Glossary

Health Questions

Terms include, but are not limited to, the following conditions.

1. blood or lymph disorder: anemia, lymphdenopathy, Chronic Fatigue Syndrome

2. congenital disorder, birth defects, developmental disorders: autism, birthmarks, cleft palate/lip, club foot, congenital heart defect, webbed fingers/toes, developmental delay, mental retardation, Down's syndrome, heart/lung/kidney malformation, skull /facial or other physical deformities, Cerebral Palsy.

3. respiratory system: allergies, apnea, asthma, cystic fibrosis, bronchitis, chronic cough, collapsed lung, difficulty breathing emphysema, COPD, tuberculosis, fungal infections,, pneumonia, shortness of breath, sinusitis, spitting/coughing up blood.

4. circulatory system: bleeding/clotting disorders, aneurysm, hemophilia, mitral valve prolapse, thrombocytopenia, varicose/spider veins, phlebitis, thrombosis, enlarged lymph nodes or lymphadenitis, chest pain, angina, high/low blood pressure, hypertension, high cholesterol/lipids, heart murmur, palpitations/irregular heartbeat, congestive heart failure, coronary artery disease, heart attack, heart disease, bypass surgery/angioplasty, Raynauds Disease, Raynauds Phenomenom, valve replacement, varicose veins, pacemaker or defibrillator, rheumatic fever.

5. digestive system: cirrhosis, jaundice, hepatitis, diverticulosis, diverticulitis, infections of mouth/throat/tonsils, problems with jaw or chewing, ulcers, hernia, gastric reflux, gastritis, colitis, Crohn's Disease, Irritable Bowel Syndrome (IBS), chronic diarrhea, intestinal problems, colon polyps, rectal bleeding or hemorrhoids, diseases of the pancreas, liver, spleen, stomach, rectum, bowel, esophogus, or gall bladder, hepatitis A/B/C/other, jaundice, Cirrhosis, unexplained weight loss or gain, eating disorder, Gastric Bypass/ Banding.

6. nervous system: convulsions, loss of consciousness, fainting, dizziness, numbness/tingling, weakness, paralysis, confusion, memory loss, Alzheimer's, dementia, head injury, stroke, migraine headaches or chronic severe headaches, narcolepsy, sleep apnea, tremors, multiple sclerosis, seizures/epilepsy, Muscular Dystrophy, Reflex Sympathetic Dystrophy (RSD), Parkinsons's, paralysis.

7. mental or nervous disorder: anxiety, A.D.D/ADHD, depression, eating disorder, learning behavior disorder, psychiatric treatment or counseling, psychosis.

8. urinary system: bladder infections, kidney infections, stones, blood in urine, stress incontinence, urinary frequency, painful/ difficult urination, cystitis, bed wetting, urinary tract infection.

9. endocrine system: diabetes, adrenal/pituitary disorders, glandular disorder, goiter, high or low blood sugar, lupus verrucosus, lupus vulgaris, scleroderma, Epstein-Barr, mononucleosis, thyroid disorders, AIDS/ARC (not including the result for the HIV test), or other immune disorder.

10. musculoskeletal system: disorders or injuries of bones, joints, muscles, ligaments, tendons or discs such as strain/sprain, fracture, arthritis, fibromyalgia, gout, herniated disc, joint replacement, internal/external fixations, permanent hardware, amputation/prosthesis, TMJ/jaw problems, lupus erythematosis, rheumatism, back, spine, muscles, knees, subluxation, loss of limb.

11. cancer, tumors, cysts, growths, or breast disorders: cysts, tumors or abnormal growths, Hodgkin's disease, leukemia or any other cancer or malignancy.

12. skin disorders: acne, birthmarks, dermatitis, eczema, fungal infections, psoriasis, keratosis, warts, moles, pre-cancerous lesions, skin cancer or melanoma, 2nd or 3rd degree burns, herpes, scars/keloid, or revisions of cosmetic or reconstructive surgery, excessive sweating.

13. eyes, ears, nose, or throat: Eyes/sight: glaucoma, cataracts, crossed eyes, detached retina, corneal transplant, infections; Ears/Hearing: loss of hearing, deafness, infections, eustachian tube dysfunction, otis media, ear tubes; Nose/breathing: deviated septum, polyps, adenoiditis, sinusitis; Throat/Swallowing: tonsillitis, strep throat, excessive snoring or sleep apnea. speech impairment.

14. reproductive system: Female: pelvic pain, abnormal, menstrual bleeding, absence of menstruation, abnormal PAP smear, endometriosis, ovarian cysts, uterine fibroids, fertility/infertility, miscarriage, breast cysts/lumps/fibroids, breast implants, genital warts/herpes or sexually transmitted diseases.

Male: fertility/Infertility, low sperm count, sexual dysfunction, erectile dysfunction, enlarged prostate, prostatitis, undescended testes, genital or anal herpes/warts or sexually transmitted diseases.

15. complications of pregnancy: caesarean section, miscarriage.

16. any other reason: any consultation, examination, test, or treatment not stated elsewhere on this application for any physician, chiropractor, therapist or other medical practitioner.