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. 2013 Feb 1;2:5. doi: 10.1186/2046-7648-2-5

Table 3.

General symptom scoring

Symptom Score
General
Breathlessness, cough, wheeze, forgetfulness, loss of concentration, rash, itch or impaired hearing
0–1 for presence or absence of each symptom
Cardiovascular
Ankle swelling, palpitations, orthostatic dyspnoea, nocturnal dyspnoea, chest pain on exertion, claudication
0–1 for presence or absence of any symptom
Respiratory
Sputum production, pleuritic chest pain, haemoptysis
0–1 for presence or absence of any symptom
Alimentary
Dysphagia, indigestion, heartburn, abdominal pain, weight loss, change in bowel habit
0–1 for presence or absence of any symptom
Urogenital
Dysuria, frequency, prostatic symptoms, impairment of sexual function
0–1 for presence or absence of any symptom
Central nervous system
Headaches, fits, faints, tingling, numbness, muscle weakness, excessive thirst, abnormal sleep patterns
0–1 for presence or absence of any symptom
Endocrine
Heat intolerance, cold intolerance, change in sweating, prominence of the eyes, swelling in the neck
0–1 for presence or absence of any symptom
Visual
Eye pain, disturbance of vision
0–1 for presence or absence of any symptom
Hearing Difficulty hearing, requiring radio or television sound turned up, difficulty detecting direction of sound, dizziness or vertigo, noises in the ears, pain in the ears 0–1 for presence or absence of each symptom

Maximum score = 21.