Physical Exam Findings/Sign Type

General Details:

Name:
Physical Exam Findings/Sign Type
Steward:
Project 5 (COVID-19)
Definition:
The findings observed during a physical exam.
Registration Status:
Qualified

Permissible Values:

Data Type:
Value List
Unit of Measure:
Ids:
Value Code Name Code Code System Code Description
Expectoration (sputum production/increase of new phlegm) To clear material from the throat or lungs by coughing it up and spitting it out. C85859
Dyspnea (shortness of breath) An uncomfortable sensation of difficulty breathing. It may present as an acute or chronic sign of an underlying respiratory or heart disorder. C2998
Wheezing A symptom and a finding during physical examination, characterized by a high-pitched, whistling sound during breathing. It results from the narrowing or obstruction of the respiratory airways. The most common causes of wheezing are asthma, chronic obstructive pulmonary disease, tracheobronchitis, and pulmonary edema. C78718
Cyanosis (bluish lips/face) A bluish or purplish discoloration of the skin and mucous membranes resulting from a reduced concentration of oxygenated hemoglobin in the blood. C26737
Chest pain Pain in the chest. C38665
Sore throat Any kind of inflammatory process of the tonsils, pharynx, or/and larynx characterized by pain in swallowing. C50747
Dysphonia (hoarse voice) A speech disorder resulting in impaired utterance of sounds by the vocal folds. C86950
Cognitive issues (Hypoxia - Impaired judgment, memory loss, impaired motor coordination) A decrease in the amount of oxygen in the body. Symptoms range from mild (impaired judgment, memory loss, impaired motor coordination) to severe (seizures and coma).:A difficulty, disorder, or condition needing resolution.:Of or being or relating to or involving cognition. C3890:C28020:C37926
Rhinorrhea (nasal congestion or runny nose) A discharge of fluid from the nose. C54282
COVID-19-associated anosmia (smell) Anosmia caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). C171558
Conjunctivitis Inflammation of the conjunctiva of the eye. C34504
Ear pain Painful sensation in the ear region. C37944
Diarrhea (?3 loose stools/24 hr. period) Watery bowel movements. C2987
Nausea and vomiting Expelling the contents of the stomach and the sensations associated with it. They are symptoms of an underlying disease or condition and not a specific illness. C3259
Anorexia (decrease in appetite) Loss of appetite. C2875
COVID-19-associated ageusia (loss of taste) Ageusia caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). C173629
Abdominal pain Painful sensation in the abdominal region. C26682
Malaise A feeling of general discomfort or uneasiness, an out-of-sorts feeling. C3832
Insomnia (difficulty sleeping) A sleep disorder characterized by difficulty in falling asleep and/or remaining asleep. C28286
Irritability Excited response to stimuli. C50623
Fatigue Overall tiredness and lack of energy. C3036
Feeling of heaviness in arms or legs The portion of the upper extremity between the shoulder and the elbow. For clinical purposes this term is also used to refer to the whole superior limb.:An article used to connect words, phrases, or clauses representing alternatives; used to connect alternative terms for the same thing; used in correlation; used to correct or rephrase what was previously said; otherwise.:The portion of the lower extremity between the knee and the ankle. For clinical purposes this term is also used to refer to the whole inferior limb.:A question about whether an individual has or had heaviness. C32141:C37998:C32974:C105776
Myalgia (muscle pain) Painful sensation originating from a muscle or group of muscles. C27009
Joint pain A question about whether an individual has or had painful joints. C118280
Swelling of hands or feet The distal portion of the upper extremity. It consists of the carpus, metacarpus, and digits.:An article used to connect words, phrases, or clauses representing alternatives; used to connect alternative terms for the same thing; used in correlation; used to correct or rephrase what was previously said; otherwise.:The structure found below the ankle joint required for locomotion.:Enlargement; expansion in size; sign of inflammation. C32712:C37998:C32622:C3399
Lymphadenopathy (swollen glands) An enlarged lymph node. Causes include viral and bacterial infections and cancers that affect the lymph nodes. C50764
Xerosis (dry skin) The pores are generally fine with a papery thin texture that feels dry to the touch. Usually flaky and dull looking. C74592
Paresthesia (numbness or tingling somewhere in the body) Abnormal cutaneous sensations of tingling, numbness, pressure, cold, and warmth that an individual experiences without the presence of a stimulus. It results from functional disturbances of sensory neurons. Causes include peripheral vascular disease, peripheral neuropathy, and nerve damage. C28177
Alopecia (hair loss) Hair loss usually from the scalp. It may result in bald spots or spread to the entire scalp or the entire epidermis. It may be androgenetic or caused by chemotherapeutic agents, compulsive hair pulling, autoimmune disorders or congenital conditions. C50575
Skin rashes Any change in the skin which affects its appearance or texture. A rash may be localized to one part of the body, or affect all the skin. Rashes may cause the skin to change color, itch, become warm, bumpy, dry, cracked or blistered, swell and may be painful. C39594
Toe rashes (red/purple sores or blisters on the feet, including the toes) A self-limited dermatologic manifestation seen on the toes of some patients with COVID-19 that resembles chilblains (perniosis). The lesions may be pink, red, blue or purple and have a similar appearance to frostbite. It appears to resolve once the infection has been cleared. C172128
Hemorrhage (bleeding) The flow of blood from a ruptured blood vessel. C26791
Other, Specify A directive to specify when the listed responses are not sufficient. C157101
Asymptomatic Without clinical signs or indications that raise the possibility of a particular disorder or dysfunction. C3833
Hyperpyrexia (fever > 100.4°F) Body temperature of 106 degrees Fahrenheit (41.1 degrees Celsius) or higher. C111817
Subjective fever A symptom report of fever without an objective temperature measurement. C173825
Chills Shivering or moderate tremors of the body often accompanied by a cold sensation. C35143
Rigors Severe chills accompanied by vigorous shaking. C111658
Dizziness A sensation of lightheadedness, unsteadiness, turning, spinning or rocking. C37943
Cephalgia (Headache) Pain in various parts of the head, not confined to the area of distribution of any nerve. C34661
Cough A sudden, often repetitive, spasmodic contraction of the thoracic cavity, resulting in violent release of air from the lungs, and usually accompanied by a distinctive sound. C37935
Crackles and rales Abnormal breath sounds (crackles) heard on auscultation, indicating inflammation, fluid, or infection of the lung. C119216
Intercostal retractions (lower chest wall indrawing) The marked inward movement of the muscles between the ribs during inhalation, indicating that there is reduced pressure in the thoracic cavity, and which can be a sign of breathing difficulties. C87087
Neck pains Painful sensation in the neck area. C50663
Cervical lymphadenopathy (at least 1.5 cm in diameter) Enlargement of the cervical lymph nodes usually due to infections or involvement by malignant neoplasms. C40989
Oral mucosal change Of, or relating to, or affecting, or for use in the mouth.:Mucous membrane.:The act of alteration or modification; changed or altered in form or character. C25311:C13166:C25446
Swollen, red, or cracked lips An inflammatory process affecting the lip. C79545
Strawberry tongue A pathological finding in which inflammation, hyperemia and enlarged papillae of the dorsum of the tongue resemble a strawberry. It may be seen in variety of bacterial and viral disorders, and in non-infectious disorders such as Kawasaki disease. C168443
Erythema of the oral/pharyngeal mucosa Erythema of the mucus membranes lining the part of the pharynx located between the soft palate and the upper portion of the epiglottis. C180690
Changes in hands and feet (Peripheral extremity changes) other than swelling Distinct from those already mentioned, listed, or considered.:Enlargement; expansion in size; sign of inflammation:On or near an edge or constituting an outer boundary; the outer area.:A body region referring to an upper or lower extremity.:The act of alteration or modification; changed or altered in form or character. C151896:C3399:C25233:C12429:C25446
Allodynia (pain out of proportion to the stimulus) Pain caused by a stimulus that would not normally provoke pain. C180616
Anxiety Apprehension of danger and dread accompanied by restlessness, tension, tachycardia, and dyspnea unattached to a clearly identifiable stimulus. C26696
Cannot move and/or feel one side of of body or face Paralysis of one side of the body.:An article used to connect words, phrases, or clauses representing alternatives; used to connect alternative terms for the same thing; used in correlation; used to correct or rephrase what was previously said; otherwise.:Affecting one side of the body or one of a pair of organs.:A loss of the sensation of feeling in an area of the body. C64329:C37998:C28012:C34857
Depressed mood An emotional state characterized by feelings of sadness, emptiness, and/or tearfulness. C117199
Hallucinations (seeing or hearing things others don’t see or hear) [should not be completed for children <15yrs] A false sensory perception in the absence of an external stimulus, as distinct from an illusion which is a misperception of an external stimulus. C37961
Muscle weakness A reduction in the strength of one or more muscles. C50658
Palpitations An unpleasant sensation of irregular and/or forceful beating of the heart. C37999
Weight loss A reduction in total body weight. C3445
Failure of expected weight gain A history of less than normal weight gain. C168252
Failure of expected linear growth Less than normal linear growth in an infant or child. C113100
Night Sweats Perspiration experienced nocturnally that is unrelated to environmental temperature. C3279
Problems with balance A deficit in equilibrium, which may manifest as unsteady ambulation or inability to maintain an upright position. C122435
Problems with gait/falls A finding referring to walking difficulties.:An article used to connect words, phrases, or clauses representing alternatives; used to connect alternative terms for the same thing; used in correlation; used to correct or rephrase what was previously said; otherwise.:A sudden movement downward, usually resulting in injury. C78303:C37998:C50558
Altered level of consciousness/confusion A level of awareness and arousal other than normal.:An article used to connect words, phrases, or clauses representing alternatives; used to connect alternative terms for the same thing; used in correlation; used to correct or rephrase what was previously said; otherwise.:A mental state characterized by a lack of clear and orderly thought and behavior. C121627:C37998:C37928
Trouble in concentrating A question about whether an individual has or had trouble concentrating. C99794
Forgetfulness A question about whether an individual is forgetful. C173922
Persistent cough Retained; never-ceasing.:A sudden, often repetitive, spasmodic contraction of the thoracic cavity, resulting in violent release of air from the lungs, and usually accompanied by a distinctive sound. C43623:C37935
Balckouts A temporary loss of consciousness or a temporary state of altered consciousness that results in memory loss. C180702
Orthostasis (dizziness/lightheadedness/blackouts on sitting up or standing) A condition characterized by development of symptoms while standing. It is an autonomic nervous system disorder and the symptoms are relieved once the person sits back down. Symptoms include heart palpitations, sweating, anxiety, lightheadedness, hyperpnea, anxiety, and blurred vision. C84973

Designations:

Designation:
Physical Exam Findings/Sign Type
Tags:
Designation:
What were the physical exam findings?
Tags:
Preferred Question Text

Designations:

Definition:
The findings observed during a physical exam.
Tags:

Properties:

Key:
Tags/Keywords
Value:
COVID Specific, Diagnosis, Physical Examination
Key:
Project 5 (COVID-19) Source
Value:
Project 5 WG2, Pediatrics COVID CDEs

Identifiers:

Source:
NLM
Id:
8ZLLdL7OY7
Version: