Clinical Evaluation of Common Symptoms

Clinical Evaluation of Common Symptoms – Instructions

This Clinical Evaluation of Common Symptoms is a structured medical screening tool designed to assess frequently reported symptoms such as pain, fever, fatigue, dizziness, gastrointestinal discomfort, respiratory complaints, and general functional changes.

It serves as an initial clinical triage instrument, helping to identify whether symptoms suggest minor, evolving, or potentially serious medical conditions.

How to Complete This Evaluation

  • Answer each question based on symptoms experienced within the last 7–30 days.
  • Select the option that best reflects severity, duration, and impact.
  • If unsure, choose the option that most closely matches your experience.

Clinical Use of the Results

  • Results assist clinicians in prioritizing further assessment.
  • Moderate or high scores may prompt targeted investigations or referrals.
  • The complete result can be forwarded to another healthcare professional for second opinion or specialist review.
Important Notice: This assessment is a supportive clinical tool and does not replace a physical examination, laboratory testing, or imaging where indicated. Any rapidly worsening or severe symptom requires immediate medical attention.
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1. Do you have fever?
2. Do you have chest pain?
3. Do you have persistent cough?
4. Do you feel shortness of breath?
5. Do you have headaches?
6. Do you feel nausea?
7. Do you vomit?
8. Do you have abdominal pain?
9. Do you have diarrhea?
10. Do you have constipation?
11. Do you have body pains?
12. Do you feel weak?
13. Do you have dizziness?
14. Do you have sore throat?
15. Do you have nasal congestion?
16. Do you have joint pain?
17. Do symptoms persist up to 7 days?
18. Do symptoms worsen daily?
19. Do symptoms limit daily activity?
20. Do symptoms require urgent care?

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