WordNet

(civil law) the first pleading of the plaintiff setting out the facts on which the claim for relief is based
(formerly) a loud cry (or repeated cries) of pain or rage or sorrow
an expression of grievance or resentment
most important element; "the chief aim of living"; "the main doors were of solid glass"; "the principal rivers of America"; "the principal example"; "policemen were primary targets"; "the master bedroom"; "a master switch" (同)main, primary, principal, master
make a formal accusation; bring a formal charge; "The plaintiffs lawyer complained that he defendant had physically abused his client"
express complaints, discontent, displeasure, or unhappiness; "My mother complains all day"; "She has a lot to kick about" (同)kick, plain, sound_off, quetch, kvetch
the 22nd letter of the Greek alphabet (同)khi
expressing pain or dissatisfaction of resentment; "a complaining boss" (同)complaintive

PrepTutorEJDIC

〈U〉(…についての)『不平』,苦情,泣きごと,ぐち《+『about』+『名』》 / 〈C〉(…についての)不平の種《+『about』+『名』》 / 〈C〉病気 / 〈C〉(…に対する)告訴,告発《+『against』+『名』》
(組織・集団の)『長』;長官,局(部,課)長;(部族の)長 / 『最高位の』,長である / 『最も重要な』,おもな(most important; main)
(人に…について)『不平を言う』,泣きごとを言う,訴える
キー(ギリシア語アルファベットの第22字X,x;英語のchに相当)

Wikipedia preview

出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2016/03/01 10:05:15」(JST)

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The Chief Complaint formally known as CC in the medical field, or termed Presenting Complaint (PC) in the UK, forms the second step of medical history taking, and is a concise statement describing the symptom, problem, condition, diagnosis, physician recommended return, or other factor that is the reason for a medical encounter.^[1] The patient's initial comments to a physician, nurse, or other health care professional help form the differential diagnosis.

In some instances, the nature of a patient's chief complaint may determine if services are covered by medical or vision insurance.^[2]

Medical students are advised to use open-ended questions in order to obtain the presenting complaint.^[3]

Other terms sometimes used include Reason for Encounter (RFE), Presenting Problem, Problem on admission and Reason for Presenting.^{[citation needed]}

Analyzing for the chief complaint involves assessment using the acronym SOCRATES, OPQRST.

Prevalence

The collection of chief complaint data may be useful in addressing public health issues.^[4] Certain complaints are more common in certain settings and among certain populations. Fatigue has been reported as one of the ten most common reasons for seeing a physician.^[5] In acute care settings, such as emergency rooms, reports of chest pain are among the most common chief complaints.^[6] The most common complaint in ERs has been reported to be abdominal pain.^[7] Among nursing home residents seeking treatment at ERs, respiratory symptoms, altered mental status, gastrointestinal symptoms, and falls are the most commonly reported.^[8]

CMS required history elements^[9]
Type of history	CC	HPI	ROS	Past, family, and/or social
Problem focused	Required	Brief	N/A	N/A
Expanded problem focused	Required	Brief	Problem pertinent	N/A
Detailed	Required	Extended	Extended	Pertinent
Comprehensive	Required	Extended	Complete	Complete

References

^ http://www.usc.edu/health/uscp/compliance/tm6.html#6
^ http://www.optometric.com/article.aspx?article=71722^{[full citation needed]}
^ Shah, Nayankumar (2005). "Taking a history: Introduction and the presenting complaint". Student BMJ 13: 309–52. doi:10.1136/sbmj.0509314 (inactive 2015-06-04).
^ http://www.cdc.gov/PHIN/architecture/implementation_guides/Healthcare%20Related/PHIN_Healthcare_Encounter_Chief_Complaint_v231.pdf
^ Nelson, E; Kirk, J; McHugo, G; Douglass, R; Ohler, J; Wasson, J; Zubkoff, M (1987). "Chief complaint fatigue: A longitudinal study from the patient's perspective". Family practice research journal 6 (4): 175–88. PMID 3455125.
^ http://www.emedmag.com/html/pre/cov/covers/021504.asp Emergency Medicine^{[full citation needed]}
^ Graff, Louis G.; Robinson, Dave (2001). "Abdominal Pain and Emergency Department Evaluation". Emergency Medicine Clinics of North America 19 (1): 123–36. doi:10.1016/S0733-8627(05)70171-1. PMID 11214394.
^ Ackermann, Richard J; Kemle, Kathy A; Vogel, Robert L; Griffin, Ralph C (1998). "Emergency Department Use by Nursing Home Residents". Annals of Emergency Medicine 31 (6): 749–57. doi:10.1016/S0196-0644(98)70235-5. PMID 9624316.
^ "www.cms.gov" (PDF). Retrieved 2011-02-27.

External links

MedEd at Loyola ipm/comphx1/sld003.htm

UpToDate Contents

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English Journal

Validation of the modified Japanese Triage and Acuity Scale-based triage system emphasizing the physiologic variables or mechanism of injuries.

Funakoshi H1, Shiga T2, Homma Y3, Nakashima Y4, Takahashi J5, Kamura H6, Ikusaka M7.
International journal of emergency medicine.Int J Emerg Med.2016 Dec;9(1):1. doi: 10.1186/s12245-015-0097-9. Epub 2016 Jan 25.
BACKGROUND: The Canadian Triage and Acuity Scale is a valid triage system. The system was translated and implemented in the Japanese emergency departments (EDs) from 2012. This system was named the Japanese Triage and Acuity Scale; however, the validation studies of the Japanese Triage and Acuity Sc
PMID 26810318

Comorbidities of chronic facial pain and obstructive sleep apnea.

Olmos SR1.
Current opinion in pulmonary medicine.Curr Opin Pulm Med.2016 Nov;22(6):570-575.
PURPOSE OF REVIEW: This article explains the high comorbidity of craniofacial pain (chronic face pain, temporomandibular disorders, and primary headaches) with obstructive sleep breathing disorders and obstructive sleep apnea (OSA). It is recommended that physicians treating OSA should be aware of t
PMID 27662470

Pediatric central auditory processing disorder showing elevated threshold on pure tone audiogram.

Maeda Y1, Nakagawa A2, Nagayasu R2, Sugaya A2, Omichi R2, Kariya S2, Fukushima K3, Nishizaki K2.
Auris, nasus, larynx.Auris Nasus Larynx.2016 Oct;43(5):570-4. doi: 10.1016/j.anl.2016.02.005. Epub 2016 Feb 26.
Central auditory processing disorder (CAPD) is a condition in which dysfunction in the central auditory system causes difficulty in listening to conversations, particularly under noisy conditions, despite normal peripheral auditory function. Central auditory testing is generally performed in patient
PMID 26922127

Japanese Journal

腸管子宮内膜症より発生した類内膜腺癌の1例

津久井秀則,須藤剛,石井範洋,川村一郎,池田栄一,佐藤敏彦,飯澤肇
日本大腸肛門病学会雑誌 67(1), 24-28, 2014
症例は50歳代女性．45歳時に右腎盂癌（T1a，N0，M0，G1＞G2，INFβ）にて右腎摘出，尿管引き抜き術施行．以後3～6ヵ月ごとに定期検査が行われていた．2009年1月から下腹部痛と肛門痛が出現し，近医受診．大腸内視鏡では直腸S状結腸部（以下Rs）の粘膜に浮腫性変化を認め，CTで膀胱背側左側に不均一な造影効果を示す約5cm大の腫瘤性病変を認め，直腸粘膜下腫瘍が疑われた．腫瘍による腸管の圧排に …
NAID 130003385081

会陰より発生した近位型類上皮肉腫の1例

村嶋隆哉,上別府豊治,月野浩昌,向井尚一郎,賀本敏行
泌尿器科紀要 59(11), 759-763, 2013-11
… A 24-year-old male visited our hospital with the chief complaint of pain in the perineum. …
NAID 120005350246

根治的膀胱全摘術後にHenoch-Schonlein紫斑を発症した1例

石垣華子,伊藤悠城,竹島徹平 [他],河合正記,平井耕太郎,白井明,堀田綾子,斉藤生朗
泌尿器科紀要 = Acta urologica Japonica 59(10), 663-667, 2013-10
… The patient was a 70-year-old man who visited our hospital with a chief complaint of asymptomatic macroscopic hematuria and was diagnosed with invasive bladder cancer. …
NAID 120005347154