCULOSKELETAL FINDINGS
---BACK
----SPINE
---EXTREMITIES
---PERIPHERAL VASCULAR SYSTEM
--NERVOUS SYSTEM FINDINGS
---CRANIAL NERVE FUNCTION
---REFLEXES
---SENSORY SYSTEM;SENSATION
---MOTOR SYSTEM;LOCOMOTION
---COORDINATION
---CONSCIOUSNESS LEVEL
---MENTAL STATUS
--PSYCHIATRIC FINDINGS
--INFECTIOUS/PARASITIC FINDINGS
--IMMUNOLOGICAL/ALLERGIC FINDINGS
--METABOLIC/NUTRITIONAL FINDINGS
--ENDOCRINE FINDINGS
--PHYSICAL AGENT FINDINGS
--ONCOLOGICAL FINDINGS
--HEMATOLOGIC FINDINGS
--GENETIC FINDINGS
--FINDINGS UNCLASSIFIED

C -CLINICAL FINDINGS
C1 --BODY FINDINGS
C1.1 ===BODY SENSATION
C1.2 ===BODY FUNCTION
C1.21 ____VITAL SIGNS
C1.211 _____PULSE RATE/RHYTHM
C1.212 _____BLOOD PRESSURE
C1.213 _____RESPIRATORY RATE/RHYTHM
C1.214 _____TEMPERATURE
C1.214* ......fever;pyrexia;hyperthermia;body temperature elevated
C1.214* ......chill;rigor
C1.214* ......shaking chill
C1.214* ......night sweat
C1.214* ......hypothermia
C1.214* ......fever recurring
C1.215 _____HEIGHT
C1.215* ......short
C1.215* ......tall
C1.216 _____WEIGHT
C1.216* ......weight change
C1.216* ......weight gain;weight increasing;wt gain
C1.216* ......wight loss;weight reduction;weight decreasing
C1.216* ......BMI;body-mass index
C1.217 _____OXYGEN SATURATION
C1.22 ____HEALTH
C1.22* .....malaise;body discomfort;ill feeling;unwell feeling;miserable feeling
C1.22* .....robust
C1.22* .....well
C1.22* .....frail
C1.22* .....health state usual
C1.22* .....ill acutely
C1.22* .....ill chronically;sick frequently
C1.22* .....run down state
C1.22* .....wincing
C1.22* .....trembling;tremulousness
C1.22* .....chill;rigor
C1.22* .....edema
C1.22* .....anasarca;edema massive generalized
C1.22* .....fatigue;tiredness;weariness;energy lack;energy loss
C1.22* .....infection repeatedly
C1.22* .....posturing to ease breathing/pain;splinting
C1.22* .....appearance versus chronological age
C1.22* .....body image concern
C1.23 ____STRENGTH
C1.23* .....weakness;lassitude;debility;enfeeblement;strength loss;asthenia;energy lack;energy loss;tiredness
C1.24 ____TOLERANCE
C1.24* .....heat tolerance
C1.24* .....cold tolerance
C1.24* .....exercise tolerance;exercise performance
C1.25 ____ACTIVITIES OF DAILY LIVING (ADL)
C1.3 ===BODY INSPECTION
C1.31 ____BODY BUILD
C1.31* .....deformity
C1.31* .....gigantism
C1.31* .....dwarfism
C1.31* .....long limbs
C1.31* .....tall;stature tall
C1.31* .....short;stature short
C1.31* .....muscular build
C1.31* .....fatness;obesity;chubby;overweight;plump
C1.31* .....slendernee;thin
C1.31* .....fat distribution
C1.31* .....physical retardation
C1.31* .....apparent age vs. chronological age
C1.32 ____BODY DEVELOPMENT
C1.32* .....body well developed
C1.33 ____BODY CONDITION
C1.33* .....dehydration
C1.33* .....malnutrition
C1.33* .....cachexia
C1.33* .....emaciation
C1.7 ===BODY ODOR
C2 --SKIN FINDINGS
C2.1 ====SKIN SENSATION
C2.1* .....itching;pruritus;skin itching
C2.2 ====SKIN FUNCTION
C2.2* .....sweating;diaphoresis;perspiration;sudoresis
C2.2* .....night sweating
C2.2* .....anhidrosis
C2.3/4 ===SKIN INSPECTION/PALPATION
C2.3/4* ....skin crepitation
C2.3/41 ____SKIN COLOR
C2.3/41* .....erythema;skin red
C2.3/41* .....pallor;complexion paleness;color lack;paleness
C2.3/41* .....cyanosis;skin blue
C2.3/41* .....jaundice;skin yellow
C2.3/41* .....skin color change
C2.3/41* .....erythema;skin red;skin irritation
C2.3/41* .....carotenemia;hypercarotinemia;aurantiasis
C2.3/41* .....skin bronze;skin bronzing
C2.3/41* .....skin melanin change
C2.3/41* .....hyperpigmentation
C2.3/41* .....hypopigmentation
C2.3/41* .....skin pigmentation change
C2.3/41* .....skin mottling
C2.3/42 ____SKIN CONDITION
C2.3/421 _______SKIN MOISTURE
C2.3/421* .......skin dryness;skin anhydrotic
C2.3/421* .......skin oiliness
C2.3/421* .......skin temperature
C2.3/421* .......skin coolness;skin clamminess
C2.3/421* .......skin warmth
C2.3/422 _______SKIN TEXTURE
C2.3/422* .......skin smoothness
C2.3/422* .......skin roughness
C2.3/422* .......skin scaliness;skin scaly eruption;skin scaling
C2.3/422* .......skin induration;skin hardening
C2.3/423* _______SKIN MOBILITY
C2.3/424* _______SKIN TURGOR
C2.3/43 ____SKIN LESION
C2.3/43* .......purple striae;thin,purple skin streaks
C2.3/43* .......purpura;subcutaneous bleeding
C2.3/43* .......skin inflammation
C2.3/43* .......rash;skin eruption;exanthem
C2.3/43* .......macule;flat eruption;maculopapular rash;maculopapular eruption,
C2.3/43* .......cafe au lait spot
C2.3/43* .......Janeway’s spots;palm/sole red spots;Janeway’s lesion
C2.3/43* .......papule;papular rash;skin bumps small, raised;raised eruptin
C2.3/43* .......bulla;bullae
C2.3/43* .......rash;eruption
C2.3/43* .......eruption purulent;eruption with pus
C2.3/43* .......pustule;pustular rash;rash with pus
C2.3/43* .......pimple
C2.3/43* .......wheal;hive;urticaria
C2.3/43* .......skin mass;skin bump
C2.3/43* .......nodule;subcutaneous nodule
C2.3/43* .......skin ulcer;ulcer
C2.3/43* .......pressure sore;decubitus ulcer;bedsore;contact ulcer;pressure ulcer
C2.3/43* .......angioma
C2.3/43* .......telangiectasia
C2.3/43* .......spider angioma
C2.3/43* .......furuncle;boil
C2.3/43* .......hematoma
C2.3/43* .......petechia;petechiae
C2.3/43* .......bruise;contusion
C2.3/43* .......abrasion
C2.3/43* .......skin scratch;scratch
C2.3/43* .......skin laceration;skin cut;cut
C2.3/43* .......burn
C2.3/43* .......cold sore;fever blister
C2.3/43* .......dermatitis
C2.3/43* .......gangrene
C2.3/43* .......keloid
C2.3/43* .......mole
C2.3/43* .......mole changing shape/color
C2.3/43* .......scaly eruption
C2.3/43* .......skin abscess
C2.3/43* .......skin crust;scab
C2.3/43* .......skin lesion;skin sore
C2.3/43* .......skin mass
C2.3/43* .......skin spot
C2.3/43* .......skin tumor
C2.3/43* .......skin wound
C2.3/43* .......striae atrophicae
C2.3/43* .......uremic frost
C2.3/43* .......vesicle;vesicular rash
C2.3/43* .......wart;verruca
C201 ____SUBCUTANEOUS FINDINGS
C201* .....subcutaneous bleeding
C201* .....subcutaneous nodule
C201* .....subcutaneous nodule painful
C21 ___NAIL FINDINGS
C21.3/4 =====NAIL INSPECTION/PALPATION
C21.3/4* ......nail black bands
C21.3/4* ......nail dystrophy
C21.3/4* ......nail half and half
C21.3/4* ......nail spooning
C21.3/4* ......clubbing
C21.3/4* ......paronychia;nailfold infection
C21.3/4* ......onycholysis;nail plate separation;nail detachment
C21.3/4* ......cuticle red
C21.3/4* ......infranail capillary pulsation
C21.3/4* ......nail change
C22 ---HAIR FINDINGS
C22.3/4 =======HAIR INSPECTION/PALPAPATION
C22.3/4* ........hirsutism;hairiness;hypertrichosis
C22.3/4* ........hair changes
C22.3/4* ________hair quantity
C22.3/4* ........hair thin
C22.3/4* ........hair thick
C22.3/4* ........hair distribution
C22.3/4* ........hair patchy
C22.3/4* ........alopecia;hair loss;baldness
C22.3/4* ________hair texture
C22.3/4* ........hair brittle
C22.3/4* ........hair coarse
C22.3/4* ........hair fine
C23 ---LYMPH NODE FINDINGS
C23* ....lymphadenopathy;lymph node swelling;lymph node enlargement
C23* ....axillae lymphadenopathy
C23* ....epitrochlear lymphadenopathy
C23* ....groin lymphadenopathy
C23* ....neck lymphadenopathy
C23* ....supraclavicular fossae lymphadenopathy
C3 --HEAD FINDINGS
C3.1 ===HEAD SENSATION
C3.1* .....headache;cephalalgia;cephalgia;cephalodynia;cranial pain;ha;head pain
C3.1* .....frontal headache
C3.1* .....lateral headache
C3.1* .....occipital headache
C3.1* .....vertex headache
C3.1* .....general/variable headache
C3.3 ===HEAD INSPECTION
C3.3* .....head movement spasmodic
C3.3* .....head rolling
C3.3* .....head tremor
C3.3* .....head holding
C3.3* .....head size
C3.3* .....macrocephaly
C3.3* .....microcephaly
C3.3* .....head shape
C3.3* .....head injury;head trauma
C3.3* .....hydrocephalus;hydrencephalus;hydrencephaly;hydrocephaly
C3.3* .....head displacement forward
C3.3* .....head lesion
C3.3* .....head turned to one side
C3.3* .....head retracted
C3.3* .....head vein enlarged
C3.3* .....head retraction
C301 ____SKULL;CRANIUM
C301* .....suture closure delayed
C301* .....suture closure premature
C301* .....skull depression from trauma
C3011 _____FONTANEL
C3011* ......fontanel closure delayed
C3011* ......fontanel enlargement
C3011* ......fontanel bulging;bulging soft spots on a baby’s head
C3011* ......fontanel sunken;fontanel depression;sunken soft spots on a baby’s head
C3012 ____SCALP
C3012* .....alopecia;baldness;scalp bald patch;scalp hair thinness
C3012* .....scalp skin affection
C3012* .....scalp tenderness
C3012* .....scalp lump
C3012* .....scalp lesion
C3012* .....scalp fungus affection;scalp/beard fungus infection
C303 ____FACE
C303.1 =====FACE SENSATION
C303.1* ......face pain;facial pain
C303.2 =====FACE FUNCTION
C303.2* ......orofacial dyskinesia;face/mouth/tongue/eyes/neck involuntary movements
C303.2* ......facial paralysis;facial nerve paralysis;facial palsy
C303.2* ......face tic;face abnormal involuntary movements
C303.2* ......facial spasm/twitching/grimacing
C303.2* ......facial flushing
C303.2* ......sudden/transient face flushing
C303.2* ......sudden/transient face pallor
C303.3 =====FACE INSPECTION
C303.3* ......facial features thickened
C303.3* ......facial asymmetry
C303.3* ......facial pallor/sallowness
C303.3* ......facial skin affection
C303.3* ......facial ulcer
C303.3* ......facies characteristic/peculiar
C303.3* ......chvostek’s sign
C303.3* ......face edema;face swelling
C303.3* ......face ulceration;facial ulceration
C303.3* ......facial edema
C303.3* ......facial swelling
C303.3* ......facial symmetry
C303.3* ......facial expression
C303.3* ......facial hirsutism;facial hair
C303.3* ......face rash
C303.3* ......facial acne
C303.3* ......butterfly rash
C303.31 ______FACE EXPRESSION
C303.31 .......risus sardonicus
C303.31* .......facies masklike;facial expression loss
C303.31* .......stare
C303.31* .......immobile face
C303.31* .......facial expression transient changes
C303.31* .......facies masklike
C303.31* .......Down facies;mongoloid facies
C303.31* .......moon face
C3031 _____CHEEK
C3031.3* ......cheek flapping during breathing
C3031.3* ......cheek swelling
C304 ____JAW
C304.1* .....jaw pain
C304.2* .....trismus;jaw muscle spasm;inability to open the mouth;jaw locking
C304.2* .....jaw clicking
C304.2* .....jaw spasm
C304.2* .....jaw claudication
C304.3* .....jaw deformity
C304.3* .....jaw swelling;jaw edema
C31 ---EYE FINDINGS
C31.1 ====EYE SENSATION
C31.1* .....eye pain;ocular pain;ophthalmic pain
C31.1* .....eye itching;eye pruritus;ocular itching
C31.2 ====EYE FUNCTION
C31.2* ....winking;nictitation
C31.21 ______VISION
C31.21* .......visual spots/specks
C31.21* .......;seeing things floating within the eye or past the field of vision;visual floaters
C31.21* .......photopsia;flicker;flashing light;visual flash ;light flashes
C31.21* .......halo vision;rainbow rings around lights
C31.21* .......photophobia;light sensitivity
C31.21* .......myopia;near-sightedness
C31.21* .......presbyopia;far-sightedness
C31.21* .......night blindness;night vision impaired
C31.21* .......visual light flash/spark/bright circle;ight flash
C31.21* .......visual object shape/size change
C31.21* .......visual changes
C31.21* .......vision disturbance subjective
C31.21* .......vision loss transient
C31.21* .......vision loss;vision decrease;blindness;vision impairment;seeing difficulty;sight loss
C31.21* .......visual blurring
C31.21* .......visual defect
C31.21* .......visual hallucinations
C31.21* .......glasses or contact lenses
C31.21* .......diplopia;double vision
C31.21* .......monocular diplopia
C31.21* .......visual acuity diminished
C31.21* .......vision colored
C31.21* .......visual dimness
C31.211 ______VISUAL FIELDS
C31.211* .......visual field contraction
C31.211* .......scotoma;blindness area
C31.211* .......hemianopia;vision loss in half of the normal field of vision;hemianopsia
C31.211* .......quadrantic visual field defects
C31.211* .......peripheral vision
C31.211* .......tunnel vision;gun barrel vision
C31.212 ______COLOR VISION
C31.212* .......color blindness
C31.22 _____LACRIMAL FUNCTION
C31.23 _____EXTRAOCULAR MUSCLE FUNCTION
C31.3 ====EYE INSPECTION
C31.3* ......eye discharge
C31.3* ......eye dryness
C31.3* ......eye edema;eye swelling
C31.3* ......eye stare
C31.3* ......eye swelling
C31.3* ......lagophthalmos;eye closure inability
C31.3* ......eye redness/irritation/inflammation;red eye
C31.3* ......eye watering;tearing excessive;epiphora;watery eye;lacrimation excessive;tears overflow down the cheek;illacrimation
C31.3* ......glaucoma
C31.3* ......cataract
C31.3* ......dark circles under the eyes, not from head trauma
C31.3* ......raccoon eyes;dark circles under the eyes, like a raccoon’s, not from head trauma
C31.3* ......setting-sun sign
C311 ____EYEBALL
C311.1* .....eyeball pain
C311.2* .....strabismus;phoria;squint;heterotropia;ocular dissociation
C311.2* .....eyeball fixed/immobile
C311.3* .....Conjugate Deviation
C311.3* .....Nystagmus;Eyeball Oscillation
C311.3* .....exophthalmos;proptosis;eye bulging
C311.3* .....enophthalmos;eye sunken
C312 ____EYEBROW
C312.3* .....eyebrow seborrheic dermatitis
C312.3* .....eyebrow skin affection
C313 ____EYELID
C313.3* .....Lagophthalmos;eyelids always open
C313.3* .....lid lag;eyelid lag
C313.3* .....winking;nictitation
C313.3* .....ptosis;blepharoptosis;eyelid droopy;upper eyelid drooping;eyelid drooping
C313.3* .....blepharospasm;nictitation;eyelid tremor
C313.3* .....eyelid crusting
C313.3* .....eyelid darkening
C313.3* .....eyelid deformity
C313.3* .....eyelid ecchymosis
C313.3* .....eyelid skin affection
C313.3* .....eyelid swelling
C313.3* .....eyelid ulcer
C313.3* .....stye;hordeolum;eyelid furuncle;eyelid boil
C313.3* .....chalazion;meibomian cyst;meibomian gland cyst;tarsal cyst
C313.3* .....ectropion;eyelid eversion;eyelash turned out;eyelid turned out
C313.3* .....xanthelasma;xanthoma
C314 ____LACRYMAL APPARATUS
C314* .....lacrimal sac swollen
C315 ____CONJUNCTIVA/SCLERA
C315* .....subconjunctival hemorrhage
C315* .....sclera black
C315* .....sclera bright blue
C315* .....sclera pearly
C315* .....conjunctival swelling
C315* .....conjunctival discharge mucopurulent/purulent
C315* .....red eye
C315* .....conjunctivitis;conjunctival injection;eye watering;eye redness
C315* .....sclera jaundice;sclera yellow
C316 ____CORNEA/IRIS/LENS
C316* .....keratitis
C316* .....corneal protrusion
C316* .....corneal reflex absent
C316* .....corneal ulcer
C316* .....corneo-conjunctival reflex abolition
C316* .....corneal opacity;leukoma;corneal clouding;corneal subepithelial haze
C316* .....cataract
C316* .....arcus cornealis;arcus senilis
C317 ____PUPIL
C317* .....pupillary size/shape change
C317* .....anisocoria;pupil diameter unequal;pupils asymmetric
C317* .....miosis;pupil constriction;pupil small
C317* .....mydriasis;pupil dilation;pupil large;pupil wide
C317* .....pupillary reflex
C317* .....pupil reactions to light
C317* .....pupil reaction to distance
C317* .....pupil sluggish
C317* .....pupil unreactive
C318 ____EXTRAOCULAR MUSCLES
C318* .....conjugate deviation;ocular deviation
C318* .....corneal reflections from a midline light
C318* .....extraocular muscular imbalance
C318* .....the six cardinal directions of gaze
C318* .....gaze deviation
C318* .....strabismus(paralytic/nonparalytic)
C318* .....nystagmus;eyeball involuntary oscillations
C318* .....lid lag
C318* .....convergence
C319 ____FUNDUS OCULI;RETINA
C319.3& =====FUNDUS INSPECTION(ophthalmoscope)
C319.3&* ......red reflex;fundus reflex
C319.3&* ......artificial eye
C319.3&* ......cataracts
C319.3&* ......optic disc
C319.3&* ......papilledema;choked disk;optic disk blurring;optic disk edema
C319.3&* ......glaucomatous cupping
C319.3&* ......optic atrophy;optic disc atrophy;cranial nerve ii optic nerve atrophy
C319.3&* ......retina arteries/veins/a-v crossings;fundus vessel changes
C319.3&* ......retina hemorrhage;fundus hemorrhage
C319.3&* ......retina exudate;fundus exudate
C319.3&* ......retina cotton-wool patches
C319.3&* ......retina microaneurysms
C319.3&* ......retina pigmentation
C319.3&* ......macular degeneration;macula lutea degeneration;retinal macula lutea degeneration;retina
C319.3&* ......vitreous floater;musca volitans;muscae volitantes;eye floater;myodesopsia;vitreous floater
C319.3&* ......retinal black/white spot/patch
C319.3&* ......retinal hemorrhage/retinitis
C32 ---EAR FINDINGS
C32.1 ====EAR SENSATION
C32.1* ......ear pain
C32.1* ......earache;ear pain;otalgia
C32.1* ......ear fullness sensation
C32.1* ......tinnitus;ear noise/ringing/buzzing;head noises
C32.2 ====EAR FUNCTION
C32.21 ______HEARING
C32.21* .......hearing loss;hearing impairment;hearing decrease;hard of hearing;hypoacusis;hearing difficulty;hearing trouble;deafness
C32.21* .......hyperacusis
C32.21* .......auditory acuity to whispered/spoken voice
C32.21* .......Weber test(lateralization)
C32.21* .......Rinne test(air/bone conduction)
C32.22 ______BALANCE;EQUILIBRIUM
C32.22* .......vertigo;head spinning;spinning sensation;self rotation;feeling of being pulled sideways;world is revolving around you or you are spinning despite being still
C32.22* .......falling frequently
C32.22* .......drop attack;sudden balance loss without consciousness loss
C321 ____AURICLE;EXTERNAL EAR
C321.1 =====AURICLE SENSATION
C321.1* ......auricle pain on moving auricle and pressing on tragus.
C321.1* ......autricle tenderness when pressing firmly behind ear
C321.3/4 =====AURICLE INSPECTION/PALPATION
C321.3/4* ......ear bleeding
C321.3/4* ......ear deformity
C321.3/4* ......ear gangrene
C321.3/4* ......ear skin affection
C321.3/4* ......ear swelling
C321.3/4* ......ear lesion
C321.3/4* ......ear mass
C321.3/4* ......ear scar
C321.3/4* ......auricle keloid
C321.3/4* ......auricle epidermoid cyst
C322.3& =======EAR CANAL/EARDRUM INSPECTION
C322.3& ........tympanitis
C322.3* ........otorrhea;ear drainage;otorrhoea(otoscope);ear discharge
C322.3&* ........ear canal cerumen
C322.3&* ........otitis externa;pinna disorder;external ear infection; external ear inflammation;auditory canal inflammation
C322.3&* ........otitis media acute
C322.3&* ........otitis media serous
C322.3&* ........tympanosclerosis
C322.3&* ........tympanic perforation
C323 ____MASTOID AREA
C323* .....Battle’s sign;mastoid ecchymosis from skull fracture
C33 ---NOSE
C33.1 ====NOSE SENSATION
C33.1* .....nose pain
C33.1* .....nasal itching;nose itching
C33.2 ====NOSE FUNCTION
C33.2* ......nasal stuffiness;nasal congestion;nasal stuffiness;blocked nose;breathing through nose difficulty
C33.2* ......rhinorrhea;nasal discharge;nose runny
C33.2* ......postnasal drip
C33.2* ......hay fever
C33.2* ......nosebleed;epistaxis
C33.2* ......colds frequent
C33.21 _____SMELLING
C33.21* ......anosmia;smell loss
C33.21* ......dysosmia;smell distortion
C33.3 =====NOSE INSPECTION
C33.3* ......nasal deformity;nose deformity
C33.3* ......nasal discharge
C33.3* ......nasal flaring
C33.3* ......nasal lesion
C33.3* ......nasal mass
C33.3* ......nasal obstruction
C33.3* ......nasal regurgitation
C33.3* ......nasal scar
C33.3* ......nose redness
C33.3* ......nose swelling
C33.3* ......nostril collapse
C33.3* ......nostril/nasal/cheek skin affection
C33.3* ......nasal fluid regurgitation
C33.3* ......nasal mucopurulent/purulent discharge
C33.3* ......nasal watery discharge
C331 ____NASAL MUCOSA(septum/turbinates)
C331.3&* =====nasal mucosa inspection(&speculum)
C331.3&* ......nasal mucosa swelling;nose edema
C331.3&* ......nasal mucosa redness
C331.3&* ......nasal mucosa paleness
C331.3&* .....nasal mucosa polyp
C331.3&* .....nasal mucosa ulcer
C332 ____NASAL SEPTUM
C332.3 ======NASAL SEPTUM INSPECTION
C332.3* .......nasal septum deviation,
C332.3* .......nasal septum perforation
C333 ____NASAL SINUSES(Frontal, Maxillary)
C333* .....sinus trouble
C333* .....sinus transillumination finding
C333.4 =====NASAL SINUSES PALPATION
C333.4* ......nasal sinus tenderness
C34 ---MOUTH
C34* ....pharyngeal ulcer
C34* ....pharyngeal/tonsillar redness
C34* ....mouth bleeding
C34* ....mouth drawn to one side
C34* ....mouth dryness
C34* ....mouth floor swelling
C34* ....mouth foaming
C34* ....mouth open
C34* ....mouth opening difficulty
C34* ....mouth petechia
C34* ....mouth pigment patch
C34* ....mouth skin affection
C34* ....mouth white patch
C34* ....mouth pain
C34* ....mouth dry
C34* ....mouth edema
C34* ....salivation;drooling;ptyalism
C34* ....salivary gland pain
C34* ....salivary gland swelling
C34* ....mouth lesion
C34* ....mouth opening inability
C34* ....mouth pigmentation
C34* ....mouth ulcer
C3401 _____BREATH
C3401.7 ======BREATH ODORS
C3401.7* .......halitosis;breath odor foul
C3401.7* .......breath odor alcoholic
C3401.7* .......breath odor musty/sweet
C3401.7* .......breath odor ammoniacal/uremic
C3401.7* .......breath odor fecal
C3401.7* .......breath odor fruity
C3401.7* .......breath odor ketonic/diabetic acidosis
C3401.7* .......fetor hepaticus;musty sweet breath odor(liver failure)
C341 ____LIP
C341* .....lip deformity
C341* .....lip skin affection
C341* .....lip swelling
C341* .....lip trembling/twitching
C341.3 ======LIP INSPECTION
C341.3* .......lip cyanosis;lip blue
C341.3* .......lip pallor
C341.3* .......cheilosis
C342 ____ORAL MUCOSA
C342* .....oral mucosa dry
C342.3 ======ORAL MUCOSA INSPECTION
C342.3* .......Koplik’s spot
C342.3* .......oral mucosa lesion
C342.3* .......canker sore;aphthous stomatitis;canker sore;oral aphthae
C343 ____GUMS
C343.3 ======GUM INSPECTION
C343.3* .......periodontal disease;periodontium disorder
C343.3* .......gum colored line
C342.3* .......gum spongy/bleeding/ulcerated
C343.3* .......gum/alveolar process swelling
C343.3* .......gum hypertrophy
C343.3* .......gum retraction
C343.3* .......gum swelling
C343.3* .......gum bleeding;gingival hemorrhage;gingival bleeding;gingivitis haemorrhage;gum haemorrhage
C343.3* .......gingivitis;gum inflammation
C344 ____TOOTH;TEETH
C344* .....tooth pain
C344* .....toothache
C344* .....teething discomfort
C344* .....tooth grinding
C344* .....tooth loosening
C344* .....dentition delayed
C344* .....dentition early
C344.3 ======TOOTH INSPECTION
C344.3* ......tooth anomaly
C344.3* .......dentition
C344.3* .......dental caries;dental cavity;tooth caries;dental decay;tooth decay
C344.3* .......tooth loss;tooth shedding;tooth absence;tooth missing;dental loss;edentia
C345 ____MOUTH ROOF
C345.3 ======MOUTH ROOF INSPECTION
C345.3* .......torus palatinus;palatal torus
C346 ____TONGUE
C346.1 =====TONGUE SENSATION
C346.1* ......tongue sore;glossalgia;glossodynia;tongue pain
C346.2* =====TONGUE FUNCTION
C346.2* ......taste
C346.2* ......aguesia;taste loss
C346.2* ......dysguesia;taste distortion
C346.2* ......tongue prutrusion impossible
C346.2* ......tongue tremor/spasm
C346.3 =====TONGUE INSPECTION
C346.3* ......tongue atrophy
C346.3* ......tongue bright red
C346.3* ......tongue coated
C346.3* ......tongue fissured
C346.3* ......tongue scarred
C346.3* ......tongue white patch
C346.3* ......tongue discoloration
C346.3* ......tongue swelling
C346.3* ......Tongue ulcer;Tongue ulceration
C346.3* ......tongue papillae
C346.3* ......tongue symmetry(12th nerve)
C346.3* ......tongue lesion
C346.3* ......macroglossia;tongue enlargement;tongue hypertrophy
C346.3* ......tongue cancer
C347 ____MOUTH FLOOR
C347.3 =====MOUTH FLOOR INSPECTION
C35 ___PHARYNX
C35.1 ====PHARYX SENSATION
C35.1* .....throat pain;sore throat;pharyngeal pain;throat discomfort
C35.1* .....throat tickling/prickling/itching
C35.2 ====PHARYNX FUNCTION
C35.2* .....pharyngeal mucous accumulation
C35.2* .....hoarseness
C35.3 =====PHARYNX INSPECTION
C35.3* ......pharynx color
C35.3* ......pharynx exudate
C35.3* ......pharyngeal swelling
C35.3* ......posterior pharynx asymmetry
C35.3* ......posterior pharynx lesions
C35.3* ......posterior pharynx mucosa
C35.3* ......soft palate symmetry as patient says ah
C351 _____UVULA
C352 _____PALATE
C352* ......soft palate/uvula paralysis
C352* ......palate perforation
C352* ......palate swelling
C353 _____TONSIL
C353* ......tonsil swelling
C353* ......tonsil ulceration
C353* ......tonsil/pharynx white/gray patch
C353* ......tonsil enlargement
C354 ____LARYNX
C354* .....larynx pain
C354* .....laryngoscopic abnormality
C4 --NECK
C4.1 ===NECK SENSATION
C4.1* ....neck pain;cervicalgia;cervical pain;cervicodynia;neck ache
C4.2 ===NECK FUNCTION
C4.2* ....neck rigidity;nuchal rigidity;neck stiffness
C4.2* ....neck range of motion;neck rom
C4.3/4 ===NECK INSPECTION/PALPATION
C4.3/4* ....neck lymph node enlargement
C4.3/4* ....neck tenderness
C4.3/4* ....neck sinus/fistula
C4.3/4* ....neck skin affection
C4.3/4* ....neck lump;neck mass
C4.3/4* ....neck glands swollen
C4.3/4* ....neck swelling
C4.3/4* ....neck veins engorged
C4.3/4* ....neck scar
C4.3/4* ....neck mass
C4.3/4* ....torticollis;wry neck;neck contracture;retrocollis
C4.3/4* ....cervical lymphadenopathy
C41 ___TRACHEA
C41.3/4 ====TREACHEA INSPECTION/PALPATION
C41.3/4* .....tracheal deviation
C41.3/4* .....tracheal tugging
C42 ___THYROID
C42.1* ....thyroid pain
C42.3/4 ====THYROID INSPECTION/PALPATION(At rest/swallowing water)
C42.3/4* .....goiter;thyromegaly;thyroid enlargement;struma
C42.3/4* .....thyroid nodule
C42.3/4* .....thyroid asymmetry
C42.3/4* .....thyroid mass
C42.3/4* .....thyroid nodule solitary
C42.3/4* .....thyroid tenderness
C42.6 =====THYROID AUSCULTATION
C42.6* ......thyroid bruit
C4X ---TRUNK;TORSO
C4X.3 ....trunk rash
C5 --CHEST;THORAX
C5.1 ===CHEST SENSATION
C5.1* ...chest pain
C5.1* ...chest tenderness
C5.1* ...pleuritic chest pain;pleuritic pain
C5.2 ===CHEST FUNCTION
C5.2* ...stridor
C5.2* ...wheezes
C5.2* ...orthopnea;difficulty breathing when lying down;orthopnoea;shortness of breath at night, relieved by sitting upright;breathlessness lying flat
C5.2* ...paroxysmal nocturnal dyspnea;shortness of breath occurring at night and relieved by sitting upright
C5.2* ...hyperventilation
C5.2* ...coughing
C5.2* ...cough barking
C5.2* ...cough nonproductive
C5.2* ...cough productive;sputum (color, quantity)
C5.2* ...hemoptysis;coughing blood;coughing up blood;sputum bloody;expectoration of blood streaked sputum;haemoptysis
C5.2* ...wheezing
C5.2* ...choking
C5.2* ...hiccup;hiccough;hiccups
C5.2* ...sneezing
C5.2* ...yawning
C5.21* ____RESPIRATORY SYSTEM FINDINGS
C5.21* .....dyspnea;breathing difficult;dyspnoea;breathing trouble;shortness of breath;sob;respiratory distress;breathlessness;breathing difficulty;respiration difficulty
C5.21* .....respiration grunting
C5.21* .....respiration shallow
C5.21* .....respiration stertorous
C5.21* .....respirations shallow
C5.21* .....inter spaces inspiratory retraction
C5.21* .....respiratory movementimpairment/unilateral lag
C5.21* .....intercostal muscle retraction
C5.21* .....accessory muscle use
C5.21* .....chest expansion;respiratory movements
C5.21* .....chest mobility impairment
C5.21* .....tachypnea;breathing rapidity;respiratory rate increase;breathing rate increase;respiratory rate high;breathing fast;hyperpnea
C5.21* .....hyperpnea
C5.21* .....bradypnea;breathing slow
C5.21* .....apnea;apneustic respiration
C5.21* .....Biot’s respiration
C5.21* .....Cheyne-Stokes breathing;cheyne-stokes respiration
C5.21* .....meningitic respiration;ataxic breathing;ataxic respiration;biot’s breathing;biot’s respiration;ataxic respiration
C5.21* .....inspiratory muscle retraction(supraclavicular,sternomastoid)
C5.21* .....respiratory nostril dilatation
C5.3 ===CHEST INSPECTION
C5.3* ....chest symmetry
C5.3* ....chest deformity
C5.3* ....chest shape
C5.3* ....resp movement
C5.3* ....chest wall swelling
C5.3* ....intercostal space bulging/obliteration
C5.3* ....intercostal space retraction
C5.3* ....episternal pulsation
C5.3* ....supraclavicular pulsation
C5.3* ....chest shape
C5.3* ....barrel chest
C5.3* ....kyphoscoliosis;congenital kyphoscoliosis;kyphoscoliosis spine deformity
C5.3* ....pectus excavatum;funnel chest;pectus carinatum;pectus recurvatum;trichterbrust;funnel breast;hollowed breast;cobbler’s chest)
C5.3* ....chest wall edema
C5.3* ....chest wall skin affection
C5.3* ....chest wall ulcer
C5.3* ....chest wall vein enlargement
C5.3* ....thoracic wall veins
C5.4 ===CHEST PALPATION
C5.4* ....chest tenderness
C5.4* ....chest wall mass
C5.4* ....chest respiratory expansion impairment
C5.4* ....chest tactile fremitus
C5.5 ===CHEST PERCUSSION
C5.5* ....chest dullness
C5.5* ....chest hyperresonance
C5.5* ....diaphragmatic movement;diaphragmatic excursion
C5.5* ....chest anterior-posterior diameter
C5.6 ===CHEST AUSCULTATION
C5.6* ....rale;rales
C5.6* ....expiration harsh prolonged
C5.6* ....breath sounds
C5.6* ....breath sounds weak/absent
C5.6* ....breathing bronchial
C5.6* ....breathing cavernous/amphoric
C5.6* ....breathing puerile/exaggerated
C5.6* ....respiration stentorous
C5.6* ....pleural friction fremitus
C5.6* ....pleural friction sound
C5.6* ....vesicular breath sounds;posterior chest vesicular breath sounds;posterior chest bronchovesicular breath sounds
C5.6* ....bronchovesicular breath sounds
C5.6* ....bronchial breath sounds
C5.6* ....breath sounds
C5.6* ....adventitious sound
C5.6* ....crackles (fine and coarse)
C5.6* ....wheezes/rhonchi (continuous sounds)
C5.6* ....chest transmitted voice sounds
C5.6* ....pleural friction rub;pleural rub
C5.6* ....bronchophony
C5.6* ....egophony
C5.6* ....whispered pectoriloquy
C51 ---BREAST/AXILLAE
C511 ____BREAST
C511.1 =====BREAST SENSATION
C511.1* ......breast pain;mastodynia;mastalgia;breast ache;breast soreness
C511.1* ......breast discomfort
C511.3 =====BREAST INSPECTION
C511.3* ......breast swelling
C511.3* ......breast lump
C511.3* ......gynecomastia;breast enlargement in men;male breast enlargement;male breast hypertrophy;gynecomazia
C511.3* ......breast size/symmetry
C511.3* ......breast contour
C511.3* ......breast flattening
C511.3* ......breast dimpling
C511.3* ......breast skin appearance
C511.3* ......breast edema
C511.3* ......peau d’orange;orange-peel skin;breast orange-peel skin
C511.4 =====BREAST PALPATION
C511.4* ......breast consistency
C511.4* ......breast tenderness
C511.4* ......breast mass;breast nodule;breast lump
C511.4* ......breast nodule
C511.4* ......breast cyst
C511.4* ......breast ulcer
C5111 _____NIPPLE
C5111.2 ======NIPPLE FUNCTION
C5111.2* .......breast nipple discharge
C5111.2* .......breast self-examination
C5111.2* .......galactorrhea;nipple discharge;lactation inappropriate;milk secretion persistent;polygalactia
C5111.3 ======NIPPLE INSPECTION
C5111.3* .......nipple retraction;nipple turning inward
C512 ____AXILLAE
C512.3 =====AXILLAE INSPECTION
C512.3* ......axilla swelling
C512.3* ......axilla rash
C512.3* ......axilla infection,
C512.3* ......axilla pigmentation.
C512.4 =====AXILLAE PALPATION(+Pectoral/Lateral/Subscapular)
C512.4* ......axilla lymphadenopathy
C52 ---CARDIOVASCULAR SYSTEM
C52* ....heart trouble
C52* ....high blood pressure
C52* ....rheumatic fever
C52* ....chest pain
C52* ....precordial pain
C52* ....palpitation;heart throbbing
C52* ....dizziness;light-headedness
C52* ....anginal chest pain
C52* ....cardiac arrhythmia
C52* ....blood pressure differing on the two sides
C52* ....dyspnea
C52* ....orthopnea
C52* ....paroxysmal nocturnal dyspnea
C52* ....edema
C52* ....past ecg/other heart tests
C52* ....brachial pulse
C521 ____ARTERIAL PULSE
C5211 _____RADIAL ARTERY
C5211.4 ======RADIAL ARTERY PALPATION
C5211.4* ........pulse collapsing
C5211.4* ........pulse irregular
C5211.4* ........pulse rate halving
C5211.4* ........pulse strong
C5211.4* ........pulses inequality
C5211.4* ........heart rate;pulse rate
C5211.4* ........tachycardia;heart rate fast
C5211.4* ........bradycardia;pulse rate decreased;pulse slow;heart beat slow;heart rate low;pulse rate low;heart rate slow
C5211.4* ........heart rhythm;pulse rhythm
C5211.4* ........arrhythmia;feeling the heart beat or skip a beat
C5211.4* ........premature contractions,
C5211.4* ........atrial fibrillation
C5211.4* ........pulse pressure narrowed
C5211.4* ........pulse pressure widened
C5211.4* ........pulses unequal
C5211.4* ........pulsus alternans
C5211.4* ........pulsus bisferiens
C5211.4* ........pulsus paradoxus
C5212 _____CAROTID ARTERY
C5212.4 ======CAROTID ARTERY PALPATION
C5212.4 .......carotid pulse
C5212.4* .......carotid artery thrill
C5212.6 ======CAROTID ARTERY AUSCULTATION
C5212.6* .......carotid artery throbbing
C5212.6* .......carotid bruit;carotid artery bruit
C5212.6* .......carotid murmur
C5212.6* .......pulsus alternans
C5212.6* .......rapid upstroke/fall
C5212.6* .......carotid artery bruit/thrill/transmitted murmur
C522 ____BLOOD PRESSURE
C522* .....hypertension;blood pressure high;hyperpiesis;htn
C522* .....hypotension;blood pressure low
C522* .....orthostatic;hypotension;postural hypotension
C523 ____JUGULAR VEIN
C523* .....jugular vein diastolic collapse
C523* .....jugular vein engorgement
C523* .....jugular vein pulsation
C523* .....jugular vein distention
C523* .....jugular venous pressure;jvp
C523* .....a waves absent
C524 ____HEART
C524* .....precordial friction fremitus
C524* .....precordial friction sound
C524* .....precordial pulsation abnormal
C524* .....precordial thrill
C524.3/4 =====HEART INSPECTION/PALPATION(Anterior Chest)
C524.3/4* ......right ventricular enlargement
C524.3/4* ......precordial bulging
C524.3/4* ......left ventricular enlargement
C524.3/4* ......heart heave
C524.3/4* ......heart impulse displaced
C524.3/4* ......heart location
C524.3/4 ......Cardiomegaly;Heart enlargement
C524.3/4* ......anterior chest pulsations.
C524.3/4* ......PMI;point of maximum impulse;apical impulse
C524.3/4* ......right ventricular impulse in left parasternal/epigastric areas.
C524.3/4* ......thrills in left/right second interspaces close to sternum
C524.5 =====HEART PERCUSSION
C524.5* ......cardiac dullness area decreased
C524.5* ......cardiac dullness area increased
C524.6& =====HEART AUSCULTATION(&stethoscope)
C524.6&* ........heart sound;heart sounds
C524.6&* ........heart flutters
C524.6&* ........heart thrill;thrill
C524.6&* ........S1
C524.6&* ........S2 (splitting in left 2nd and 3rd interspaces?)
C524.6&* ........extra sounds in systole(systolic clicks)
C524.6&* ........extra sounds in diastole(s3, s4)
C524.6&* ........S3;atrial gallop;heart S3;S3 gallop;gallop
C524.6&* ........S4;heart S4
C524.6&* ........venticular gallop
C524.6&* ........heart murmur;murmur;cardiac murmur;murmur heart;murmurs
C524.6&* ........systolic murmurs (holosystolic/midsystolic/pansystolic/late systolic)
C524.6&* ........diastolic murmurs (early/mid/late)
C524.6&* ........tricuspid murmur
C524.6&* ........mitral murmur
C524.6&* ........pulmonic murmur
C524.6&* ........pericardial friction rub;pericardial rub
C524.6&* ........venous hum
C524.6&* ........pulmonic second sound
C524.6&* ........apical beat diffuse
C524.6&* ........apical beat displaced
C524.6&* ........apical beat feeble/absent
C524.6&* ........apical beat forcible
C524.6&* ........apical first sound accentuation
C524.6&* ........apical first sound enfeeblement
C524.6&* ........cardiorespiratory murmur
C524.6&* ........cardiac sound intensity decreased
C524.6&* ........cardiac sound intensity increased
C524.&6* ........cardiac sound reduplication
C6 --ABDOMEN FINDINGS
C6.1 ===ABDOMEN SENSATION
C6.1* ....abdominal pain
C6.1* ....abdominal cramps
C6.1* ....epigastric pain
C6.1* ....left hypochondric pain
C6.1* ....hypogastric/pelvic pain
C6.1* ....girdle sensation
C6.3 ===ABDOMEN INSPECTION
C6.3* .....right hypochondric swelling
C6.3* .....peristalsis visible
C6.3* .....peristaltic wave visible
C6.3* .....left hypochondric swelling
C6.3* .....hypogastric swelling
C6.3* .....epigastric swelling
C6.3* .....abdominal distension
C6.3* .....abdominal reflexes absent
C6.3* .....abdominal retraction
C6.3* .....abdominal retraction on inspiration
C6.3* .....abdominal skin affection
C6.3* .....abdominal wall swelling
C6.3* .....abdominal wall vein enlargement
C6.3* .....abdomen scars/striae/veins
C6.3* .....abdomen rash
C6.3* .....abdomen peristaltic waves;abdomen pulsation
C6.3* .....abdomen pulsations
C6.3* .....abdominal distention;abdominal swelling;bloating;ascites
C6.4 ===ABDOMEN PALPATION
C6.4* ....abdominal tenderness
C6.4* ....epigastric tenderness
C6.4* ....hypogastric tenderness
C6.4* ....left hypochondric tenderness
C6.4* ....right hypochondric tenderness
C6.4* ....abdomen guarding/tenderness
C6.4* ....rebound tenderness;abdominal rebound pain
C6.4* ....abdominal rigidity
C6.4* ....shifting dullness(ascites))
C6.4* ....fluid wave(ascites)
C6.4* ....abdominal hernia
C6.4* ....abdominal mass
C6.4* ....Murphy’s sign(acute cholecycstitis)
C6.4* ....McBurney’s sign
C6.5 ===ABDOMEN PERCUSSION
C6.5* ....percussion dullness/flatness
C6.5* ....percussion hyperresonance/tympany
C6.6 ===ABDOMEN AUSCULTATION
C6.6* ....bowel sounds;borborygmi;peristaltic sounds
C6.6* ....succussion;succussion sounds
C6.6* ....bowel sounds absen