Fever Case taking Name of the Patient Email ( To Get the totality) Type of Fever Bilious Catarrhal feverCerebrospinal feverContinuous feverCatheterDengueDentitionDysentericEruptive feverChickenpox ( Varicella)Simple, Continued Fever ( Ferbricula)Gastric feverHectic FeverInflammatoryInfluenza (Grippe)Intermittent feverLow feverMediterranean feverMilk fever ( Lactational fever)Puerperal feverReflex from local irritationRelapsing feverRemittent feverRheumatic fever- Scarlet feverSeptic feverTraumatic feverTyphoid FeverTyphus feverUrethral feverVariola ( Smallpox)Worm feverYellow feverOnset - Select -Gradually appearsGradually appears and Suddenly DisappearsSuddenly appears Suddenly appears and Suddenly DisappearsAilments from Anger afterCold bathingCold food, intake Cold on feetCoition afterExertion after (Mental or Physical)Fright afterGetting wetHat putting onHeat of the sunIce water afterSummerStages present ChillFebrile HeatSweatTime of the Chill Morning ForenoonNoon AfternoonEveningNight MidnightReturning at the same hourAggravation for Chill Anger afterDinner afterDrinking afterEating afterThe least exposure of "air goes right through"Motion LeastMorning in Evening NightWarmthDesires warmth but does not gives reliefTouchUncoveringLocation of the Chill Only on one sideLeft-sidedRight-sidedOnly on Single PartsAbdomenArmsBack BonesChestFeetForearmsHeadHandsKneesLower Body Lumbar regionSpineStomachUpper bodyChill in one part and heat in otherAmelioration for Chill Cold WarmthCovering UncoveringComplaints of the Chill PredominantShaking, ShiveringInternal ChillsAscendingDescendingAt regular intervalsAlternating with perspirationConcomitants to Chill Absence of heatAlternating with heatCatarrhCoughHeadacheHeat in another part ( Ex- Chill in Body and heat in palms etc)Ill humorIcy coldnessJoint PainLoquacityHeadacheNauseaPallorPruritisSeptic SymptomsSuffocative SymptomsThirstThirstlessnessTwitchesUncovering ( Any Particular Part)Yawning, StretchingType of Sweat BloodyCold, ClammyDebilitatingGreasy, oilyHotProfuseScantySticky viscidYellow stainingOccurrence Acute diseases afterEating afterDrinking afterEnd of fever at or only at beginning of sleepClimactericExertion duringMorning duringSleep duringWaking duringLocalized part of Sweat Anterior part of bodyAxillaeChestCovered partsFaceForeheadFeetGenitalsHandsHead, nape of neckLower bodyPart lain onParts in contact with each otherPosterior part of bodySide not reclined uponUncovered partsUpper bodyUnilaterallyModalities Affords no relief or aggravates symptoms Affords relief, to symptoms Odor OffensiveMust, mouldySour, acidSweetishUrinousTime of the Heat Morning ForenoonNoon AfternoonEveningNight MidnightAggravation to Heat MorningAwakingAfternoonEveningNightMenses duringMotion fromSleep duringOpen-airCovering upSpecify if Any other Aggravation?Amelioration to the Heat CoveringUncoveringCold WarmthLocation of the heat CoveringUncoveringCold WarmthComplaints of the heat Burning heatBlood is hot at nightBurning heatFlashes, ebullitionsHeat in parts lain onInternal heat and external coldnessConcomitants to Heat Any association with sleepBurningCheek (Redness or Red spot)ChillsChillinessChill withoutColicColdness externallyCold hands Cold feetCoughCovering desiresDeliriumDistended veinsDrynessDry skinExcitementFaintnessFlatulenceHeadacheHot face and any other part chillyHunger for days preceding LassitudeNight sweatPalpitationPulse rapidProstrationPulsationRedness of the faceRestlessness SleeplessnessSleepinessSmothered feeling as if coveredSoreness of bodySpasmsStretching of limbsVertigoThirstyThirstlessnessFever Accompanied by Asthmatic respirationBilious complaintsBrain complaintsCoughCoryzaComaConstipationDeliriumDelusionsDyspneaHeadacheHemoptysisMigraineNoises in EarRestlessnessPneumoniaHead Pain ( During, after, from)Eye Pain ( During, after, from)Back Pain ( During, after, from)Leg Pain ( During, after, from)Bone Pain ( During, after, from)Teeth Pain ( During, after, from)All over body pain( During, after, from)SadnessStomach complaintsSkin DiscolorationSuppurationUrinary complaints WormsVertigoVision ProblemsVomitingYawningSensation of Cough Tickling or irritation in the larynxTickling or irritation in the chestTickling or irritation in the StomavhConstriction in the larynx Constriction in the tracheaDry CoughLoose CoughParoxysms or successive coughConstriction of glottisAny weakness or empty feeling in the chestRawness or soreness in the throat or chestAny involuntary spurting of UrineHistory with Cough History of heart disease History of liver affectionsHistory of suppression of menses History of suppression of PilesHistory of operations for fistulaePast history of eczema or itch suppressedConcomitants of Cough Pain in head Pain in genitalsPain in larynxPain in stomach Pain in throatEnlarged tonsilsCoryzaSneezingDiarrheaDyspneaEpistaxisHoarsenessHemoptysisVomitingWormsCardiac complaintsHoarsenessFatigueAny involuntary spurting of UrineAilments from for Cough AngerSleep loss Hot AirCold AirBathingAfter Diarrhea After CatarrhDampnessOdor or presence of strangersMental exertionPhysical exhaustionSweetsTobacco smokeAggravation for Cough Lying On BackLying On left Lying On rightLying With head low Lying With head highMorningEarly Morning Morning on wakingAfternoon DaytimeEveningNightBefore Midnight After MidnightChange of WeatherDry weatherWet weatherSummerWinterGetting wetAscending Closed room Cold air Cold drinks Covering ( Exposure of any parts of body produces cough?)DustEating Entering warm roomDampnessDrinking WarmthDescendingExpirationInspirationMental exertionMenses duringMilkOpen-airReading, laughing, singing, talkingStrong Smell Sleep Swallowing liquid Swallowing solidSittingStandingUndressing or uncovering the bodyWalkingTouch and pressureCough Alternating With Sciatica in summer and cough in winter?Type of Cough Deep SoundingDryHollowLike Dog’s BarkLoose Short ParoxysmalSpasmodicSuffocative/ ChokingViolent WhoopingBarkingExplosiveWheezing Asthmatic coughAmelioration of Cough Lying On BackLying On left Lying On rightLying With head low Lying With head highMorningEarly Morning Morning on wakingAfternoon DaytimeEveningNightBefore Midnight After MidnightChange of WeatherDry weatherWet weatherSummerWinterGetting wetAscending Closed room Cold air Cold drinks Covering ( Exposure of any parts of body produces cough?)DustEating Entering warm roomDampnessDrinking WarmthDescendingExpirationInspirationMental exertionMenses duringMilkOpen-airReading, laughing, singing, talkingStrong Smell Sleep Swallowing liquid Swallowing solidSittingStandingUndressing or uncovering the bodyWalkingTouch and pressureObservation in Cough Uvula enlargedUvula relaxedTickling in substernal or suprasternal fossaFlow of tears during coughOdema of glottisHolds hand in Head during coughHolds hand in Genitals during coughHolds throat during coughRubs face with a fistCough ending in a sneezeExpectoration Present AbsentColor of Expectoration Clear White BloodyGreyish Greenish Rusty coloredYellowishTaste of Expectoration BitterOffensive Salty Sweet SourHerby tasteOther complaints of Expectoration Soapy, Lumpy Easy raising of sputumDifficult to raise the sputumScanty ExpectorationProfuse ExpectorationMust swallow the expectorationDyspnea Present AbsentType of Dyspnea Gasping Hissing Rattling Sawing Sighing Stertorous Suffocative Wheezing WhistlingEpisodes or Apnea or Cheyne stokes breathing?Observation Rapid BreathingSlow BreathingDeep BreathingSuperficial breathingAggravation for Dyspnea Morning Early Morning Morning on wakingAfternoon DaytimeEveningNightBefore Midnight After MidnightLying on On BackLying on On left Lying on On rightLying on With head low Lying on With head highChange of WeatherDry weatherWet weatherSummerWinterGetting wetOpen AirCold Air Ascending stairsBending forward Bending backwardClothing around waistDescending stairsEructation Expectoration Fanning rapidly Fanning slowly at a distance Rest Motion Sitting StandingSleepWarm roomCold roomAmelioration for Dyspnea Morning Early Morning Morning on wakingAfternoon DaytimeEveningNightBefore Midnight After MidnightLying on On BackLying on On left Lying on On rightLying on With head low Lying on With head highChange of WeatherDry weatherWet weatherSummerWinterGetting wetOpen AirCold Air Ascending stairsBending forward Bending backwardClothing around waistDescending stairsEructation Expectoration Fanning rapidly Fanning slowly at a distance Rest Motion Sitting StandingSleepWarm roomCold roomHemoptysis Present AbsentColor of Hemoptysis Bright red Dark redHemoptysis Associated With Valvular diseasesMenopauseTuberculosisHemorrhoidsTraumaOther Complaints of Hemoptysis VicariousWith cough or effortWithout cough or effortHoarseness Present AbsentAilments from for Hoarseness Overuse of voiceWalking against windFrom Cold or hot weatherSensation for Hoarseness Painless or painfulConstant change of voiceAggravation for Hoarseness Cough or expectorationTalking, singingSwallowingMorningEveningCold air Open airWarm roomWarm drinks Cold drinksHoarseness Associated with Cardiac disorderMenstrualAmelioration for Hoarseness VicariousWith cough or effortWithout cough or effortObservation for Hoarseness Whispering or weak voiceSingle or monotonous speechTimbre of voice alternating continuouslyChest pain Present AbsentType of Chest Pain BruisedConstrictive SpasmodicCutting Pressing Heaviness Stitching Shooting DartingSensation for Hoarseness Painless or painfulConstant change of voiceLocation of the Chest Pain Right Side Right UpperRight lowerLeft SideLeft Upper Left LowerMiddle of ChestHeart regionRibsExtending to armsSensation with Chest Pain Intolerance of clothingRawness PalpitationSensitivenessSqueezed sensation of heartTightness of chestWeakness of chestAggravation for Chest Pain Lying On BackLying On left Lying On rightLying With head low Lying With head highMorningEarly Morning Morning on wakingAfternoon DaytimeEveningNightBefore Midnight After MidnightChange of WeatherDry weatherWet weatherSummerWinterGetting wetAscending Closed room Cold air Cold drinks Covering ( Exposure of any parts of body produces cough?)DustDescendingEating Entering warm roomExpirationDampnessDrinking WarmthExpirationInspirationMental exertionMenses duringMilkOpen-airReading, laughing, singing, talkingStrong Smell Sleep Swallowing liquid Swallowing solidSittingStandingUndressing or uncovering the bodyWalkingTouch PressureChest Pain Associated with AnginaBronchiectasisEmphysemaBronchitisEnlarged heartPleurisyPulmonary edemaTuberculosisFever Alternating with ChillInsanityPerspirationShivering ShudderingAggravation for Fever in General MorningForenoonAfternoonEvening NightMidnightOpen airAscendingBed in Driving him out of bed at night Feeling of heat in bed, yet aversion to uncoveringPutting the hand out of bed Breakfast afterCoffeeCoughing increases heatDescendingDinnerDrinking Cold Drinking WarmEatingExcitementExertion PhysicalExertion MentalInspirationExpirationLactation during Lying downMeat Menses BeforeMenses duringMenses afterMenses suppressed MotionNoiseReadingRising bed fromRoomRubbingSummer Winter Spring Sleep ( Heat comes on after)Sitting standingStool afterStoopingTalkingThinkingUncoveringWakingWalkingWarm drinksWarm coveringWarm roomWashingAmelioration for Fever in General MorningForenoonAfternoonEvening NightMidnightOpen-airCold AirClothing loosening CoffeeDrinking ColdDrinking WarmEatingMental exertionMotionMoving constantlyQuiet wants to beRising bed fromRoomRubbingSittingSleep StandingStool duringUncoveringWaking WalkingWarm drinksWarm coveringWarm roomWashingObservation Covered parts - HeatDistended blood vesselsDryness of Skin with heatFace with redness or paleness or alternatingGlands swollenHeat all over the body except the headHeat outside but cold insideParoxysm changing frequentlyPulse discordant with temperatureSalivation IncreasedSingle parts heatShiveringNo fever when fever is expectedSleep ( Heat comes on after or disappears during)Tongue Changes Present AbsentTongue Aphthae Edges TipBelow Bleeding BurningPainfulDiscoloration AbsentBlack Bluish Bright red Brown Cream like Gray Green Whitish YellowishOther Changes in Tongue Moist With Profuse Salivation Biting sleep duringTremblingClean Tongue In CentreSides TipLocation of the discoloration CentreRootTip SidesFissured AcrossAnterior partCentreEdgesTipMoist Anterior partCenterRootTip With ThirstWith ThirstlessnessSticks to roof of the mouthSpecify with Location if any two or more Different Colors in the Tongue Changes in Physical Generals Present AbsentThirst (quantity/frequency etc.) Aversion to any particular food/drink Sleep (position/quality-restless/deep etc.) Menses (absent/painful/ dysmenorrhea) Appetite (hunger ↑ or ↓ etc.) Dreams ( Any Repeated or Specific Dreams) Stools (diarrhea, constipation etc.) Cravings for any particular food/drink Urination (↑ or ↓, painful, smell etc.) Reaction to heat and cold (any changes) Changes in State of Mind Present AbsentWhat is the reaction to disease? Fears/anxieties Dullness/activeness (level) Reaction to company and being alone? Any other thoughts/feelings Changes in state of mind since symptoms started State of mind with respect to time of the day morning/afternoon/evening/night Facial expression ANY OTHER SYMPTOMS OR OBSERVATION Picture of the Face of the Patient Upload Picture of tongue of the patient Upload Investigation Reports of the Patient Upload Any other File Upload Choose File GET TOTALITY OF THE PATIENT
