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 |