"Symptoms" redirects here. For other uses, see Symptom (disambiguation).
A symptom (from Greek σύμπτωμα, "accident, misfortune, that which befalls",[1] from συμπίπτω, "I befall", from συν- "together, with" and πίπτω, "I fall") is a departure from normal function or feeling which is noticed by a patient, reflecting the presence of an unusual state, or of a disease. A symptom is subjective,[2] observed by the patient,[3] and cannot be measured directly,[4] whereas a sign is objectively observable by others. For example, paresthesia is a symptom (only the person experiencing it can directly observe their own tingling feeling), whereas erythema is a sign (anyone can confirm that the skin is redder than usual). Symptoms and signs are often nonspecific, but often combinations of them are at least suggestive of certain diagnoses, helping to narrow down what may be wrong. In other cases they are specific even to the point of being pathognomonic.
The term is sometimes also applied to physiological states outside the context of disease, as for example when referring to "symptoms of pregnancy".
Contents
- 1 Types
- 1.1 Positive and negative
- 2 Possible causes
- 3 Symptom versus sign
- 4 See also
- 5 References
Types
Symptoms may be briefly acute or a more prolonged but acute or chronic, relapsing or remitting. Asymptomatic conditions also exist (e.g. subclinical infections and silent diseases like sometimes, high blood pressure).
Constitutional or general symptoms are those related to the systemic effects of a disease (e.g., fever, malaise, anorexia, and weight loss). They affect the entire body rather than a specific organ or location.
The terms "chief complaint", "presenting symptom", "iatrotropic symptom", or "presenting complaint" are used to describe the initial concern which brings a patient to a doctor. The symptom that ultimately leads to a diagnosis is called a "cardinal symptom".
Non-specific symptoms are self-reported symptoms that do not indicate a specific disease process or involve an isolated body system. For example, fatigue is a feature of many acute and chronic medical conditions, which may or may not be mental, and may be either a primary or secondary symptom. Fatigue is also a normal, healthy condition when experienced after exertion or at the end of a day.
Positive and negative
In describing mental disorders,[5][6] especially schizophrenia, symptoms can be divided into positive and negative symptoms.[7]
- Positive symptoms are symptoms present in the disorder but not normally experienced by most individuals. It reflects an excess or distortion of normal functions (i.e., experiences and behaviors that have been added to a person’s normal way of functioning).[8] Examples are hallucinations, delusions, and bizarre behavior.[5]
- Negative symptoms are functions that are normally found in healthy persons, but that are diminished or not present in affected persons. Thus, it is something that has disappeared from a person’s normal way of functioning.[8] Examples are social withdrawal, apathy, inability to experience pleasure and defects in attention control.[6]
Possible causes
Some symptoms occur in a wide range of disease processes, whereas other symptoms are fairly specific for a narrow range of illnesses. For example, a sudden loss of sight in one eye has a significantly smaller number of possible causes than nausea does.
Some symptoms can be misleading to the patient or the medical practitioner caring for them. For example, inflammation of the gallbladder often gives rise to pain in the right shoulder, which may understandably lead the patient to attribute the pain to a non-abdominal cause such as muscle strain.
Symptom versus sign
A sign has the potential to be objectively observed by someone other than the patient, whereas a symptom does not. There is a correlation between this difference and the difference between the history and the physical examination. Symptoms belong only to the history, whereas signs can often belong to both. Clinical signs such as rash and muscle tremors are objectively observable both by the patient and by anyone else. Some signs belong only to the physical examination, because it takes medical expertise to uncover them. (For example, laboratory signs such as hypocalcaemia or neutropenia require blood tests to find.) A sign observed by the patient last week but now gone (such as a resolved rash) was a sign, but it belongs to the history, not the physical examination, because the physician cannot independently verify it today.
See also
- Category: Symptoms
- List of medical symptoms
- Pathogenesis
- Symptomatic treatment
- Medical sign
References
- ^ "Sumptoma, Henry George Liddell, Robert Scott, ''A Greek-English Lexicon'', at Pursues". Perseus.tufts.edu. Retrieved 2011-12-17.
- ^ Pathology - Glossary Archived January 12, 2008, at the Wayback Machine.
- ^ eMedicine/Stedman Medical Dictionary Lookup![dead link]
- ^ Devroede G (1992). "Constipation—a sign of a disease to be treated surgically, or a symptom to be deciphered as nonverbal communication?". J. Clin. Gastroenterol. 15 (3): 189–91. doi:10.1097/00004836-199210000-00003. PMID 1479160.
- ^ a b "Encyclopedia of Mental Disorders: positive symptom". Minddisorders.com. Retrieved 2011-12-17.
- ^ a b http://www.minddisorders.com/Kau-Nu/Negative-symptoms.html Encyclopedia of Mental Disorders: negative symptom
- ^ "Mental Health: a Report from the Surgeon General". Surgeongeneral.gov. Retrieved 2011-12-17.
- ^ a b Understanding Psychosis, Mental Health Illness of Australia.
Basic medical terms used to describe disease conditions
|
|
|
Medical sign
Symptom
Syndrome
|
Medical diagnosis
Differential diagnosis
Prognosis
|
Acute
Chronic
Cure/Remission
|
Disease
Eponymous disease
Acronym or abbreviation
|
|
Symptoms and signs
|
|
Symptoms and signs relating to the cardiovascular system (R00–R03, 785)
|
|
Chest pain |
- Referred pain
- Angina
- Aerophagia
|
|
Auscultation |
- Heart sounds
- Split S2
- Third heart sound
- Fourth heart sound
- Gallop rhythm
- Heart murmur
- Systolic
- Diastolic
- Continuous
- Pericardial friction rub
- Heart click
- Bruit
|
|
Pulse |
- Tachycardia
- Bradycardia
- Pulsus tardus et parvus
- Pulsus paradoxus
- doubled
- Pulsus bisferiens
- Dicrotic pulse
- Pulsus bigeminus
- Pulsus alternans
|
|
Vascular disease |
|
|
Other |
- Palpitation
- Cœur en sabot
- Jugular venous pressure
- Hyperaemia
|
|
Shock |
- Cardiogenic
- Hypovolemic
- Distributive
|
Symptoms and signs: cognition, perception, emotional state and behaviour (R40–R46, 780.0–780.5, 781.1)
|
|
Cognition |
Alteration of
consciousness |
- Confusion (Delirium)
- Somnolence
- Obtundation
- Stupor
- Unconsciousness
- Syncope
- Coma
- Persistent vegetative state
|
|
Fainting/Syncope |
- Carotid sinus syncope
- Heat syncope
- Vasovagal episode
|
|
Other |
- Amnesia
- Anterograde amnesia
- Retrograde amnesia
- Dizziness
- Vertigo
- Presyncope/Lightheadedness
- Disequilibrium
- Convulsion
|
|
|
Emotional state |
- anxiety
- Irritability
- Hostility
- Suicidal ideation
|
|
Behavior |
|
|
Perception/
sensation
disorder |
- Olfaction : Anosmia
- Hyposmia
- Dysosmia
- Parosmia
- Phantosmia
- Hyperosmia
- Taste: Ageusia
- Hypogeusia
- Dysgeusia
- Parageusia
- Hypergeusia
- Hallucination: Auditory hallucination
|
Symptoms and signs: digestive system and abdomen (R10–R19, 787,789)
|
|
Upper |
- Nausea
- Vomiting
- Heartburn
- Aerophagia
- Dysphagia
- Odynophagia
- Halitosis
- Xerostomia
- Hypersalivation
- Burping
|
|
Defaecation |
- Flatulence
- Fecal incontinence
- Blood: Fecal occult blood
- Rectal tenesmus
- Constipation
- Obstructed defecation
- Diarrhea
- Rectal discharge
- Football sign
- Psoas sign
- Obturator sign
- Rovsing's sign
- Hamburger sign
- Heel tap sign
- Aure-Rozanova's sign
- Dunphy sign
- Alder's sign
- Lockwood's sign
- Rosenstein's sign
|
|
Abdomen |
- Abdominal pain
- Acute abdomen
- Colic
- Baby colic
- Abdominal guarding
- Rebound tenderness
- Abdominal distension
- Bloating
- Ascites
- Tympanites
- Shifting dullness
- Bulging flanks
- Fluid wave test
- Abdominal mass
- Hepatosplenomegaly
- Hepatomegaly
- Splenomegaly
- Jaundice
- Mallet-Guy sign
- Puddle sign
|
Symptoms and signs: general / constitutional (R50–R61, 780.6–780.9)
|
|
Temperature |
heat: |
- Fever
- Fever of unknown origin
- Drug-induced fever
- Postoperative fever
- Hyperhidrosis
- e.g., Sleep hyperhidrosis; "sweating"
- Hyperpyrexia
- Hyperthermia
|
|
cold: |
|
|
|
Aches/Pains |
- Headache
- Chronic pain
- Cancer pain
- Myalgia
|
|
Malaise and fatigue |
- Atrophy
- Debility (or asthenia)
- Lassitude
- Lethargy
- Muscle tremors
- Tenderness
|
|
Miscellaneous |
|
Symptoms and signs: nervous and musculoskeletal systems (R25–R29, 781.0, 781.2–9)
|
|
Primarily nervous system |
Primarily CNS |
Movement disorders |
- Dyskinesia: Athetosis
- Tremor
- Dyskinesia
|
|
Gait abnormality |
- Scissor gait
- Cerebellar ataxia
- Festinating gait
- Marche a petit pas
- Propulsive gait
- Stomping gait
- Spastic gait
- Magnetic gait
|
|
Lack of coordination |
- Dyskinesia: Ataxia
- Cerebellar ataxia/Dysmetria
- Sensory ataxia
- Dyssynergia
- Dysdiadochokinesia
- Asterixis
|
|
Other |
- Abnormal posturing: Opisthotonus
- Sensory processing disorder: Hemispatial neglect
- Facial weakness
- Hyperreflexia
- Pronator drift
|
|
|
Primarily PNS |
Gait abnormality |
- Steppage gait
- Antalgic gait
|
|
|
|
Primarily muscular |
Movement disorders |
- Spasm
- Fasciculation
- Fibrillation
- Myokymia
- Cramp
|
|
Gait abnormality |
- Myopathic gait
- Trendelenburg gait
- Pigeon gait
|
|
Other |
|
|
|
Primarily skeletal |
|
|
Primarily joint |
|
Symptoms and signs relating to the respiratory system (R04–R07, 786)
|
|
Medical examination and history taking
|
|
Auscultation |
- Stethoscope
- Respiratory sounds
- Stridor
- Wheeze
- Crackles
- Rhonchi
- Hamman's sign
- Pleural friction rub
- Fremitus
- Bronchophony
- Elicited findings
- Percussion
- Pectoriloquy
- Whispered pectoriloquy
- Egophony
|
|
Breathing |
Rate
|
- Apnea
- Dyspnea
- Hyperventilation
- Hypoventilation
- Hyperpnea
- Tachypnea
- Hypopnea
- Bradypnea
|
|
Pattern
|
- Agonal respiration
- Biot's respiration
- Cheyne–Stokes respiration
- Kussmaul breathing
|
|
Other
|
- Respiratory distress
- Respiratory arrest
- Orthopnea/Platypnea
- Trepopnea
- Aerophagia
- Asphyxia
- Breath holding
- Mouth breathing
- Snoring
|
|
|
Other |
- Chest pain in children
- Chest pain
- Precordial catch syndrome
- Pleurisy
- Clubbing
- Schamroth's window test
- Hippocratic fingers
- Cyanosis
- Cough
- Sputum
- Hemoptysis
- Epistaxis
- Silhouette sign
- Post-nasal drip
- Hiccup
- COPD
- asthma
- Curschmann's spirals
- Charcot–Leyden crystals
- chronic bronchitis
- sarcoidosis
- pulmonary embolism
- Hampton hump
- Westermark sign
- pulmonary edema
- Hamman's sign
- Golden S sign
|
Symptoms and signs: skin and subcutaneous tissue (R20–R23, 782)
|
|
Disturbances of
skin sensation |
- Hypoesthesia
- Paresthesia
- Hyperesthesia
|
|
Circulation |
- Cyanosis
- Pallor/Livedo
- Flushing
- Petechia
|
|
Edema |
- Peripheral edema
- Anasarca
|
|
Other |
- Rash
- Desquamation
- Induration
- Diaphoresis
- Mass
|
|
Skin |
- Asboe-Hansen sign
- Auspitz's sign
- Borsari's sign
- Braverman's sign
- Crowe sign
- Dennie–Morgan fold
- Darier's sign
- Fitzpatrick's sign
- Florid cutaneous papillomatosis
- Gottron's sign
- Hutchinson's sign
- Janeway lesion
- Kerr's sign
- Koebner's phenomenon
- Koplik's spots
- Leser-Trelat sign
- Nikolsky's sign
- Pastia's sign
- Russell's sign
- Wickham striae
- Wolf's isotopic response
|
|
Nails |
- Aldrich-Mees' lines
- Beau's lines
- Muehrcke's lines
- Terry's nails
|
Symptoms and signs: Speech and voice / Symptoms involving head and neck (R47–R49, 784)
|
|
Aphasias |
- Acute Aphasias
- Expressive aphasia
- Receptive aphasia
- Conduction aphasia
- Anomic aphasia
- Global aphasia
- Transcortical sensory aphasia
- Transcortical motor aphasia
- Mixed transcortical aphasia
- Progressive Aphasias
- Progressive nonfluent aphasia
- Semantic dementia
- Logopenic progressive aphasia
- Speech disturbances
- Speech disorder
- Developmental verbal dyspraxia/Apraxia of speech
- Auditory verbal agnosia
- Dysarthria
- Schizophasia
- Aprosodia/Dysprosody
- Specific language impairment
- Thought disorder
- Pressure of speech
- Derailment
- Clanging
- Circumstantiality
|
|
Communication disorders |
- Developmental dyslexia/Alexia
- Agnosia
- Astereognosis
- Prosopagnosia
- Visual agnosia
- Gerstmann syndrome
- Developmental coordination disorder/Apraxia
- Dyscalculia/Acalculia
- Agraphia
|
|
Voice disturbances |
- Dysphonia/Aphonia
- Bogart–Bacall syndrome
|
|
Nose |
- Post-nasal drip
- Epistaxis
|
|
Mouth |
- Orofacial pain
- Toothache
- Galvanic pain
- Barodontalgia
- Fremitus
- Tooth mobility
- Bruxism
- Trismus
- Ageusia
- Hypogeusia
- Dysgeusia
- Parageusia
- Hypergeusia
- Xerostomia
- Halitosis
- Drooling
- Hypersalivation
|
|
Neck |
|
|
Other |
- Headache
- Auditory processing disorder
- Otalgia
- Velopharyngeal inadequacy
- Velopharyngeal insufficiency
- Hypersensitive gag reflex
- Jaw claudication
|
Symptoms and signs relating to endocrine system, nutrition and development (R62–R64, 783)
|
|
Weight and appetite |
decrease: |
- Anorexia
- Weight loss
- Cachexia
- Underweight
|
|
increase: |
- Polyphagia
- Polydipsia
- Orexigenia
- Weight gain
|
|
|
Growth |
- Delayed milestone
- Failure to thrive
- Short stature
|
|
Thyroid disease |
General |
|
|
Graves' disease |
- Abadie's sign of exophthalmic goiter
- Boston's sign
- Dalrymple's sign
- Stellwag's sign
- lid lag
- Von Graefe's sign
- Griffith's sign
- Möbius sign
|
|
Hypothyroidism |
|
|
|
Nutrition |
- Rickets
- Benedict solution
|
|
Metabolic disorders |
- low calcium
- Chvostek sign
- Trosseau's sign
- low glucose
|
Symptoms and signs: urinary system (R30–R39, 788)
|
|
Pain |
- Renal colic
- Costovertebral angle tenderness
- Dysuria
- Vesical tenesmus
|
|
Control |
- Urinary incontinence
- Enuresis
- Diurnal enuresis
- Giggling
- Nocturnal enuresis
- Post-void dribbling
- Stress
- Urge
- Overflow
- Urinary retention
|
|
Volume |
|
|
Other |
- Lower urinary tract symptoms
- Nocturia
- Urinary urgency
- Urinary frequency
- Extravasation of urine
- Extrarenal uremia
- Urinoma
|
|
Eponymous |
- Addis count
- Brewer infarcts
- Murphy's punch sign
- Lloyd's sign
|
|