alert and oriented (Constitutional) - Answer-measuring of mental function, measured
in orientation to person, place, time, and situation. If a person is oriented to all 4, it is
recorded as A&Ox4
Atraumatic (Constitutional) - Answer-No evidence of injury to the body
Diaphoresis (Constitutional) - Answer-excessive sweating
Febrile (Constitutional) - Answer-Having a fever
malaise (Constitutional) - Answer-Generalized discomfort or weakness
Normocephalic (Constitutional) - Answer-Normal shaped head
Polydipsia (Constitutional) - Answer-excessive thirst
Polyuria (Constitutional) - Answer-excessive urination
Conjunctiva (Eyes) - Answer-Membrane lining of the eyelids and covering of the
eyeball. The "white part."
Conjunctival Injection (Eyes) - Answer-Redness of the conjunctiva.
Diplopia (Eyes) - Answer-Double vision.
Nystagmus (eyes) - Answer-Involuntary rapid movements of the eyes.
Cerumen (Ears, Nose, Throat) - Answer-Ear wax.
Dentalgia (Ears, Nose, Throat) - Answer-Dental pain.
Dentition (Ears, Nose, Throat) - Answer-Indicating the condition of teeth (I.e., intact)
Dysphagia (Ears, Nose, Throat) - Answer-Painful/difficulty swallowing.
Epistaxis (Ears, Nose, Throat) - Answer-Bleeding of the nose.
Hemotympanum (Ears, Nose, Throat) - Answer-Blood in the middle ear.
Rhinorrhea (Ears, Nose, Throat) - Answer-Runny nose.
Septal Deviation (Ears, Nose, Throat) - Answer-Displacement of the nasal septum.
Tinnitus (Ears, Nose, Throat) - Answer-Ringing of the ears.
Trismus (Ears, Nose, Throat) - Answer-Inability to open the jaw.
, Accessory muscle use (Respiratory) - Answer-visible usage of muscles not normally
used to breathe.
Bradypnea (Respiratory) - Answer-unusually slow breathing.
Cyanosis (Respiratory) - Answer-When the skin turns purple or dark blue (typically
due to hypoxia).
Dyspnea (Respiratory) - Answer-Shortness of breath.
Expiration (Respiratory) - Answer-Breathing out.
Hemoptysis (Respiratory) - Answer-Coughing up blood.
Inspiration (Respiratory) - Answer-Breathing in.
Intubated (Respiratory) - Answer-introduction of a tube into a hallow organ, such as
the trachea.
orthopnea (Respiratory) - Answer-difficulty breathing when lying down.
Rale (Respiratory) - Answer-Abnormal sound heard in lungs.
Respiratory Distress (Respiratory) - Answer-Difficulty breathing.
Retraction (Respiratory) - Answer-Visible pulling inward of the muscles between the
ribs when inhaling.
Rhonchi (Respiratory) - Answer-Whistling sound heard when there is a partial
obstruction of the airways.
Speech dyspnea (Respiratory) - Answer-Shortness of breath when speaking.
Stridor (Respiratory) - Answer-Sound heard when there is an obstruction of the
airways.
Tachypnea (Respiratory) - Answer-Unusually fast breathing.
Wheeze (Respiratory) - Answer-Difficulty breathing makes a whistling sound that is a
result from the narrowing of the lumen in respiratory passages.
Aneurysm (Cardiovascular) - Answer-Widening of a blood vessel that results in a
blood sac.
Angina (Cardiovascular) - Answer-Severe, constricting chest pain due to heart
tissues not receiving enough blood.
Arrhythmia (Cardiovascular) - Answer-Abnormal, irregular heartbeat.