Minor Ailment definitions From the list in Appendix 2 of the Regulations
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1 Minor Ailment definitions From the list in Appendix 2 of the Regulations Contents Allergic Rhinitis... 2 Calluses and Corns... 2 Contact Allergic Dermatitis... 2 Dandruff... 2 Dysmenorrhea... 2 Dyspepsia... 2 Emergency Contraception... 2 Fungal Infections of the Skin... 2 Gastro-esophageal Reflux Disease... 2 Hemorrhoids... 3 Herpes Simplex... 3 Impetigo... 3 Mild Acne... 3 Mild Headache... 3 Mild to Moderate Eczema... 3 Mild Urticaria... 3 Minor Joint Pain... 3 Minor Muscle Pain... 3 Minor Sleep Disorders... 4 Nausea... 4 Nicotine dependence... 4 Non-infectious Diarrhea... 4 Oral Fungal Infection... 4 Oral Ulcers... 4 Threadworms and Pinworms... 4 Upper respiratory tract conditions... 4 Urinary Tract Infection (uncomplicated)... 4 Vaginal Candidiasis... 4
2 Warts... 4 Xerophthalmia... 5 Allergic Rhinitis More commonly referred to as hay fever, is an inflammation of the nasal passages caused by allergic reaction to airborne substances. Treatment may include antihistamines (systemic, ophthalmic, intranasal), decongestants(systemic, topical), intranasal corticosteroids, mast cell stabilizers, intranasal anticholinergics. Calluses and Corns Callus - Thickened skin due to chronic rubbing or irritation. Localized hyperplasia of the stratum corneum of the epidermis due to pressure or friction. Corn - a horny induration and thickening of the stratum corneum of the epidermis, caused by friction and pressure and forming a conical mass pointing down into the dermis, producing pain and irritation Contact Allergic Dermatitis Irritant contact dermatitis (A) produces red, dry itchy patches usually on the hands, fingers and face. Common irritants include soap, detergents and skin-cleaning products. Allergic contact dermatitis (B) produces a red rash, bumps and sometimes blisters. Dandruff An excessive amount of scaly material composed of dead, keratinized epithelium shed from the scalp that may be a mild form of seborrheic dermatitis or psoriasis. Dysmenorrhea Cyclical, lower abdominal or pelvic pain, which may also radiate to the back and thighs, occurring before and/or during menstruation, and can be primary or secondary. Dyspepsia A chronic or recurrent epigastric (upper abdomen) pain, postprandial fullness or early satiety of at least 3 months' duration. Other symptoms may also include bloating or nausea. Emergency Contraception Fungal Infections of the Skin Gastro-esophageal Reflux Disease Troublesome or frequent acid regurgitation or heartburn (a burning feeling in the stomach or lower chest rising up to the neck). GERD is also associated with epigastric pain, nausea, dysphagia (difficulty swallowing) and
3 odynophagia (pain with swallowing). Extra-esophageal or atypical manifestations of GERD are also possible and include cough, sore throat, chest pain, hoarseness, shortness of breath and wheezing. Hemorrhoids Enlarged veins in the anus or lower rectum. They often go unnoticed and usually clear up after a few days, but can cause long-lasting discomfort, bleeding and be excruciatingly painful. Hemorrhoids (also called piles) can be divided into two kinds, internal and external. Internal hemorrhoids lie inside the anus or lower rectum, beneath the anal or rectal lining. External hemorrhoids lie outside the anal opening. Both kinds can be present at the same time. Herpes Simplex A disease caused by a herpes simplex virus, characterized chiefly by a cluster of small, transient blisters (cold sore) at the edge of the lip or nostril. Impetigo A superficial bacterial infection of the skin, generally caused by Staphylococcus aureus although Streptococci have also been implicated. It is a common infection in infants and young children, often presenting around the nose and mouth. Mild Acne An inflammatory disease of the sebaceous glands and hair follicles of the skin that is marked by the eruption of pimples or pustules, especially on the face. Mild Headache Tension headache is the most common type of headache. It is bilateral and described as a dull ache with a pressing or tightening sensation across the forehead. Migraine is a pulsating and throbbing headache. It may be present with or without aura (visual disturbances, sensory, motor or language alterations). It is typically unilateral, affecting one side of the head, although it can be bilateral. Migraine can be accompanied by any or all of nausea, vomiting, photophobia (sensitivity to light) or phonophobia (sensitivity to sound). Pre-disposing factors include depression, anxiety, head/neck trauma and hormonal changes, such as menstruation or ovulation. Mild to Moderate Eczema A noncontagious inflammation of the skin, characterized chiefly by redness, itching, and the outbreak of lesions that may discharge serous matter and become encrusted and scaly, often accompanied by intense itching or burning. Mild Urticaria (including bites and stings) A skin condition characterized by the formation of itchy red or whitish raised patches, usually caused by an allergy. Also known as hives. Minor Joint Pain (arthralgia) Pain in a joint or joints Minor Muscle Pain (myalgia) Pain or tenderness in a muscle or a group of muscles, usually diffuse and non-specific.
4 Minor Sleep Disorders A disturbance of the normal sleep pattern. Nausea A feeling of sickness in the stomach characterized by an urge to vomit. Nicotine dependence Involves a variety of physical, psychological and behavioural factors. Nicotine acts as a stimulant, increasing alertness and sense of well-being as well as heart rate and blood pressure. Due to rapid delivery to the mesolimbic pleasure-reward system in the brain, nicotine is highly addictive. With continued use, chemical and biologic changes occur in the brain and tolerance develops very quickly. Nicotine addiction is characterized by cravings for continued smoking, a tendency to increase usage and profound physical and psychological symptoms elicited by withdrawal. Non-infectious Diarrhea Excessive and frequent evacuation of watery feces, usually indicating gastrointestinal distress or disorder. Oral Fungal Infection (thrush) A contagious disease caused by a fungus, Candida albicans, that occurs most often in infants and children, characterized by small whitish eruptions on the mouth, throat, and tongue, and usually accompanied by fever, colic, and diarrhea. Oral Ulcers (aphthous ulcer) A blister on the mucous membranes of the lips or mouth Threadworms and Pinworms Threadworms - small threadlike worm infesting human intestines and rectum especially in children. Pinworms - a parasitic nematode worm, Enterobius vermicularis, infecting the colon, rectum, and anus of humans Upper respiratory tract conditions (cough, nasal congestion and discharge, sore throat, fever, headache, malaise) Urinary Tract Infection (uncomplicated) The presence of micro-organisms (for example, bacteria) in the urinary tract, which includes the urethral opening up to and including, the kidneys. It has an acute onset with rapid progression of symptoms which may include some or all of the following - Dysuria (painful, burning sensation while urinating), Urgency (sensation of need to urinate often), increased frequency of passing urine, often with urgency, Sensation of incomplete bladder emptying, Hematuria (blood in the urine), Lower abdominal pain or cramping, Malodorous or cloudy urine, Fever, chills, Nausea and vomiting. Vaginal Candidiasis Infection with a fungus of the genus Candida, especially C. albicans, that usually occurs in the skin and mucous membranes of the mouth, respiratory tract, or vagina but may invade the bloodstream, especially in immunocompromised individuals. Warts (excluding facial and genital) A hard rough lump growing on the skin, caused by infection with certain viruses and occurring typically on the hands or feet.
5 Xerophthalmia (dry eyes) Extreme dryness and thickening of the conjunctiva, often resulting from a deficiency of tears, and vitamin A.
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American Health Acupuncture LLC Healing the Body, Mind, & Spirit 7130 N Omar Dr Tucson AZ 85741 (520) 544-6603 Notes for new Patients: Your first session * Can you imagine not having to wait at a doctor's
person Direct contact with infected body fluid
ABSCESSES See Boils ATHLETE S FOOT Direct or indirect contact with skin No restrictions for attendance. Dry scaling and/or cracking blisters lesions of infected persons, or Prohibit barefoot walking and
Patient Health History for Fertility
Patient Health History for Fertility Name: Date: Address: City, State, Zip code Phones: Home Work: Cell: Email address: Date of Birth: Age: Occupation: Emergency contact: Ob/Gyn: Current Medications: What
BACK TO BASICS HEALTH & NUTRITION COMPREHENSIVE HEALTH HISTORY
BACK TO BASICS HEALTH & NUTRITION COMPREHENSIVE HEALTH HISTORY Thank you for choosing Back To Basics Health & Nutrition to assist you with your natural health care. The ability to draw effective conclusions
New Patient Medical History Intake Form
New Patient Medical History Intake Form Name: Todays Date: / / Date of Birth: / / Age: Gender: M / F Marital Status: S M D W Address: City: State: Zip Code Primary Ph.# (cell, hm, wk) Email Address 2nd