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				<linkback_text>Click here for more personalized results</linkback_text>
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			<query>
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				<querytype>symptom</querytype>
				<resulttype>symptoms</resulttype>

				<symptoms>			
					<symptom><![CDATA[fever]]></symptom>
					<symptom><![CDATA[cough]]></symptom>
					</symptoms>			
				<notsymptoms>
					</notsymptoms>

				<family_history_conditions>
				</family_history_conditions>
				<current_conditions>
				</current_conditions>
				
				<medications_in_use>
				</medications_in_use>

				<applied_tests>
				</applied_tests>
				<symptomexps>
					<symptomexp isbinary="false" ><![CDATA[severe if:
temperature over 100.5 (60 and older)
temperature over 103 (less than 60)
0-3 months, temperature over 100.4 rectal (38 C)]]></symptomexp>

					<symptomexp isbinary="false" ><![CDATA[*NONE*]]></symptomexp>

					</symptomexps>

				<isrecurring></isrecurring>

				<emsymptoms>
					<emsymptom display="fever" mustcritical="false" potentialcritical="false" ><![CDATA[fever]]></emsymptom>
					<emsymptom display="cough" mustcritical="false" potentialcritical="false" ><![CDATA[cough]]></emsymptom>
					</emsymptoms>
				<critical_body_part_injury>false</critical_body_part_injury>
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				<emergency_average>3.3</emergency_average>
				<esi>4</esi>				
				<esi_border>false</esi_border>
				<emergency_low_score>1.0</emergency_low_score>
				<criticalsymptoms>
					</criticalsymptoms>

				<severe_symptoms>
					</severe_symptoms>
				<mild_symptoms>
					</mild_symptoms>
				<moderate_symptoms>				
					</moderate_symptoms>
				<realduration>3</realduration>
				<duration>0-3 days</duration>
					<duration>0-3 days</duration>
					<gender></gender>
				<agerange>18-29</agerange>
				<realage>23</realage>
				<diagnoses_no_match>false</diagnoses_no_match>
				<number_of_qsets>0</number_of_qsets>
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<suggestions>
			<questions>

				<diagnosis_severity_questions>
				</diagnosis_severity_questions>


				<important_questions>
				<important_question type="symptom" star="10" >blue lips or dusky skin</important_question>
						<important_question type="symptom" star="10" >clammy skin</important_question>
						<important_question type="symptom" star="10" >confusion</important_question>
						<important_question type="symptom" star="10" >vomiting</important_question>
						<important_question type="symptom" star="9" >diarrhea</important_question>
						<important_question type="symptom" star="8" >chest pain</important_question>
						<important_question type="symptom" star="8" >difficulty breathing</important_question>
						<important_question type="symptom" star="8" >difficulty breathing through nose</important_question>
						<important_question type="symptom" star="8" >dizziness</important_question>
						<important_question type="symptom" star="8" >increased sweating</important_question>
						<important_question type="symptom" star="8" >passing out</important_question>
						<important_question type="symptom" star="7" >breathing fast</important_question>
						<important_question type="previousconditions" star="2" >asthma</important_question>
						<important_question type="symptom" star="1" >chills</important_question>
						<important_question type="previousconditions" star="1" >drugs and toxins</important_question>
						<important_question type="symptom" star="1" >weakness</important_question>
						</important_questions>
				<symptom_questions>
				<didyoumean_questions>
					<didyoumean symptom="fever" ><![CDATA[very high body temperature]]></didyoumean>
						<didyoumean symptom="cough" ><![CDATA[continuous non stop coughing]]></didyoumean>
						<didyoumean symptom="cough" ><![CDATA[sudden onset of severe coughing]]></didyoumean>
						</didyoumean_questions>
				<subsymptoms>
					<subsymptom base="fever" subsub="PFAPA syndrome" ><![CDATA[Periodic fever Aphthous-stomatitis Pharyngitis Adenitis (PFAPA) Syndrome]]></subsymptom>
					<subsymptom base="fever" subsub="acute rheumatic fever" ><![CDATA[acute rheumatic fever]]></subsymptom>
					<subsymptom base="fever" subsub="allergic rhinitis" ><![CDATA[hay fever]]></subsymptom>
					<subsymptom base="fever" subsub="chronic intermittent fever" ><![CDATA[chronic intermittent fever]]></subsymptom>
					<subsymptom base="fever" subsub="cold sore(s) on lip" ><![CDATA[fever blister on lips]]></subsymptom>
					<subsymptom base="fever" subsub="confusion from high fever" ><![CDATA[confusion from high fever]]></subsymptom>
					<subsymptom base="fever" subsub="fever without source in infants" ><![CDATA[fever without source in infants]]></subsymptom>
					<subsymptom base="fever" subsub="palpitations with fever" ><![CDATA[palpitations with fever]]></subsymptom>
					<subsymptom base="fever" subsub="palpitations without fever" ><![CDATA[palpitations without fever]]></subsymptom>
					<subsymptom base="fever" subsub="pharyngoconjunctival fever" ><![CDATA[pharyngoconjunctival fever]]></subsymptom>
					<subsymptom base="fever" subsub="recurrent cold sore(s) with fever stress or sunburn" ><![CDATA[recurrent cold sore(s) with fever stress or sunburn]]></subsymptom>
					<subsymptom base="fever" subsub="saddleback fever" ><![CDATA[saddleback fever]]></subsymptom>
					<subsymptom base="fever" subsub="very high body temperature" ><![CDATA[fever more than 104F in adults]]></subsymptom>
					<subsymptom base="fever" subsub="warmth at the site of injection" ><![CDATA[warmth at the site of injection]]></subsymptom>
					<subsymptom base="fever" subsub="warmth in genital swelling" ><![CDATA[warmth in genital swelling]]></subsymptom>
					<subsymptom base="fever" subsub="warmth in groin swelling" ><![CDATA[warmth in groin swelling]]></subsymptom>
					<subsymptom base="fever" subsub="warmth in hand(s)" ><![CDATA[warmth in hand(s)]]></subsymptom>
					<subsymptom base="fever" subsub="warmth in outer ear" ><![CDATA[warmth in outer ear]]></subsymptom>
					<subsymptom base="fever" subsub="warmth in swelling behind ear" ><![CDATA[warmth in swelling behind ear]]></subsymptom>
					<subsymptom base="fever" subsub="warmth in swelling on chest" ><![CDATA[warmth in swelling on chest]]></subsymptom>
					<subsymptom base="cough" subsub="back pain after coughing bending or lifting" ><![CDATA[back pain after coughing bending or lifting]]></subsymptom>
					<subsymptom base="cough" subsub="belly button pops out with crying straining or coughing" ><![CDATA[belly button pops out with crying straining or coughing]]></subsymptom>
					<subsymptom base="cough" subsub="blood in cough" ><![CDATA[blood in cough]]></subsymptom>
					<subsymptom base="cough" subsub="chest pain with coughing" ><![CDATA[chest pain with coughing]]></subsymptom>
					<subsymptom base="cough" subsub="continuous non stop coughing" ><![CDATA[continuous non stop coughing]]></subsymptom>
					<subsymptom base="cough" subsub="cough during or after exercise" ><![CDATA[cough during or after exercise]]></subsymptom>
					<subsymptom base="cough" subsub="cough in recumbent position" ><![CDATA[cough in recumbent position]]></subsymptom>
					<subsymptom base="cough" subsub="cough in winter months" ><![CDATA[cough in winter months]]></subsymptom>
					<subsymptom base="cough" subsub="cough wet" ><![CDATA[cough wet]]></subsymptom>
					<subsymptom base="cough" subsub="cough with small amount of colorless sputum" ><![CDATA[cough with small amount of colorless sputum]]></subsymptom>
					<subsymptom base="cough" subsub="cough with sputum expectoration for at least 3 months a year during a period of 2 consecutive years" ><![CDATA[cough with sputum expectoration for at least 3 months a year during a period of 2 consecutive years]]></subsymptom>
					<subsymptom base="cough" subsub="cough with yellow or green phlegm" ><![CDATA[cough with yellow or green phlegm]]></subsymptom>
					<subsymptom base="cough" subsub="cough worse in the morning" ><![CDATA[cough worse in the morning]]></subsymptom>
					<subsymptom base="cough" subsub="coughing at night" ><![CDATA[coughing at night]]></subsymptom>
					<subsymptom base="cough" subsub="coughs during exercise" ><![CDATA[coughs during exercise]]></subsymptom>
					<subsymptom base="cough" subsub="dizziness after prolonged coughing" ><![CDATA[dizziness after prolonged coughing]]></subsymptom>
					<subsymptom base="cough" subsub="dry cough" ><![CDATA[dry cough]]></subsymptom>
					<subsymptom base="cough" subsub="episodic cough or wheezing" ><![CDATA[episodic cough or wheezing]]></subsymptom>
					<subsymptom base="cough" subsub="frequent cough with sputum" ><![CDATA[frequent cough with sputum]]></subsymptom>
					<subsymptom base="cough" subsub="frothy phlegm" ><![CDATA[cough with frothy phlegm]]></subsymptom>
					<subsymptom base="cough" subsub="gag or cough reflex absent" ><![CDATA[gag or cough reflex absent]]></subsymptom>
					<subsymptom base="cough" subsub="headache worse with coughing or sneezing" ><![CDATA[headache worse with coughing or sneezing]]></subsymptom>
					<subsymptom base="cough" subsub="lips turning blue during coughing" ><![CDATA[lips turning blue during coughing]]></subsymptom>
					<subsymptom base="cough" subsub="low back pain worse on sneezing coughing or straining" ><![CDATA[low back pain worse on sneezing coughing or straining]]></subsymptom>
					<subsymptom base="cough" subsub="pain in leg(s) increased by lifting coughing or twisting" ><![CDATA[pain in leg(s) increased by lifting coughing or twisting]]></subsymptom>
					<subsymptom base="cough" subsub="pain in neck worse on sneezing coughing or laughing" ><![CDATA[pain in neck worse on sneezing coughing or laughing]]></subsymptom>
					<subsymptom base="cough" subsub="paroxysmal cough" ><![CDATA[paroxysmal cough]]></subsymptom>
					<subsymptom base="cough" subsub="passing out after prolonged coughing" ><![CDATA[passing out after prolonged coughing]]></subsymptom>
					<subsymptom base="cough" subsub="perennial cough" ><![CDATA[perennial cough]]></subsymptom>
					<subsymptom base="cough" subsub="persistent cough" ><![CDATA[persistent cough]]></subsymptom>
					<subsymptom base="cough" subsub="post cough vomiting" ><![CDATA[post cough vomiting]]></subsymptom>
					<subsymptom base="cough" subsub="progressive dyspnea with late onset of nonproductive cough" ><![CDATA[progressive dyspnea with late onset of nonproductive cough]]></subsymptom>
					<subsymptom base="cough" subsub="repeated coughing" ><![CDATA[repeated coughing]]></subsymptom>
					<subsymptom base="cough" subsub="reversible cough or wheezing" ><![CDATA[reversible cough or wheezing]]></subsymptom>
					<subsymptom base="cough" subsub="seasonal wheezing and cough" ><![CDATA[seasonal wheezing and cough]]></subsymptom>
					<subsymptom base="cough" subsub="stridor" ><![CDATA[barking cough]]></subsymptom>
					<subsymptom base="cough" subsub="sudden onset of severe coughing" ><![CDATA[sudden onset of severe coughing]]></subsymptom>
					<subsymptom base="cough" subsub="sudden onset of severe stridor" ><![CDATA[sudden onset croupy cough]]></subsymptom>
					<subsymptom base="cough" subsub="turns blue or red with coughing" ><![CDATA[turns blue or red with coughing]]></subsymptom>
					<subsymptom base="cough" subsub="unable to exercise or play sports due to asthma" ><![CDATA[unable to exercise or play sports due to asthma]]></subsymptom>
					<subsymptom base="cough" subsub="urinating when coughing or straining" ><![CDATA[urinating when coughing or straining]]></subsymptom>
					<subsymptom base="cough" subsub="wheezing and coughing after exposure to cold dry air" ><![CDATA[wheezing and coughing after exposure to cold dry air]]></subsymptom>
					<subsymptom base="cough" subsub="wheezing changing in location and intensity after deep cough" ><![CDATA[wheezing changing in location and intensity after deep cough]]></subsymptom>
					</subsymptoms>
				<symptom_severity_questions>
					<symptom_severity_question symptom="fever" ><![CDATA[0-3 months, temperature over 100.4 rectal (38 c)]]></symptom_severity_question>
								<symptom_severity_question symptom="fever" ><![CDATA[temperature over 100.5 (60 and older)]]></symptom_severity_question>
								<symptom_severity_question symptom="fever" ><![CDATA[temperature over 103 (less than 60)]]></symptom_severity_question>
								</symptom_severity_questions>

<emergency_symptoms>
				<emergency_symptom mustcritical="false" critical="true" sourcesl1="acute respiratory failure, myocardial infarction, shock, status asthmaticus"  sourcesem="acute eosinophilic pneumonia, anthrax, aortic aneurysm, atrial myxoma, mediastinitis, myocarditis, pneumocystis carinii pneumonia, pulmonary embolism" sources="influenza, pneumonia, acute bronchitis, enteroviral infections, mycoplasma pneumonia, swine flu, viral pneumonia, human immunodeficiency virus infections, acute respiratory failure, pleural effusion, pleurisy, Epstein-Barr virus, tuberculosis pneumonia, shock, mycoplasma infections, puerperal infections, pertussis, coccidiodomycosis, MRSA, varicella zoster infections, cystic fibrosis, acute pancreatitis, pleurodynia, sickle cell anemia, bronchiectasis, empyema, lung abscess, mediastinitis, blastomycosis, cor pulmonale, pericardial effusion, acute pericarditis, aspiration pneumonia, myocarditis, pulmonary embolism, radiation esophagitis, asthma, status asthmaticus, Lyme disease, aspergillosis, selective IgA deficiency, arthritis, rheumatoid arthritis, toxoplasmosis, Hodgkin's lymphoma, sarcoidosis, allergic bronchopulmonary aspergillosis, acute nephritic syndrome, small cell lung carcinoma, foreign body in esophagus, mediastinal mass, metastases, Kaposi's sarcoma, systemic lupus erythematosis, alpha 1 antitrypsin deficiency, mixed connective tissue disease, membranous glomerulonephritis, mitral regurgitation" synonyms="ache in chest, chest discomfort, chest hurts, chest soreness, chest tightness, heart hurts, heaviness in chest, pain in chest, pain in heart, pressure in chest" subops="" subsynonyms="" isbinary="false" explaination="" >chest pain</emergency_symptom><emergency_symptom mustcritical="false" critical="true" sourcesl1="ARDS, Crimean-Congo hemorrhagic fever, acute respiratory failure, myocardial infarction, shock, status asthmaticus"  sourcesem="SARS, St. Louis encephalitis, acute disseminated encephalomyelitis, anthrax, aortic aneurysm, atrial myxoma, hemorrhagic fever with renal syndrome, iron poisoning, myocarditis, pulmonary embolism, septic shock or septicemia, toxic epidermolysis" sources="otitis media, viral syndrome, sinusitis, enteroviral infections, human immunodeficiency virus infections, acute respiratory failure, septic shock or septicemia, shock, Rocky Mountain spotted fever, bacteremia, varicella zoster infections, acute pancreatitis, sickle cell anemia, ARDS, cor pulmonale, post abdominal surgery, pericardial effusion, acute pericarditis, myocarditis, pulmonary embolism, viral gastroenteritis, toxic epidermolysis, asthma, immunization reactions, status asthmaticus, Lyme disease, sarcoidosis, acute nephritic syndrome, membranous glomerulonephritis" synonyms="dizzy, feeling like falling, lightheadedness" subops="" subsynonyms="" isbinary="false" explaination="" >dizziness</emergency_symptom><emergency_symptom mustcritical="false" critical="true" sourcesl1="ARDS, Crimean-Congo hemorrhagic fever, acute respiratory failure, myocardial infarction, shock, status asthmaticus"  sourcesem="SARS, anthrax, hemorrhagic fever with renal syndrome, myocarditis, pneumocystis carinii pneumonia, pulmonary embolism, respiratory acidosis, septic shock or septicemia, toxic epidermolysis" sources="influenza, pneumonia, mycoplasma pneumonia, swine flu, human immunodeficiency virus infections, acute respiratory failure, Epstein-Barr virus, tuberculosis pneumonia, septic shock or septicemia, shock, Rocky Mountain spotted fever, coccidiodomycosis, acute pancreatitis, pleurodynia, empyema, ARDS, blastomycosis, cor pulmonale, post abdominal surgery, acute pericarditis, aspiration pneumonia, myocarditis, pulmonary embolism, respiratory acidosis, toxic epidermolysis, asthma, cytomegalovirus, status asthmaticus, Hodgkin's lymphoma, malignancy, sarcoidosis, mitral regurgitation" synonyms="dripping sweat, excessive diaphoresis, excessive perspiration, excessive sweating without exertion, perspiration excessive, perspiration increased, perspiring a lot without exertion, perspiring profusely, sudden profuse sweating, sudden sweaty armpits, sudden sweaty face, suddenly sweating profusely, sweating a lot without exertion, sweating excessively without exertion, sweating increased suddenly, sweating without exertion, sweats, visible sweat without exertion" subops="" subsynonyms="" isbinary="false" explaination="" >increased sweating</emergency_symptom><emergency_symptom mustcritical="false" critical="true" sourcesl1="ARDS, Crimean-Congo hemorrhagic fever, acute respiratory failure, myocardial infarction, shock, status asthmaticus"  sourcesem="SARS, St. Louis encephalitis, acute disseminated encephalomyelitis, anthrax, cavernous sinus thrombosis, hemorrhagic fever with renal syndrome, iron poisoning, mediastinitis, pneumocystis carinii pneumonia, pulmonary embolism, pulmonary infarction, respiratory acidosis, septic shock or septicemia, subdural empyema, toxic epidermolysis" sources="pneumonia, enteroviral infections, mycoplasma pneumonia, viral pneumonia, human immunodeficiency virus infections, acute respiratory failure, Epstein-Barr virus, septic shock or septicemia, shock, Rocky Mountain spotted fever, varicella zoster infections, cystic fibrosis, acute pancreatitis, sickle cell anemia, ARDS, mediastinitis, cor pulmonale, post abdominal surgery, pericardial effusion, aspiration pneumonia, pulmonary embolism, respiratory acidosis, pulmonary infarction, viral gastroenteritis, toxic epidermolysis, asthma, immunization reactions, cytomegalovirus, status asthmaticus, cat scratch disease, Lyme disease, aspergillosis, sarcoidosis, acute nephritic syndrome, foreign body in esophagus, systemic lupus erythematosis, membranous glomerulonephritis" synonyms="cloudy consciousness, confused behavior, confused speech, confused thinking, dazed, disorganized speech, disorganized thoughts, disorientation, disoriented, not oriented to time person or place, not recognizing parents, not thinking clearly" subops="" subsynonyms="" isbinary="false" explaination="" >confusion</emergency_symptom><emergency_symptom mustcritical="true" critical="true" sourcesl1="ARDS, acute respiratory failure, shock, status asthmaticus"  sourcesem="SARS, acute eosinophilic pneumonia, anthrax, aortic aneurysm, atrial myxoma, iron poisoning, mediastinitis, myocarditis, pneumocystis carinii pneumonia, pulmonary embolism, pulmonary infarction, respiratory acidosis, septic shock or septicemia, toxic epidermolysis" sources="influenza, pneumonia, mycoplasma pneumonia, swine flu, viral pneumonia, acute respiratory failure, pleural effusion, tuberculosis pneumonia, septic shock or septicemia, shock, chlamydia infections, pertussis, cystic fibrosis, pleurodynia, sickle cell anemia, bronchiectasis, empyema, ARDS, mediastinitis, pseudomonas infection, cor pulmonale, pericardial effusion, aspiration pneumonia, myocarditis, pulmonary embolism, respiratory acidosis, pulmonary infarction, toxic epidermolysis, asthma, status asthmaticus, IgG deficiencies, Immune Deficiency, ciliary dyskinesia, sarcoidosis, mediastinal mass, Kaposi's sarcoma, mitral regurgitation" synonyms="ashen skin color, blue face, blue skin or dusky lips, blue tongue, bluish lips, bluish skin, cyanosis, hypoxemia, hypoxia, lip or skin cyanosis, lips blue or skin dusky, lips or skin ashen, looks blue, low oxygen in blood, low oxygen saturation, low reading pulse oximeter, pulse ox less than 90, pulse oximeter less than 90, skin dusky or lips blue, skin or lip cyanosis, skin or lips ashen, turned blue, turned bluish color" subops="" subsynonyms="" isbinary="true" explaination="" >blue lips or dusky skin</emergency_symptom><emergency_symptom mustcritical="false" critical="false" sourcesl1="ARDS, acute respiratory failure, myocardial infarction, shock, status asthmaticus"  sourcesem="SARS, anthrax, atrial myxoma, hemorrhagic fever with renal syndrome, mediastinitis, myocarditis, pneumocystis carinii pneumonia, pulmonary embolism, pulmonary infarction, respiratory acidosis, septic shock or septicemia, toxic epidermolysis" sources="influenza, pneumonia, neutropenia, acute bronchitis, mycoplasma pneumonia, swine flu, viral pneumonia, human immunodeficiency virus infections, acute respiratory failure, pleural effusion, pleurisy, measles, tuberculosis pneumonia, septic shock or septicemia, shock, mycoplasma infections, puerperal infections, coccidiodomycosis, cystic fibrosis, acute pancreatitis, pleurodynia, sickle cell anemia, bronchiectasis, empyema, lung abscess, ARDS, mediastinitis, pseudomonas infection, blastomycosis, cor pulmonale, pericardial effusion, acute pericarditis, aspiration pneumonia, myocarditis, pulmonary embolism, respiratory acidosis, radiation esophagitis, pulmonary infarction, toxic epidermolysis, asthma, status asthmaticus, aspergillosis, selective IgA deficiency, atypical mycobacterial infection, common variable immunodeficiency, toxoplasmosis, Immune Deficiency, ciliary dyskinesia, malignancy, sarcoidosis, allergic bronchopulmonary aspergillosis, small cell lung carcinoma, mediastinal mass, metastases, Kaposi's sarcoma, systemic lupus erythematosis, alpha 1 antitrypsin deficiency, mixed connective tissue disease, mitral regurgitation" synonyms="breathing rapidly, fast breathing, fast respirations, rapid respiration, tachypnea" subops="" subsynonyms="" isbinary="false" explaination="%3C+2+months+%3E60+breaths%2Fmin%0D..2m-1y+%3E50+breaths%2Fmin%0D..1-5y+%3E40+breaths%2Fmin%0D..6-12y+%3E30+breaths%2Fmin%0D..%3E12y+%3E20+breaths%2Fmin%0D.." >breathing fast</emergency_symptom><emergency_symptom mustcritical="false" critical="false" sourcesl1="ARDS, acute respiratory failure, myocardial infarction, shock"  sourcesem="SARS, acute eosinophilic pneumonia, anthrax, atrial myxoma, myocarditis, pneumocystis carinii pneumonia, pulmonary embolism, pulmonary infarction" sources="influenza, pneumonia, acute bronchitis, mycoplasma pneumonia, viral pneumonia, human immunodeficiency virus infections, acute respiratory failure, tuberculosis pneumonia, shock, chlamydia infections, mycoplasma infections, puerperal infections, coccidiodomycosis, varicella zoster infections, cystic fibrosis, sickle cell anemia, bronchiectasis, empyema, lung abscess, ARDS, pseudomonas infection, blastomycosis, cor pulmonale, post abdominal surgery, pericardial effusion, aspiration pneumonia, myocarditis, pulmonary embolism, pulmonary infarction, asthma, aspergillosis, selective IgA deficiency, atypical mycobacterial infection, common variable immunodeficiency, hypogammaglobulinemia, IgG deficiencies, Immune Deficiency, ciliary dyskinesia, malignancy, sarcoidosis, allergic bronchopulmonary aspergillosis, acute nephritic syndrome, small cell lung carcinoma, metastases, alpha 1 antitrypsin deficiency, mitral regurgitation" synonyms="crackles in left lung, crackles in lungs, crackles in right lung" subops="" subsynonyms="" isbinary="true" explaination="" >rales</emergency_symptom><emergency_symptom mustcritical="false" critical="false" sourcesl1="ARDS, acute respiratory failure, myocardial infarction, shock"  sourcesem="SARS, acute disseminated encephalomyelitis, pneumocystis carinii pneumonia, pulmonary embolism, septic shock or septicemia" sources="influenza, pneumonia, viral syndrome, common cold, upper respiratory infection, sinusitis, enteroviral infections, mycoplasma pneumonia, swine flu, human immunodeficiency virus infections, acute respiratory failure, tuberculosis pneumonia, septic shock or septicemia, shock, mycoplasma infections, tonsillitis, scarlet fever, varicella zoster infections, acute pancreatitis, pleurodynia, sickle cell anemia, ARDS, pulmonary embolism, viral gastroenteritis, Lyme disease, arthritis, toxoplasmosis, Hodgkin's lymphoma, malignancy, sarcoidosis, acute nephritic syndrome, metastases, Kaposi's sarcoma, systemic lupus erythematosis, focal segmental glomerulosclerosis, nephrotic syndrome, mixed connective tissue disease, membranous glomerulonephritis" synonyms="asthenia, feeling generally weak, generalized muscle weakness, too weak to cry, too weak to drink, too weak to eat, weak cry, weak suck" subops="" subsynonyms="" isbinary="false" explaination="" >weakness</emergency_symptom><emergency_symptom mustcritical="false" critical="false" sourcesl1="Crimean-Congo hemorrhagic fever"  sourcesem="cavernous sinus thrombosis, hemorrhagic fever with renal syndrome, iron poisoning, mediastinitis, myocarditis, septic shock or septicemia" sources="influenza, pneumonia, viral syndrome, neutropenia, acute bronchitis, mycoplasma pneumonia, swine flu, viral pneumonia, pleural effusion, pleurisy, tuberculosis pneumonia, septic shock or septicemia, chlamydia infections, Rocky Mountain spotted fever, mycoplasma infections, puerperal infections, bacteremia, tonsillitis, coccidiodomycosis, MRSA, acute pancreatitis, pleurodynia, sickle cell anemia, empyema, lung abscess, mediastinitis, pseudomonas infection, blastomycosis, aspiration pneumonia, myocarditis, radiation esophagitis, Lyme disease, aspergillosis" synonyms="feels cold with chills, has chills, shivering" subops="" subsynonyms="" isbinary="false" explaination="" >chills</emergency_symptom><emergency_symptom mustcritical="false" critical="false" sourcesl1="Crimean-Congo hemorrhagic fever, shock"  sourcesem="SARS, acute disseminated encephalomyelitis, anthrax, iron poisoning, septic shock or septicemia, toxic epidermolysis" sources="influenza, pneumonia, otitis media, viral syndrome, upper respiratory infection, pharyngitis, enteroviral infections, mycoplasma pneumonia, swine flu, viral pneumonia, human immunodeficiency virus infections, septic shock or septicemia, shock, bacteremia, cystic fibrosis, acute pancreatitis, pleurodynia, pseudomonas infection, post abdominal surgery, radiation esophagitis, viral gastroenteritis, toxic epidermolysis, immunization reactions, cytomegalovirus, Lyme disease, selective IgA deficiency, atypical mycobacterial infection, common variable immunodeficiency, hypogammaglobulinemia, intestinal parasites, Hodgkin's lymphoma, IgG deficiencies, Immune Deficiency, malignancy, acute nephritic syndrome, small cell lung carcinoma, metastases" synonyms="bm frequent, bm loose, frequent bm, having bowel movements very often, hyperdefecation, increased frequency of stools, loose bowel movements, loose motions, runny stools, stools frequent, stools loose, watery stools" subops="" subsynonyms="" isbinary="false" explaination="mild%3A+less+than+6+times+a+day%0D..moderate%3A+7-14+times+a+day%0D..severe%3A+15+or+more+times+a+day" >diarrhea</emergency_symptom><emergency_symptom mustcritical="false" critical="false" sourcesl1=""  sourcesem="" sources="influenza" synonyms="" subops="" subsynonyms="" isbinary="true" explaination="" >abrupt onset of illness</emergency_symptom><emergency_symptom mustcritical="false" critical="false" sourcesl1=""  sourcesem="" sources="pneumonia, acute bronchitis" synonyms="air entry in lungs decreased" subops="" subsynonyms="" isbinary="false" explaination="" >decreased air entry in lungs</emergency_symptom><emergency_symptom mustcritical="false" critical="false" sourcesl1="Crimean-Congo hemorrhagic fever, acute respiratory failure, myocardial infarction, shock, status asthmaticus"  sourcesem="SARS, St. Louis encephalitis, acute disseminated encephalomyelitis, anthrax, aortic aneurysm, cavernous sinus thrombosis, iron poisoning, respiratory acidosis, septic shock or septicemia, subdural empyema, toxic epidermolysis" sources="influenza, pneumonia, otitis media, viral syndrome, upper respiratory infection, enteroviral infections, mycoplasma pneumonia, swine flu, viral pneumonia, human immunodeficiency virus infections, acute respiratory failure, Epstein-Barr virus, measles, septic shock or septicemia, shock, chlamydia infections, Rocky Mountain spotted fever, mycoplasma infections, peritonsillar abscess, bacteremia, tonsillitis, pertussis, coccidiodomycosis, scarlet fever, varicella zoster infections, cystic fibrosis, acute pancreatitis, pleurodynia, pseudomonas infection, blastomycosis, post abdominal surgery, respiratory acidosis, radiation esophagitis, viral gastroenteritis, toxic epidermolysis, asthma, immunization reactions, cytomegalovirus, viral conjunctivitis, status asthmaticus, cat scratch disease, Lyme disease, aspergillosis, selective IgA deficiency, common variable immunodeficiency, hypogammaglobulinemia, intestinal parasites, Immune Deficiency, malignancy, sarcoidosis, acute nephritic syndrome, foreign body in esophagus, metastases, systemic lupus erythematosis, membranous glomerulonephritis" synonyms="barfing, retching, throwing up" subops="" subsynonyms="" isbinary="false" explaination="mild%3A+less+than+3+times+a+day%0D..moderate%3A+4-9+times+a+day%0D..severe%3A+10+or+more+times+a+day" >vomiting</emergency_symptom><emergency_symptom mustcritical="false" critical="false" sourcesl1=""  sourcesem="" sources="influenza, otitis media, common cold, upper respiratory infection, sinusitis, swine flu, perforated ear drum, tonsillitis" synonyms="breathes through mouth, cannot breathe through nose, inability to breathe through nose, mouth breathing, unable to breathe through nose" subops="" subsynonyms="" isbinary="false" explaination="" >difficulty breathing through nose</emergency_symptom><emergency_symptom mustcritical="true" critical="true" sourcesl1="ARDS, acute respiratory failure, myocardial infarction, shock"  sourcesem="aortic aneurysm, iron poisoning, mediastinitis, myocarditis, pulmonary embolism, septic shock or septicemia" sources="acute respiratory failure, septic shock or septicemia, shock, acute pancreatitis, sickle cell anemia, ARDS, mediastinitis, cor pulmonale, post abdominal surgery, myocarditis, pulmonary embolism, viral gastroenteritis, Immune Deficiency, mitral regurgitation" synonyms="cold and wet skin, cold sweat, cold sweaty skin, skin clammy, skin cold and wet" subops="" subsynonyms="" isbinary="true" explaination="" >clammy skin</emergency_symptom><emergency_symptom mustcritical="false" critical="true" sourcesl1="ARDS, Crimean-Congo hemorrhagic fever, acute respiratory failure, myocardial infarction, shock, status asthmaticus"  sourcesem="SARS, acute disseminated encephalomyelitis, acute eosinophilic pneumonia, anthrax, aortic aneurysm, atrial myxoma, hemorrhagic fever with renal syndrome, mediastinitis, myocarditis, pneumocystis carinii pneumonia, pulmonary embolism, pulmonary infarction, respiratory acidosis, septic shock or septicemia, toxic epidermolysis" sources="influenza, pneumonia, neutropenia, acute bronchitis, mycoplasma pneumonia, swine flu, viral pneumonia, human immunodeficiency virus infections, acute laryngitis, acute respiratory failure, pleural effusion, pleurisy, measles, tuberculosis pneumonia, septic shock or septicemia, shock, chlamydia infections, Rocky Mountain spotted fever, mycoplasma infections, peritonsillar abscess, puerperal infections, bacteremia, tonsillitis, pertussis, coccidiodomycosis, MRSA, varicella zoster infections, cystic fibrosis, acute pancreatitis, pleurodynia, sickle cell anemia, bronchiectasis, empyema, lung abscess, ARDS, mediastinitis, pseudomonas infection, blastomycosis, cor pulmonale, post abdominal surgery, pericardial effusion, acute pericarditis, aspiration pneumonia, myocarditis, pulmonary embolism, respiratory acidosis, radiation esophagitis, pulmonary infarction, toxic epidermolysis, asthma, immunization reactions, status asthmaticus, cat scratch disease, aspergillosis, selective IgA deficiency, atypical mycobacterial infection, arthritis, rheumatoid arthritis, common variable immunodeficiency, hypogammaglobulinemia, toxoplasmosis, Hodgkin's lymphoma, IgG deficiencies, Immune Deficiency, ciliary dyskinesia, malignancy, sarcoidosis, allergic bronchopulmonary aspergillosis, acute nephritic syndrome, small cell lung carcinoma, foreign body in esophagus, mediastinal mass, metastases, chronic lymphocytic leukemia, Kaposi's sarcoma, systemic lupus erythematosis, alpha 1 antitrypsin deficiency, mixed connective tissue disease, membranous glomerulonephritis, mitral regurgitation" synonyms="breathing difficulty, breathing problems, breathlessness, can't breathe, cannot breathe, chest pain when breathing deeply, dyspnea, hard to breathe, inability to take a deep breath, labored breathing, painful breathing, problem breathing, respiratory distress, shortness of breath, sob, suffocating feeling, unable to breathe" subops="" subsynonyms="" isbinary="false" explaination="mild%3A+speaking+normally+in+sentences%0D..moderate%3A+speaks+only+in+phrases%0D..severe%3A+speaks+only+in+single+words" >difficulty breathing</emergency_symptom><emergency_symptom mustcritical="false" critical="true" sourcesl1="ARDS, Crimean-Congo hemorrhagic fever, acute respiratory failure, myocardial infarction, shock, status asthmaticus"  sourcesem="SARS, St. Louis encephalitis, anthrax, aortic aneurysm, atrial myxoma, cavernous sinus thrombosis, hemorrhagic fever with renal syndrome, iron poisoning, myocarditis, pulmonary embolism, pulmonary infarction, septic shock or septicemia, subdural empyema, toxic epidermolysis" sources="influenza, enteroviral infections, swine flu, human immunodeficiency virus infections, acute respiratory failure, septic shock or septicemia, shock, Rocky Mountain spotted fever, bacteremia, varicella zoster infections, acute pancreatitis, sickle cell anemia, ARDS, cor pulmonale, post abdominal surgery, pericardial effusion, aspiration pneumonia, myocarditis, pulmonary embolism, radiation esophagitis, pulmonary infarction, viral gastroenteritis, toxic epidermolysis, asthma, immunization reactions, status asthmaticus, Lyme disease, sarcoidosis, acute nephritic syndrome" synonyms="blacking out, body suddenly feels limp, briefly losing consciousness, cannot stand because feeling weak, fainted, fainting, feels weak, knocked out, knocked unconscious for a brief period, lost consciousness for a brief period, orthostasis, passed out, sudden limpness, suddenly becoming limp, syncope, too weak to stand, too weak to walk, transient loss of consciousness, transient period of unconsciousness, unconscious for brief period, very weak" subops="" subsynonyms="" isbinary="true" explaination="" >passing out</emergency_symptom><emergency_symptom mustcritical="false" critical="false" sourcesl1=""  sourcesem="" sources="" synonyms="" subops="" subsynonyms="" isbinary="false" explaination="" >LIFESTYLE:immunosuppressed</emergency_symptom><emergency_symptom mustcritical="false" critical="false" sourcesl1=""  sourcesem="" sources="" synonyms="" subops="" subsynonyms="" isbinary="false" explaination="" >PREVIOUSCONDITIONS:asthma</emergency_symptom><emergency_symptom mustcritical="false" critical="false" sourcesl1=""  sourcesem="" sources="" synonyms="" subops="" subsynonyms="" isbinary="false" explaination="" >PREVIOUSCONDITIONS:acute bronchitis</emergency_symptom><emergency_symptom mustcritical="false" critical="false" sourcesl1=""  sourcesem="" sources="" synonyms="" subops="" subsynonyms="" isbinary="false" explaination="" >PREVIOUSCONDITIONS:drugs and toxins</emergency_symptom><emergency_symptom mustcritical="false" critical="false" sourcesl1=""  sourcesem="" sources="" synonyms="" subops="" subsynonyms="" isbinary="false" explaination="" >PREVIOUSCONDITIONS:human immunodeficiency virus infections</emergency_symptom><emergency_symptom mustcritical="false" critical="false" sourcesl1=""  sourcesem="" sources="" synonyms="" subops="" subsynonyms="" isbinary="false" explaination="" >PREVIOUSCONDITIONS:anaphylaxis</emergency_symptom><emergency_symptom mustcritical="false" critical="false" sourcesl1=""  sourcesem="" sources="" synonyms="" subops="" subsynonyms="" isbinary="false" explaination="" >PREVIOUSCONDITIONS:pleural effusion</emergency_symptom><emergency_symptom mustcritical="false" critical="false" sourcesl1=""  sourcesem="" sources="" synonyms="" subops="" subsynonyms="" isbinary="false" explaination="" >PREVIOUSCONDITIONS:pneumonia</emergency_symptom><emergency_symptom mustcritical="false" critical="false" sourcesl1=""  sourcesem="" sources="" synonyms="" subops="" subsynonyms="" isbinary="false" explaination="" >LIFESTYLE:Smoking</emergency_symptom><emergency_symptom mustcritical="false" critical="false" sourcesl1=""  sourcesem="" sources="" synonyms="" subops="" subsynonyms="" isbinary="false" explaination="" >LIFESTYLE:Alcohol</emergency_symptom><emergency_symptom mustcritical="false" critical="false" sourcesl1=""  sourcesem="" sources="" synonyms="" subops="" subsynonyms="" isbinary="false" explaination="" >LIFESTYLE:pregnancy</emergency_symptom><emergency_symptom mustcritical="false" critical="false" sourcesl1=""  sourcesem="" sources="" synonyms="" subops="" subsynonyms="" isbinary="false" explaination="" >LIFESTYLE:Injured</emergency_symptom><emergency_symptom mustcritical="false" critical="false" sourcesl1=""  sourcesem="" sources="" synonyms="" subops="" subsynonyms="" isbinary="false" explaination="" >LIFESTYLE:STD</emergency_symptom></emergency_symptoms>

					<physical_exam_options>
					<physical_exam answer="" star="2" critical="false"  section="" category="SKIN" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[blister(s) or bump(s) on skin]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="SKIN" subops="" sourcesl1="Crimean-Congo hemorrhagic fever"  sourcesem="acute disseminated encephalomyelitis" sources="human immunodeficiency virus infections, Epstein-Barr virus, mycoplasma infections, varicella zoster infections, sickle cell anemia, cytomegalovirus, cat scratch disease, Lyme disease, arthritis, rheumatoid arthritis, hypogammaglobulinemia, Hodgkin's lymphoma, sarcoidosis, small cell lung carcinoma, systemic lupus erythematosis, mixed connective tissue disease" ><![CDATA[impaired sensations]]></physical_exam>
								<physical_exam answer="" star="2" critical="false"  section="" category="SKIN" subops="" sourcesl1="Crimean-Congo hemorrhagic fever"  sourcesem="SARS, St. Louis encephalitis, anthrax, atrial myxoma, hemorrhagic fever with renal syndrome, septic shock or septicemia, toxic epidermolysis" sources="viral syndrome, pharyngitis, enteroviral infections, viral pneumonia, human immunodeficiency virus infections, Epstein-Barr virus, measles, septic shock or septicemia, Rocky Mountain spotted fever, mycoplasma infections, bacteremia, tonsillitis, pertussis, coccidiodomycosis, MRSA, scarlet fever, varicella zoster infections, acute pancreatitis, pseudomonas infection, blastomycosis, toxic epidermolysis, immunization reactions, cytomegalovirus, Lyme disease, selective IgA deficiency, atypical mycobacterial infection, arthritis, rheumatoid arthritis, common variable immunodeficiency, hypogammaglobulinemia, toxoplasmosis, Hodgkin's lymphoma, IgG deficiencies, Immune Deficiency, malignancy, sarcoidosis, acute nephritic syndrome, mediastinal mass, metastases, chronic lymphocytic leukemia, systemic lupus erythematosis, mixed connective tissue disease" ><![CDATA[rash]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="SKIN" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[yellow color of skin and eyes]]></physical_exam>
								<physical_exam answer="" star="1" critical="false"  section="" category="LUNGS" subops="" sourcesl1="acute respiratory failure"  sourcesem="" sources="acute respiratory failure, shock, ARDS, pericardial effusion, aspiration pneumonia, myocarditis, mitral regurgitation" ><![CDATA[frothy phlegm]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="LUNGS" subops="" sourcesl1="acute respiratory failure"  sourcesem="" sources="acute respiratory failure, septic shock or septicemia, shock, asthma" ><![CDATA[slow respirations]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="LUNGS" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[sputum clear]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="LUNGS" subops="" sourcesl1="acute respiratory failure"  sourcesem="" sources="acute respiratory failure, septic shock or septicemia, shock" ><![CDATA[stopping breathing]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="EARS" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[bleeding from ear(s)]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="EARS" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[clear fluid dripping from nose]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="EARS" subops="" sourcesl1=""  sourcesem="" sources="otitis media, perforated ear drum, pseudomonas infection, selective IgA deficiency, common variable immunodeficiency, hypogammaglobulinemia, IgG deficiencies, Immune Deficiency, ciliary dyskinesia" ><![CDATA[ear discharge]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="EARS" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[ear infection]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="EARS" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[foul smelling ear discharge]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="NECK/THROAT" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[a painful swelling in neck]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="NECK/THROAT" subops="" sourcesl1="acute respiratory failure"  sourcesem="" sources="pneumonia, enteroviral infections, mycoplasma pneumonia, viral pneumonia, human immunodeficiency virus infections, acute respiratory failure, shock, varicella zoster infections, sickle cell anemia, ARDS, asthma, status asthmaticus, Lyme disease, Kaposi's sarcoma" ><![CDATA[difficulty speaking]]></physical_exam>
								<physical_exam answer="" star="1" critical="false"  section="" category="NECK/THROAT" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[lump(s) or swelling in neck]]></physical_exam>
								<physical_exam answer="" star="2" critical="false"  section="" category="NECK/THROAT" subops="" sourcesl1=""  sourcesem="anthrax, mediastinitis, pneumocystis carinii pneumonia" sources="viral syndrome, neutropenia, pharyngitis, acute bronchitis, human immunodeficiency virus infections, Epstein-Barr virus, peritonsillar abscess, tonsillitis, coccidiodomycosis, MRSA, scarlet fever, mediastinitis, blastomycosis, cytomegalovirus, cat scratch disease, Lyme disease, atypical mycobacterial infection, arthritis, common variable immunodeficiency, toxoplasmosis, Hodgkin's lymphoma, Immune Deficiency, malignancy, sarcoidosis, metastases, Felty Syndrome, chronic lymphocytic leukemia, Kaposi's sarcoma" ><![CDATA[lymph nodes enlarged in neck]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="NECK/THROAT" subops="" sourcesl1="myocardial infarction"  sourcesem="anthrax, aortic aneurysm, mediastinitis" sources="pharyngitis, sinusitis, human immunodeficiency virus infections, Epstein-Barr virus, peritonsillar abscess, tonsillitis, MRSA, scarlet fever, mediastinitis, acute pericarditis, cytomegalovirus, cat scratch disease, aspergillosis, atypical mycobacterial infection, arthritis, rheumatoid arthritis, common variable immunodeficiency, toxoplasmosis, Hodgkin's lymphoma, malignancy, metastases, chronic lymphocytic leukemia" ><![CDATA[pain in neck]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="NECK/THROAT" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[thrush in mouth]]></physical_exam>
								<physical_exam answer="" star="1" critical="false"  section="" category="NECK/THROAT" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[white patches in mouth or throat]]></physical_exam>
								<physical_exam answer="" star="1" critical="false"  section="" category="HEAD" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[blister(s) or bump(s) in mouth]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="HEAD" subops="" sourcesl1=""  sourcesem="" sources="pneumonia, enteroviral infections, mycoplasma pneumonia, human immunodeficiency virus infections, Epstein-Barr virus, septic shock or septicemia, shock, Rocky Mountain spotted fever, mycoplasma infections, bacteremia, varicella zoster infections, acute pancreatitis, sickle cell anemia, ARDS, post abdominal surgery, pulmonary embolism, toxic epidermolysis, cytomegalovirus, cat scratch disease, Lyme disease, aspergillosis, sarcoidosis, acute nephritic syndrome, systemic lupus erythematosis, alpha 1 antitrypsin deficiency" ><![CDATA[change in cognition]]></physical_exam>
								<physical_exam answer="" star="4" critical="false"  section="" category="HEAD" subops="" sourcesl1=""  sourcesem="" sources="influenza, otitis media, common cold, upper respiratory infection, sinusitis, swine flu, perforated ear drum, tonsillitis" ><![CDATA[difficulty breathing through nose]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="HEAD" subops="" sourcesl1="acute respiratory failure"  sourcesem="" sources="pneumonia, enteroviral infections, mycoplasma pneumonia, viral pneumonia, human immunodeficiency virus infections, acute respiratory failure, shock, varicella zoster infections, sickle cell anemia, ARDS, asthma, status asthmaticus, Lyme disease, Kaposi's sarcoma" ><![CDATA[difficulty speaking]]></physical_exam>
								<physical_exam answer="" star="1" critical="false"  section="" category="HEAD" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[face swelling on one side]]></physical_exam>
								<physical_exam answer="" star="1" critical="false"  section="" category="HEAD" subops="" sourcesl1="acute respiratory failure"  sourcesem="" sources="acute respiratory failure, shock, ARDS, pericardial effusion, aspiration pneumonia, myocarditis, mitral regurgitation" ><![CDATA[frothy phlegm]]></physical_exam>
								<physical_exam answer="" star="3" critical="false"  section="" category="HEAD" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[increased tears]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="HEAD" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[lump or swelling on jaw]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="HEAD" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[muscle weakness face]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="HEAD" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[muscle weakness on one side of face]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="HEAD" subops="" sourcesl1="Crimean-Congo hemorrhagic fever, shock"  sourcesem="hemorrhagic fever with renal syndrome" sources="sinusitis, shock, cystic fibrosis, chronic lymphocytic leukemia, systemic lupus erythematosis" ><![CDATA[nose bleeds]]></physical_exam>
								<physical_exam answer="" star="1" critical="false"  section="" category="HEAD" subops="" sourcesl1="myocardial infarction"  sourcesem="St. Louis encephalitis, septic shock or septicemia, toxic epidermolysis" sources="neutropenia, sinusitis, enteroviral infections, acute laryngitis, Epstein-Barr virus, septic shock or septicemia, chlamydia infections, mycoplasma infections, peritonsillar abscess, MRSA, varicella zoster infections, pleurodynia, blastomycosis, toxic epidermolysis, cytomegalovirus, selective IgA deficiency, Hodgkin's lymphoma, chronic lymphocytic leukemia" ><![CDATA[pain in mouth]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="HEAD" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[puffy face]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="HEAD" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[red face]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="HEAD" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[scalp hair loss]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="HEAD" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[temporal headache]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="HEAD" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[thrush in mouth]]></physical_exam>
								<physical_exam answer="" star="1" critical="false"  section="" category="HEAD" subops="" sourcesl1=""  sourcesem="toxic epidermolysis" sources="enteroviral infections, human immunodeficiency virus infections, chlamydia infections, mycoplasma infections, varicella zoster infections, blastomycosis, radiation esophagitis, toxic epidermolysis, cytomegalovirus, common variable immunodeficiency, Immune Deficiency, acute nephritic syndrome, systemic lupus erythematosis" ><![CDATA[ulcer(s) in mouth]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="HEAD" subops="" sourcesl1="myocardial infarction, shock"  sourcesem="St. Louis encephalitis, acute disseminated encephalomyelitis, atrial myxoma, cavernous sinus thrombosis, subdural empyema" sources="sinusitis, human immunodeficiency virus infections, shock, chlamydia infections, acute pancreatitis, sickle cell anemia, pseudomonas infection, cytomegalovirus, cat scratch disease, Lyme disease, aspergillosis, arthritis, rheumatoid arthritis, toxoplasmosis, malignancy, sarcoidosis, acute nephritic syndrome, metastases, systemic lupus erythematosis, membranous glomerulonephritis" ><![CDATA[vision problems]]></physical_exam>
								<physical_exam answer="" star="1" critical="false"  section="" category="HEAD" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[white patches in mouth or throat]]></physical_exam>
								<physical_exam answer="" star="2" critical="false"  section="" category="STOMACH/ABDOMEN" subops="" sourcesl1="Crimean-Congo hemorrhagic fever, myocardial infarction, shock, status asthmaticus"  sourcesem="acute disseminated encephalomyelitis, aortic aneurysm, hemorrhagic fever with renal syndrome, iron poisoning, pulmonary embolism, septic shock or septicemia" sources="influenza, pneumonia, viral syndrome, enteroviral infections, mycoplasma pneumonia, swine flu, viral pneumonia, human immunodeficiency virus infections, Epstein-Barr virus, septic shock or septicemia, shock, chlamydia infections, mycoplasma infections, puerperal infections, MRSA, scarlet fever, varicella zoster infections, cystic fibrosis, acute pancreatitis, pleurodynia, sickle cell anemia, empyema, pseudomonas infection, post abdominal surgery, pericardial effusion, acute pericarditis, pulmonary embolism, radiation esophagitis, viral gastroenteritis, immunization reactions, cytomegalovirus, status asthmaticus, cat scratch disease, Lyme disease, selective IgA deficiency, common variable immunodeficiency, intestinal parasites, Hodgkin's lymphoma, Immune Deficiency, malignancy, sarcoidosis, acute nephritic syndrome, small cell lung carcinoma, foreign body in esophagus, metastases, Felty Syndrome, chronic lymphocytic leukemia, systemic lupus erythematosis, alpha 1 antitrypsin deficiency" ><![CDATA[stomach pain]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="EYES" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[bleeding on white of eye(s)]]></physical_exam>
								<physical_exam answer="" star="2" critical="false"  section="" category="EYES" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[red eye(s)]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="EYES" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[swelling and irritation of middle layer of eye]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="EYES" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[yellow color of skin and eyes]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="NEURO" subops="" sourcesl1=""  sourcesem="" sources="pneumonia" ><![CDATA[CURB 65-confusion]]></physical_exam>
								<physical_exam answer="" star="1" critical="false"  section="" category="NEURO" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[alertness alternating with confusion]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="NEURO" subops="" sourcesl1=""  sourcesem="" sources="pneumonia, enteroviral infections, mycoplasma pneumonia, human immunodeficiency virus infections, Epstein-Barr virus, septic shock or septicemia, shock, Rocky Mountain spotted fever, mycoplasma infections, bacteremia, varicella zoster infections, acute pancreatitis, sickle cell anemia, ARDS, post abdominal surgery, pulmonary embolism, toxic epidermolysis, cytomegalovirus, cat scratch disease, Lyme disease, aspergillosis, sarcoidosis, acute nephritic syndrome, systemic lupus erythematosis, alpha 1 antitrypsin deficiency" ><![CDATA[change in cognition]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="NEURO" subops="" sourcesl1=""  sourcesem="" sources="human immunodeficiency virus infections, Lyme disease" ><![CDATA[cognitive defect]]></physical_exam>
								<physical_exam answer="" star="0" critical="true"  section="" category="NEURO" subops="" sourcesl1=""  sourcesem="" sources="influenza, swine flu, human immunodeficiency virus infections, septic shock or septicemia, shock, Rocky Mountain spotted fever, cystic fibrosis, acute pancreatitis, ARDS, post abdominal surgery, aspiration pneumonia, pulmonary embolism, respiratory acidosis, toxic epidermolysis, immunization reactions" ><![CDATA[coma]]></physical_exam>
								<physical_exam answer="" star="1" critical="true"  section="" category="NEURO" subops="" sourcesl1="ARDS, Crimean-Congo hemorrhagic fever, acute respiratory failure, myocardial infarction, shock, status asthmaticus"  sourcesem="SARS, St. Louis encephalitis, acute disseminated encephalomyelitis, anthrax, cavernous sinus thrombosis, hemorrhagic fever with renal syndrome, iron poisoning, mediastinitis, pneumocystis carinii pneumonia, pulmonary embolism, pulmonary infarction, respiratory acidosis, septic shock or septicemia, subdural empyema, toxic epidermolysis" sources="pneumonia, enteroviral infections, mycoplasma pneumonia, viral pneumonia, human immunodeficiency virus infections, acute respiratory failure, Epstein-Barr virus, septic shock or septicemia, shock, Rocky Mountain spotted fever, varicella zoster infections, cystic fibrosis, acute pancreatitis, sickle cell anemia, ARDS, mediastinitis, cor pulmonale, post abdominal surgery, pericardial effusion, aspiration pneumonia, pulmonary embolism, respiratory acidosis, pulmonary infarction, viral gastroenteritis, toxic epidermolysis, asthma, immunization reactions, cytomegalovirus, status asthmaticus, cat scratch disease, Lyme disease, aspergillosis, sarcoidosis, acute nephritic syndrome, foreign body in esophagus, systemic lupus erythematosis, membranous glomerulonephritis" ><![CDATA[confusion]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="NEURO" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[dementia]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="NEURO" subops="" sourcesl1="acute respiratory failure"  sourcesem="" sources="pneumonia, enteroviral infections, mycoplasma pneumonia, viral pneumonia, human immunodeficiency virus infections, acute respiratory failure, shock, varicella zoster infections, sickle cell anemia, ARDS, asthma, status asthmaticus, Lyme disease, Kaposi's sarcoma" ><![CDATA[difficulty speaking]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="NEURO" subops="" sourcesl1="Crimean-Congo hemorrhagic fever"  sourcesem="acute disseminated encephalomyelitis" sources="human immunodeficiency virus infections, Epstein-Barr virus, mycoplasma infections, varicella zoster infections, sickle cell anemia, cytomegalovirus, cat scratch disease, Lyme disease, arthritis, rheumatoid arthritis, hypogammaglobulinemia, Hodgkin's lymphoma, sarcoidosis, small cell lung carcinoma, systemic lupus erythematosis, mixed connective tissue disease" ><![CDATA[impaired sensations]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="NEURO" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[muscle wasting]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="NEURO" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[muscle weakness on one side of face]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="NEURO" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[poor coordination]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="NEURO" subops="" sourcesl1="acute respiratory failure"  sourcesem="" sources="acute respiratory failure, septic shock or septicemia, shock, asthma" ><![CDATA[slow respirations]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="NEURO" subops="" sourcesl1="acute respiratory failure"  sourcesem="" sources="acute respiratory failure, septic shock or septicemia, shock" ><![CDATA[stopping breathing]]></physical_exam>
								<physical_exam answer="" star="0" critical="true"  section="" category="NEURO" subops="" sourcesl1="acute respiratory failure"  sourcesem="" sources="acute respiratory failure, septic shock or septicemia, shock, Rocky Mountain spotted fever, acute pancreatitis, ARDS, post abdominal surgery, pulmonary embolism, respiratory acidosis, toxic epidermolysis" ><![CDATA[stuporous]]></physical_exam>
								<physical_exam answer="" star="0" critical="false"  section="" category="NEURO" subops="" sourcesl1="myocardial infarction, shock"  sourcesem="St. Louis encephalitis, acute disseminated encephalomyelitis, atrial myxoma, cavernous sinus thrombosis, subdural empyema" sources="sinusitis, human immunodeficiency virus infections, shock, chlamydia infections, acute pancreatitis, sickle cell anemia, pseudomonas infection, cytomegalovirus, cat scratch disease, Lyme disease, aspergillosis, arthritis, rheumatoid arthritis, toxoplasmosis, malignancy, sarcoidosis, acute nephritic syndrome, metastases, systemic lupus erythematosis, membranous glomerulonephritis" ><![CDATA[vision problems]]></physical_exam>
								</physical_exam_options>


					<review_of_systems>
					<ros answer="" star="3" critical="false"  category="GENERAL" subops="" sourcesl1="Crimean-Congo hemorrhagic fever"  sourcesem="cavernous sinus thrombosis, hemorrhagic fever with renal syndrome, iron poisoning, mediastinitis, myocarditis, septic shock or septicemia" sources="influenza, pneumonia, viral syndrome, neutropenia, acute bronchitis, mycoplasma pneumonia, swine flu, viral pneumonia, pleural effusion, pleurisy, tuberculosis pneumonia, septic shock or septicemia, chlamydia infections, Rocky Mountain spotted fever, mycoplasma infections, puerperal infections, bacteremia, tonsillitis, coccidiodomycosis, MRSA, acute pancreatitis, pleurodynia, sickle cell anemia, empyema, lung abscess, mediastinitis, pseudomonas infection, blastomycosis, aspiration pneumonia, myocarditis, radiation esophagitis, Lyme disease, aspergillosis" ><![CDATA[chills]]></ros>
								<ros answer="" star="4" critical="false"  category="GENERAL" subops="" sourcesl1=""  sourcesem="acute eosinophilic pneumonia, pneumocystis carinii pneumonia" sources="pneumonia, mycoplasma pneumonia, human immunodeficiency virus infections, Epstein-Barr virus, tuberculosis pneumonia, coccidiodomycosis, empyema, lung abscess, acute pericarditis, cytomegalovirus, Hodgkin's lymphoma, malignancy, sarcoidosis, mediastinal mass, chronic lymphocytic leukemia" ><![CDATA[night sweats]]></ros>
								<ros answer="" star="0" critical="false"  category="GENERAL" subops="" sourcesl1=""  sourcesem="atrial myxoma, pneumocystis carinii pneumonia" sources="pneumonia, mycoplasma pneumonia, human immunodeficiency virus infections, pleurisy, tuberculosis pneumonia, coccidiodomycosis, cystic fibrosis, bronchiectasis, empyema, lung abscess, pseudomonas infection, blastomycosis, acute pericarditis, aspiration pneumonia, radiation esophagitis, viral gastroenteritis, aspergillosis, atypical mycobacterial infection, arthritis, rheumatoid arthritis, intestinal parasites, Hodgkin's lymphoma, ciliary dyskinesia, malignancy, sarcoidosis, allergic bronchopulmonary aspergillosis, small cell lung carcinoma, mediastinal mass, metastases, Felty Syndrome, chronic lymphocytic leukemia, Kaposi's sarcoma, systemic lupus erythematosis, mixed connective tissue disease" ><![CDATA[weight loss]]></ros>
								<ros answer="" star="0" critical="false"  category="GENERAL" subops="" sourcesl1=""  sourcesem="" sources="cor pulmonale, acute nephritic syndrome, systemic lupus erythematosis, focal segmental glomerulosclerosis, nephrotic syndrome, membranous glomerulonephritis" ><![CDATA[weight gain]]></ros>
								<ros answer="" star="0" critical="false"  category="GENERAL" subops="" sourcesl1=""  sourcesem="" sources="cystic fibrosis" ><![CDATA[increased appetite]]></ros>
								<ros answer="" star="3" critical="false"  category="GENERAL" subops="" sourcesl1="Crimean-Congo hemorrhagic fever, acute respiratory failure, myocardial infarction, shock, status asthmaticus"  sourcesem="SARS, acute disseminated encephalomyelitis, anthrax, atrial myxoma, hemorrhagic fever with renal syndrome, myocarditis, pneumocystis carinii pneumonia, pulmonary embolism, respiratory acidosis, septic shock or septicemia" sources="influenza, pneumonia, viral syndrome, common cold, upper respiratory infection, sinusitis, acute bronchitis, enteroviral infections, mycoplasma pneumonia, swine flu, viral pneumonia, human immunodeficiency virus infections, acute laryngitis, acute respiratory failure, Epstein-Barr virus, septic shock or septicemia, shock, Rocky Mountain spotted fever, bacteremia, tonsillitis, coccidiodomycosis, MRSA, varicella zoster infections, cystic fibrosis, acute pancreatitis, pleurodynia, sickle cell anemia, bronchiectasis, lung abscess, cor pulmonale, pericardial effusion, acute pericarditis, myocarditis, pulmonary embolism, respiratory acidosis, radiation esophagitis, viral gastroenteritis, asthma, status asthmaticus, cat scratch disease, Lyme disease, arthritis, rheumatoid arthritis, toxoplasmosis, Hodgkin's lymphoma, malignancy, sarcoidosis, allergic bronchopulmonary aspergillosis, acute nephritic syndrome, metastases, chronic lymphocytic leukemia, systemic lupus erythematosis, alpha 1 antitrypsin deficiency, focal segmental glomerulosclerosis, nephrotic syndrome, mixed connective tissue disease, membranous glomerulonephritis, mitral regurgitation" ><![CDATA[fatigue]]></ros>
								<ros answer="" star="3" critical="false"  category="GENERAL" subops="" sourcesl1="ARDS, Crimean-Congo hemorrhagic fever, shock, status asthmaticus"  sourcesem="SARS, St. Louis encephalitis, acute eosinophilic pneumonia, anthrax, atrial myxoma, hemorrhagic fever with renal syndrome, mediastinitis, myocarditis, pneumocystis carinii pneumonia, pulmonary embolism, pulmonary infarction, septic shock or septicemia, subdural empyema, toxic epidermolysis" sources="influenza, pneumonia, otitis media, viral syndrome, common cold, upper respiratory infection, neutropenia, pharyngitis, sinusitis, acute bronchitis, enteroviral infections, mycoplasma pneumonia, swine flu, viral pneumonia, human immunodeficiency virus infections, acute laryngitis, pleural effusion, pleurisy, Epstein-Barr virus, measles, tuberculosis pneumonia, septic shock or septicemia, shock, chlamydia infections, Rocky Mountain spotted fever, mycoplasma infections, peritonsillar abscess, puerperal infections, bacteremia, tonsillitis, coccidiodomycosis, MRSA, scarlet fever, varicella zoster infections, cystic fibrosis, acute pancreatitis, pleurodynia, sickle cell anemia, bronchiectasis, empyema, lung abscess, ARDS, mediastinitis, pseudomonas infection, blastomycosis, cor pulmonale, post abdominal surgery, pericardial effusion, acute pericarditis, aspiration pneumonia, myocarditis, pulmonary embolism, radiation esophagitis, pulmonary infarction, viral gastroenteritis, toxic epidermolysis, immunization reactions, cytomegalovirus, status asthmaticus, Lyme disease, aspergillosis, selective IgA deficiency, atypical mycobacterial infection, arthritis, rheumatoid arthritis, common variable immunodeficiency, hypogammaglobulinemia, intestinal parasites, toxoplasmosis, Hodgkin's lymphoma, IgG deficiencies, Immune Deficiency, ciliary dyskinesia, malignancy, sarcoidosis, allergic bronchopulmonary aspergillosis, acute nephritic syndrome, small cell lung carcinoma, metastases, chronic lymphocytic leukemia, Kaposi's sarcoma, systemic lupus erythematosis, alpha 1 antitrypsin deficiency, focal segmental glomerulosclerosis, nephrotic syndrome, mixed connective tissue disease, membranous glomerulonephritis, mitral regurgitation" ><![CDATA[malaise]]></ros>
								<ros answer="" star="2" critical="false"  category="LUNGS" subops="" sourcesl1="ARDS, Crimean-Congo hemorrhagic fever, acute respiratory failure, myocardial infarction, shock, status asthmaticus"  sourcesem="SARS, acute disseminated encephalomyelitis, acute eosinophilic pneumonia, anthrax, aortic aneurysm, atrial myxoma, hemorrhagic fever with renal syndrome, mediastinitis, myocarditis, pneumocystis carinii pneumonia, pulmonary embolism, pulmonary infarction, respiratory acidosis, septic shock or septicemia, toxic epidermolysis" sources="influenza, pneumonia, neutropenia, acute bronchitis, mycoplasma pneumonia, swine flu, viral pneumonia, human immunodeficiency virus infections, acute laryngitis, acute respiratory failure, pleural effusion, pleurisy, measles, tuberculosis pneumonia, septic shock or septicemia, shock, chlamydia infections, Rocky Mountain spotted fever, mycoplasma infections, peritonsillar abscess, puerperal infections, bacteremia, tonsillitis, pertussis, coccidiodomycosis, MRSA, varicella zoster infections, cystic fibrosis, acute pancreatitis, pleurodynia, sickle cell anemia, bronchiectasis, empyema, lung abscess, ARDS, mediastinitis, pseudomonas infection, blastomycosis, cor pulmonale, post abdominal surgery, pericardial effusion, acute pericarditis, aspiration pneumonia, myocarditis, pulmonary embolism, respiratory acidosis, radiation esophagitis, pulmonary infarction, toxic epidermolysis, asthma, immunization reactions, status asthmaticus, cat scratch disease, aspergillosis, selective IgA deficiency, atypical mycobacterial infection, arthritis, rheumatoid arthritis, common variable immunodeficiency, hypogammaglobulinemia, toxoplasmosis, Hodgkin's lymphoma, IgG deficiencies, Immune Deficiency, ciliary dyskinesia, malignancy, sarcoidosis, allergic bronchopulmonary aspergillosis, acute nephritic syndrome, small cell lung carcinoma, foreign body in esophagus, mediastinal mass, metastases, chronic lymphocytic leukemia, Kaposi's sarcoma, systemic lupus erythematosis, alpha 1 antitrypsin deficiency, mixed connective tissue disease, membranous glomerulonephritis, mitral regurgitation" ><![CDATA[difficulty breathing]]></ros>
								<ros answer="" star="5" critical="false"  category="LUNGS" subops="" sourcesl1="ARDS, myocardial infarction"  sourcesem="SARS, anthrax, aortic aneurysm, atrial myxoma, iron poisoning, myocarditis, pulmonary embolism, pulmonary infarction" sources="influenza, pneumonia, pharyngitis, acute bronchitis, viral pneumonia, tuberculosis pneumonia, Rocky Mountain spotted fever, tonsillitis, coccidiodomycosis, cystic fibrosis, bronchiectasis, lung abscess, ARDS, blastomycosis, cor pulmonale, aspiration pneumonia, myocarditis, pulmonary embolism, pulmonary infarction, aspergillosis, atypical mycobacterial infection, Hodgkin's lymphoma, malignancy, allergic bronchopulmonary aspergillosis, acute nephritic syndrome, small cell lung carcinoma, mediastinal mass, metastases, Kaposi's sarcoma, systemic lupus erythematosis, focal segmental glomerulosclerosis, nephrotic syndrome, membranous glomerulonephritis, mitral regurgitation" ><![CDATA[blood in cough]]></ros>
								<ros answer="" star="3" critical="false"  category="LUNGS" subops="" sourcesl1="ARDS, acute respiratory failure, myocardial infarction, status asthmaticus"  sourcesem="SARS, acute eosinophilic pneumonia, aortic aneurysm, atrial myxoma, mediastinitis, myocarditis, pneumocystis carinii pneumonia, pulmonary embolism, pulmonary infarction, respiratory acidosis, septic shock or septicemia" sources="influenza, pneumonia, sinusitis, acute bronchitis, mycoplasma pneumonia, swine flu, viral pneumonia, human immunodeficiency virus infections, acute respiratory failure, tuberculosis pneumonia, septic shock or septicemia, chlamydia infections, mycoplasma infections, pertussis, coccidiodomycosis, cystic fibrosis, acute pancreatitis, sickle cell anemia, bronchiectasis, empyema, lung abscess, ARDS, mediastinitis, blastomycosis, cor pulmonale, pericardial effusion, acute pericarditis, aspiration pneumonia, myocarditis, pulmonary embolism, respiratory acidosis, radiation esophagitis, pulmonary infarction, asthma, status asthmaticus, aspergillosis, selective IgA deficiency, atypical mycobacterial infection, intestinal parasites, Hodgkin's lymphoma, IgG deficiencies, Immune Deficiency, ciliary dyskinesia, sarcoidosis, allergic bronchopulmonary aspergillosis, small cell lung carcinoma, foreign body in esophagus, mediastinal mass, Kaposi's sarcoma, alpha 1 antitrypsin deficiency" ><![CDATA[wheezing]]></ros>
								<ros answer="" star="1" critical="true"  category="LUNGS" subops="" sourcesl1="ARDS, acute respiratory failure, shock, status asthmaticus"  sourcesem="SARS, acute eosinophilic pneumonia, anthrax, aortic aneurysm, atrial myxoma, iron poisoning, mediastinitis, myocarditis, pneumocystis carinii pneumonia, pulmonary embolism, pulmonary infarction, respiratory acidosis, septic shock or septicemia, toxic epidermolysis" sources="influenza, pneumonia, mycoplasma pneumonia, swine flu, viral pneumonia, acute respiratory failure, pleural effusion, tuberculosis pneumonia, septic shock or septicemia, shock, chlamydia infections, pertussis, cystic fibrosis, pleurodynia, sickle cell anemia, bronchiectasis, empyema, ARDS, mediastinitis, pseudomonas infection, cor pulmonale, pericardial effusion, aspiration pneumonia, myocarditis, pulmonary embolism, respiratory acidosis, pulmonary infarction, toxic epidermolysis, asthma, status asthmaticus, IgG deficiencies, Immune Deficiency, ciliary dyskinesia, sarcoidosis, mediastinal mass, Kaposi's sarcoma, mitral regurgitation" ><![CDATA[blue lips or dusky skin]]></ros>
								<ros answer="" star="3" critical="false"  category="LUNGS" subops="" sourcesl1="myocardial infarction, status asthmaticus"  sourcesem="myocarditis" sources="acute bronchitis, human immunodeficiency virus infections, pericardial effusion, acute pericarditis, myocarditis, asthma, status asthmaticus, acute nephritic syndrome, membranous glomerulonephritis, mitral regurgitation" ><![CDATA[difficulty breathing when lying flat]]></ros>
								<ros answer="" star="0" critical="false"  category="LUNGS" subops="" sourcesl1=""  sourcesem="" sources="mitral regurgitation" ><![CDATA[sudden difficulty breathing at night]]></ros>
								<ros answer="" star="3" critical="false"  category="HEAD/NECK" subops="" sourcesl1="ARDS, Crimean-Congo hemorrhagic fever, myocardial infarction"  sourcesem="SARS, St. Louis encephalitis, acute disseminated encephalomyelitis, anthrax, cavernous sinus thrombosis, hemorrhagic fever with renal syndrome, iron poisoning, pneumocystis carinii pneumonia, respiratory acidosis, subdural empyema, toxic epidermolysis" sources="influenza, pneumonia, otitis media, viral syndrome, common cold, upper respiratory infection, pharyngitis, sinusitis, acute bronchitis, enteroviral infections, mycoplasma pneumonia, swine flu, viral pneumonia, human immunodeficiency virus infections, Epstein-Barr virus, measles, chlamydia infections, Rocky Mountain spotted fever, mycoplasma infections, peritonsillar abscess, bacteremia, tonsillitis, coccidiodomycosis, MRSA, scarlet fever, varicella zoster infections, pleurodynia, sickle cell anemia, ARDS, pseudomonas infection, blastomycosis, respiratory acidosis, viral gastroenteritis, toxic epidermolysis, immunization reactions, cytomegalovirus, cat scratch disease, Lyme disease, aspergillosis, selective IgA deficiency, toxoplasmosis, IgG deficiencies, Immune Deficiency, malignancy, sarcoidosis, acute nephritic syndrome, metastases, chronic lymphocytic leukemia, systemic lupus erythematosis, mixed connective tissue disease, membranous glomerulonephritis" ><![CDATA[headache]]></ros>
								<ros answer="" star="4" critical="true"  category="HEAD/NECK" subops="" sourcesl1="ARDS, Crimean-Congo hemorrhagic fever, acute respiratory failure, myocardial infarction, shock, status asthmaticus"  sourcesem="SARS, St. Louis encephalitis, acute disseminated encephalomyelitis, anthrax, aortic aneurysm, atrial myxoma, hemorrhagic fever with renal syndrome, iron poisoning, myocarditis, pulmonary embolism, septic shock or septicemia, toxic epidermolysis" sources="otitis media, viral syndrome, sinusitis, enteroviral infections, human immunodeficiency virus infections, acute respiratory failure, septic shock or septicemia, shock, Rocky Mountain spotted fever, bacteremia, varicella zoster infections, acute pancreatitis, sickle cell anemia, ARDS, cor pulmonale, post abdominal surgery, pericardial effusion, acute pericarditis, myocarditis, pulmonary embolism, viral gastroenteritis, toxic epidermolysis, asthma, immunization reactions, status asthmaticus, Lyme disease, sarcoidosis, acute nephritic syndrome, membranous glomerulonephritis" ><![CDATA[dizziness]]></ros>
								<ros answer="" star="0" critical="false"  category="HEAD/NECK" subops="" sourcesl1=""  sourcesem="respiratory acidosis" sources="respiratory acidosis" ><![CDATA[injury head]]></ros>
								<ros answer="" star="0" critical="false"  category="HEAD/NECK" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[injury neck]]></ros>
								<ros answer="" star="4" critical="false"  category="HEAD/NECK" subops="" sourcesl1=""  sourcesem="anthrax, mediastinitis, pneumocystis carinii pneumonia" sources="viral syndrome, neutropenia, pharyngitis, acute bronchitis, human immunodeficiency virus infections, Epstein-Barr virus, peritonsillar abscess, tonsillitis, coccidiodomycosis, MRSA, scarlet fever, mediastinitis, blastomycosis, cytomegalovirus, cat scratch disease, Lyme disease, atypical mycobacterial infection, arthritis, common variable immunodeficiency, toxoplasmosis, Hodgkin's lymphoma, Immune Deficiency, malignancy, sarcoidosis, metastases, Felty Syndrome, chronic lymphocytic leukemia, Kaposi's sarcoma" ><![CDATA[lymph nodes enlarged in neck]]></ros>
								<ros answer="" star="0" critical="false"  category="HEAD/NECK" subops="" sourcesl1=""  sourcesem="" sources="human immunodeficiency virus infections, MRSA, pseudomonas infection" ><![CDATA[lymph nodes enlarged behind ear(s)]]></ros>
								<ros answer="" star="4" critical="false"  category="HEAD/NECK" subops="" sourcesl1="Crimean-Congo hemorrhagic fever"  sourcesem="SARS, St. Louis encephalitis, mediastinitis, septic shock or septicemia, toxic epidermolysis" sources="influenza, pneumonia, otitis media, viral syndrome, common cold, upper respiratory infection, neutropenia, pharyngitis, sinusitis, acute bronchitis, enteroviral infections, mycoplasma pneumonia, swine flu, viral pneumonia, human immunodeficiency virus infections, acute laryngitis, Epstein-Barr virus, septic shock or septicemia, chlamydia infections, mycoplasma infections, peritonsillar abscess, bacteremia, tonsillitis, scarlet fever, varicella zoster infections, pleurodynia, mediastinitis, blastomycosis, radiation esophagitis, viral gastroenteritis, toxic epidermolysis, asthma, cytomegalovirus, Lyme disease, selective IgA deficiency, toxoplasmosis, Hodgkin's lymphoma, Immune Deficiency, acute nephritic syndrome, foreign body in esophagus, chronic lymphocytic leukemia" ><![CDATA[sore throat]]></ros>
								<ros answer="" star="3" critical="false"  category="HEAD/NECK" subops="" sourcesl1="Crimean-Congo hemorrhagic fever, shock"  sourcesem="hemorrhagic fever with renal syndrome" sources="sinusitis, shock, cystic fibrosis, chronic lymphocytic leukemia, systemic lupus erythematosis" ><![CDATA[nose bleeds]]></ros>
								<ros answer="" star="4" critical="false"  category="HEAD/NECK" subops="" sourcesl1="status asthmaticus"  sourcesem="SARS, acute disseminated encephalomyelitis, septic shock or septicemia, toxic epidermolysis" sources="influenza, pneumonia, otitis media, viral syndrome, common cold, upper respiratory infection, pharyngitis, sinusitis, acute bronchitis, enteroviral infections, mycoplasma pneumonia, swine flu, viral pneumonia, acute laryngitis, laryngitis, perforated ear drum, measles, septic shock or septicemia, chlamydia infections, mycoplasma infections, peritonsillar abscess, bacteremia, tonsillitis, pertussis, varicella zoster infections, cystic fibrosis, pleurodynia, viral gastroenteritis, toxic epidermolysis, asthma, immunization reactions, acute bacterial conjunctivitis, viral conjunctivitis, status asthmaticus, selective IgA deficiency, common variable immunodeficiency, IgG deficiencies, Immune Deficiency, ciliary dyskinesia" ><![CDATA[runny nose]]></ros>
								<ros answer="" star="2" critical="true"  category="CHEST/HEART" subops="" sourcesl1="acute respiratory failure, myocardial infarction, shock, status asthmaticus"  sourcesem="acute eosinophilic pneumonia, anthrax, aortic aneurysm, atrial myxoma, mediastinitis, myocarditis, pneumocystis carinii pneumonia, pulmonary embolism" sources="influenza, pneumonia, acute bronchitis, enteroviral infections, mycoplasma pneumonia, swine flu, viral pneumonia, human immunodeficiency virus infections, acute respiratory failure, pleural effusion, pleurisy, Epstein-Barr virus, tuberculosis pneumonia, shock, mycoplasma infections, puerperal infections, pertussis, coccidiodomycosis, MRSA, varicella zoster infections, cystic fibrosis, acute pancreatitis, pleurodynia, sickle cell anemia, bronchiectasis, empyema, lung abscess, mediastinitis, blastomycosis, cor pulmonale, pericardial effusion, acute pericarditis, aspiration pneumonia, myocarditis, pulmonary embolism, radiation esophagitis, asthma, status asthmaticus, Lyme disease, aspergillosis, selective IgA deficiency, arthritis, rheumatoid arthritis, toxoplasmosis, Hodgkin's lymphoma, sarcoidosis, allergic bronchopulmonary aspergillosis, acute nephritic syndrome, small cell lung carcinoma, foreign body in esophagus, mediastinal mass, metastases, Kaposi's sarcoma, systemic lupus erythematosis, alpha 1 antitrypsin deficiency, mixed connective tissue disease, membranous glomerulonephritis, mitral regurgitation" ><![CDATA[chest pain]]></ros>
								<ros answer="" star="1" critical="true"  category="CHEST/HEART" subops="" sourcesl1="ARDS, Crimean-Congo hemorrhagic fever, acute respiratory failure, myocardial infarction, shock, status asthmaticus"  sourcesem="SARS, acute eosinophilic pneumonia, anthrax, aortic aneurysm, atrial myxoma, cavernous sinus thrombosis, hemorrhagic fever with renal syndrome, iron poisoning, mediastinitis, myocarditis, pulmonary embolism, pulmonary infarction, respiratory acidosis, septic shock or septicemia, toxic epidermolysis" sources="influenza, pneumonia, neutropenia, enteroviral infections, mycoplasma pneumonia, swine flu, viral pneumonia, human immunodeficiency virus infections, acute respiratory failure, Epstein-Barr virus, septic shock or septicemia, shock, Rocky Mountain spotted fever, mycoplasma infections, peritonsillar abscess, puerperal infections, acute pancreatitis, sickle cell anemia, ARDS, mediastinitis, cor pulmonale, post abdominal surgery, pericardial effusion, acute pericarditis, aspiration pneumonia, myocarditis, pulmonary embolism, respiratory acidosis, pulmonary infarction, viral gastroenteritis, toxic epidermolysis, asthma, status asthmaticus, Lyme disease, aspergillosis, toxoplasmosis, malignancy, sarcoidosis, acute nephritic syndrome, Kaposi's sarcoma, systemic lupus erythematosis, mixed connective tissue disease, membranous glomerulonephritis, mitral regurgitation" ><![CDATA[palpitations]]></ros>
								<ros answer="" star="1" critical="true"  category="CHEST/HEART" subops="" sourcesl1="ARDS, Crimean-Congo hemorrhagic fever, acute respiratory failure, myocardial infarction, shock, status asthmaticus"  sourcesem="SARS, St. Louis encephalitis, anthrax, aortic aneurysm, atrial myxoma, cavernous sinus thrombosis, hemorrhagic fever with renal syndrome, iron poisoning, myocarditis, pulmonary embolism, pulmonary infarction, septic shock or septicemia, subdural empyema, toxic epidermolysis" sources="influenza, enteroviral infections, swine flu, human immunodeficiency virus infections, acute respiratory failure, septic shock or septicemia, shock, Rocky Mountain spotted fever, bacteremia, varicella zoster infections, acute pancreatitis, sickle cell anemia, ARDS, cor pulmonale, post abdominal surgery, pericardial effusion, aspiration pneumonia, myocarditis, pulmonary embolism, radiation esophagitis, pulmonary infarction, viral gastroenteritis, toxic epidermolysis, asthma, immunization reactions, status asthmaticus, Lyme disease, sarcoidosis, acute nephritic syndrome" ><![CDATA[passing out]]></ros>
								<ros answer="" star="3" critical="false"  category="CHEST/HEART" subops="" sourcesl1="Crimean-Congo hemorrhagic fever, acute respiratory failure, myocardial infarction, shock, status asthmaticus"  sourcesem="SARS, acute disseminated encephalomyelitis, anthrax, atrial myxoma, hemorrhagic fever with renal syndrome, myocarditis, pneumocystis carinii pneumonia, pulmonary embolism, respiratory acidosis, septic shock or septicemia" sources="influenza, pneumonia, viral syndrome, common cold, upper respiratory infection, sinusitis, acute bronchitis, enteroviral infections, mycoplasma pneumonia, swine flu, viral pneumonia, human immunodeficiency virus infections, acute laryngitis, acute respiratory failure, Epstein-Barr virus, septic shock or septicemia, shock, Rocky Mountain spotted fever, bacteremia, tonsillitis, coccidiodomycosis, MRSA, varicella zoster infections, cystic fibrosis, acute pancreatitis, pleurodynia, sickle cell anemia, bronchiectasis, lung abscess, cor pulmonale, pericardial effusion, acute pericarditis, myocarditis, pulmonary embolism, respiratory acidosis, radiation esophagitis, viral gastroenteritis, asthma, status asthmaticus, cat scratch disease, Lyme disease, arthritis, rheumatoid arthritis, toxoplasmosis, Hodgkin's lymphoma, malignancy, sarcoidosis, allergic bronchopulmonary aspergillosis, acute nephritic syndrome, metastases, chronic lymphocytic leukemia, systemic lupus erythematosis, alpha 1 antitrypsin deficiency, focal segmental glomerulosclerosis, nephrotic syndrome, mixed connective tissue disease, membranous glomerulonephritis, mitral regurgitation" ><![CDATA[fatigue]]></ros>
								<ros answer="" star="0" critical="false"  category="CHEST/HEART" subops="" sourcesl1="myocardial infarction"  sourcesem="aortic aneurysm, myocarditis, pulmonary embolism, septic shock or septicemia" sources="septic shock or septicemia, sickle cell anemia, myocarditis, pulmonary embolism, aspergillosis, acute nephritic syndrome, systemic lupus erythematosis, mixed connective tissue disease, membranous glomerulonephritis, mitral regurgitation" ><![CDATA[heart murmur]]></ros>
								<ros answer="" star="1" critical="false"  category="CHEST/HEART" subops="" sourcesl1=""  sourcesem="anthrax, septic shock or septicemia" sources="human immunodeficiency virus infections, septic shock or septicemia, coccidiodomycosis, MRSA, sickle cell anemia, blastomycosis, Lyme disease, arthritis, rheumatoid arthritis, common variable immunodeficiency, Immune Deficiency, sarcoidosis, acute nephritic syndrome, chronic lymphocytic leukemia, systemic lupus erythematosis, focal segmental glomerulosclerosis, nephrotic syndrome, mixed connective tissue disease, membranous glomerulonephritis" ><![CDATA[swollen hand(s)]]></ros>
								<ros answer="" star="0" critical="false"  category="CHEST/HEART" subops="" sourcesl1=""  sourcesem="anthrax, atrial myxoma, hemorrhagic fever with renal syndrome, iron poisoning, myocarditis, pulmonary embolism, septic shock or septicemia" sources="human immunodeficiency virus infections, septic shock or septicemia, mycoplasma infections, coccidiodomycosis, acute pancreatitis, sickle cell anemia, blastomycosis, cor pulmonale, pericardial effusion, myocarditis, pulmonary embolism, cytomegalovirus, Lyme disease, arthritis, rheumatoid arthritis, common variable immunodeficiency, toxoplasmosis, Hodgkin's lymphoma, Immune Deficiency, malignancy, sarcoidosis, acute nephritic syndrome, metastases, chronic lymphocytic leukemia, systemic lupus erythematosis, alpha 1 antitrypsin deficiency, focal segmental glomerulosclerosis, nephrotic syndrome, mixed connective tissue disease, membranous glomerulonephritis, mitral regurgitation" ><![CDATA[swollen feet]]></ros>
								<ros answer="" star="0" critical="false"  category="CHEST/HEART" subops="" sourcesl1=""  sourcesem="anthrax, aortic aneurysm, atrial myxoma, hemorrhagic fever with renal syndrome, iron poisoning, myocarditis, pulmonary embolism, septic shock or septicemia" sources="septic shock or septicemia, sickle cell anemia, cor pulmonale, pericardial effusion, myocarditis, pulmonary embolism, common variable immunodeficiency, Immune Deficiency, malignancy, acute nephritic syndrome, metastases, systemic lupus erythematosis, alpha 1 antitrypsin deficiency, focal segmental glomerulosclerosis, nephrotic syndrome, mixed connective tissue disease, membranous glomerulonephritis, mitral regurgitation" ><![CDATA[swollen feet and legs]]></ros>
								<ros answer="" star="0" critical="false"  category="CHEST/HEART" subops="" sourcesl1=""  sourcesem="" sources="mitral regurgitation" ><![CDATA[sudden difficulty breathing at night]]></ros>
								<ros answer="" star="1" critical="false"  category="GU" subops="" sourcesl1=""  sourcesem="septic shock or septicemia" sources="human immunodeficiency virus infections, septic shock or septicemia, chlamydia infections, mycoplasma infections, sickle cell anemia, pseudomonas infection, blastomycosis, post abdominal surgery, common variable immunodeficiency, Immune Deficiency" ><![CDATA[painful urination in males]]></ros>
								<ros answer="" star="1" critical="false"  category="GU" subops="" sourcesl1=""  sourcesem="septic shock or septicemia" sources="human immunodeficiency virus infections, septic shock or septicemia, chlamydia infections, mycoplasma infections, puerperal infections, sickle cell anemia, pseudomonas infection, post abdominal surgery, common variable immunodeficiency, Hodgkin's lymphoma, Immune Deficiency" ><![CDATA[painful urination in females]]></ros>
								<ros answer="" star="0" critical="false"  category="GU" subops="" sourcesl1=""  sourcesem="septic shock or septicemia" sources="septic shock or septicemia, chlamydia infections, sickle cell anemia, pseudomonas infection, common variable immunodeficiency, Hodgkin's lymphoma, Immune Deficiency, acute nephritic syndrome" ><![CDATA[urinating often]]></ros>
								<ros answer="" star="0" critical="false"  category="GU" subops="" sourcesl1=""  sourcesem="septic shock or septicemia" sources="septic shock or septicemia" ><![CDATA[urgency to urinate in males]]></ros>
								<ros answer="" star="0" critical="false"  category="GU" subops="" sourcesl1=""  sourcesem="septic shock or septicemia" sources="septic shock or septicemia, chlamydia infections" ><![CDATA[urgency to urinate in females]]></ros>
								<ros answer="" star="0" critical="false"  category="GU" subops="" sourcesl1=""  sourcesem="" sources="sickle cell anemia, acute nephritic syndrome, small cell lung carcinoma" ><![CDATA[urinating at night or bedwetting]]></ros>
								<ros answer="" star="1" critical="false"  category="GU" subops="" sourcesl1=""  sourcesem="acute disseminated encephalomyelitis" sources="human immunodeficiency virus infections, Epstein-Barr virus, varicella zoster infections, rheumatoid arthritis, Hodgkin's lymphoma, malignancy" ><![CDATA[incontinence of urine in males]]></ros>
								<ros answer="" star="1" critical="false"  category="GU" subops="" sourcesl1=""  sourcesem="acute disseminated encephalomyelitis" sources="human immunodeficiency virus infections, Epstein-Barr virus, varicella zoster infections, rheumatoid arthritis, Hodgkin's lymphoma, malignancy" ><![CDATA[incontinence of urine in females]]></ros>
								<ros answer="" star="3" critical="false"  category="SKIN" subops="" sourcesl1="Crimean-Congo hemorrhagic fever"  sourcesem="SARS, St. Louis encephalitis, anthrax, atrial myxoma, hemorrhagic fever with renal syndrome, septic shock or septicemia, toxic epidermolysis" sources="viral syndrome, pharyngitis, enteroviral infections, viral pneumonia, human immunodeficiency virus infections, Epstein-Barr virus, measles, septic shock or septicemia, Rocky Mountain spotted fever, mycoplasma infections, bacteremia, tonsillitis, pertussis, coccidiodomycosis, MRSA, scarlet fever, varicella zoster infections, acute pancreatitis, pseudomonas infection, blastomycosis, toxic epidermolysis, immunization reactions, cytomegalovirus, Lyme disease, selective IgA deficiency, atypical mycobacterial infection, arthritis, rheumatoid arthritis, common variable immunodeficiency, hypogammaglobulinemia, toxoplasmosis, Hodgkin's lymphoma, IgG deficiencies, Immune Deficiency, malignancy, sarcoidosis, acute nephritic syndrome, mediastinal mass, metastases, chronic lymphocytic leukemia, systemic lupus erythematosis, mixed connective tissue disease" ><![CDATA[rash]]></ros>
								<ros answer="" star="4" critical="true"  category="SKIN" subops="" sourcesl1="ARDS, Crimean-Congo hemorrhagic fever, acute respiratory failure, myocardial infarction, shock, status asthmaticus"  sourcesem="SARS, anthrax, hemorrhagic fever with renal syndrome, myocarditis, pneumocystis carinii pneumonia, pulmonary embolism, respiratory acidosis, septic shock or septicemia, toxic epidermolysis" sources="influenza, pneumonia, mycoplasma pneumonia, swine flu, human immunodeficiency virus infections, acute respiratory failure, Epstein-Barr virus, tuberculosis pneumonia, septic shock or septicemia, shock, Rocky Mountain spotted fever, coccidiodomycosis, acute pancreatitis, pleurodynia, empyema, ARDS, blastomycosis, cor pulmonale, post abdominal surgery, acute pericarditis, aspiration pneumonia, myocarditis, pulmonary embolism, respiratory acidosis, toxic epidermolysis, asthma, cytomegalovirus, status asthmaticus, Hodgkin's lymphoma, malignancy, sarcoidosis, mitral regurgitation" ><![CDATA[increased sweating]]></ros>
								<ros answer="" star="0" critical="false"  category="SKIN" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[decreased sweating]]></ros>
								<ros answer="" star="0" critical="false"  category="SKIN" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[bruising without trauma]]></ros>
								<ros answer="" star="1" critical="false"  category="SKIN" subops="" sourcesl1=""  sourcesem="" sources="human immunodeficiency virus infections, sickle cell anemia, common variable immunodeficiency, Immune Deficiency, malignancy" ><![CDATA[poor wound healing]]></ros>
								<ros answer="" star="0" critical="true"  category="SKIN" subops="" sourcesl1="Crimean-Congo hemorrhagic fever"  sourcesem="aortic aneurysm, hemorrhagic fever with renal syndrome, septic shock or septicemia" sources="neutropenia, enteroviral infections, human immunodeficiency virus infections, Epstein-Barr virus, septic shock or septicemia, Rocky Mountain spotted fever, immunization reactions, cat scratch disease, aspergillosis, rheumatoid arthritis, Hodgkin's lymphoma, malignancy, acute nephritic syndrome, metastases, chronic lymphocytic leukemia, alpha 1 antitrypsin deficiency, mixed connective tissue disease" ><![CDATA[bruising in multiple areas]]></ros>
								<ros answer="" star="0" critical="false"  category="SKIN" subops="" sourcesl1=""  sourcesem="" sources="systemic lupus erythematosis" ><![CDATA[increased skin sensitivity to sun]]></ros>
								<ros answer="" star="1" critical="true"  category="SKIN" subops="" sourcesl1="ARDS, acute respiratory failure, shock, status asthmaticus"  sourcesem="SARS, acute eosinophilic pneumonia, anthrax, aortic aneurysm, atrial myxoma, iron poisoning, mediastinitis, myocarditis, pneumocystis carinii pneumonia, pulmonary embolism, pulmonary infarction, respiratory acidosis, septic shock or septicemia, toxic epidermolysis" sources="influenza, pneumonia, mycoplasma pneumonia, swine flu, viral pneumonia, acute respiratory failure, pleural effusion, tuberculosis pneumonia, septic shock or septicemia, shock, chlamydia infections, pertussis, cystic fibrosis, pleurodynia, sickle cell anemia, bronchiectasis, empyema, ARDS, mediastinitis, pseudomonas infection, cor pulmonale, pericardial effusion, aspiration pneumonia, myocarditis, pulmonary embolism, respiratory acidosis, pulmonary infarction, toxic epidermolysis, asthma, status asthmaticus, IgG deficiencies, Immune Deficiency, ciliary dyskinesia, sarcoidosis, mediastinal mass, Kaposi's sarcoma, mitral regurgitation" ><![CDATA[blue lips or dusky skin]]></ros>
								<ros answer="" star="0" critical="false"  category="SKIN" subops="" sourcesl1=""  sourcesem="" sources="tuberculosis pneumonia, cystic fibrosis, bronchiectasis, empyema, lung abscess, ciliary dyskinesia, small cell lung carcinoma" ><![CDATA[large curved nails with thick fingertips]]></ros>
								<ros answer="" star="0" critical="false"  category="SKIN" subops="" sourcesl1=""  sourcesem="toxic epidermolysis" sources="varicella zoster infections, pseudomonas infection, toxic epidermolysis, intestinal parasites, Hodgkin's lymphoma, malignancy, metastases" ><![CDATA[itching]]></ros>
								<ros answer="" star="0" critical="false"  category="SKIN" subops="" sourcesl1="shock, status asthmaticus"  sourcesem="iron poisoning" sources="influenza, enteroviral infections, swine flu, human immunodeficiency virus infections, shock, pseudomonas infection, viral gastroenteritis, asthma, status asthmaticus, sarcoidosis, acute nephritic syndrome" ><![CDATA[dry skin]]></ros>
								<ros answer="" star="3" critical="false"  category="GI" subops="" sourcesl1="Crimean-Congo hemorrhagic fever, acute respiratory failure, myocardial infarction, shock, status asthmaticus"  sourcesem="St. Louis encephalitis, anthrax, cavernous sinus thrombosis, iron poisoning, pneumocystis carinii pneumonia, septic shock or septicemia, subdural empyema, toxic epidermolysis" sources="influenza, pneumonia, otitis media, viral syndrome, upper respiratory infection, enteroviral infections, mycoplasma pneumonia, swine flu, viral pneumonia, human immunodeficiency virus infections, acute respiratory failure, Epstein-Barr virus, measles, septic shock or septicemia, shock, Rocky Mountain spotted fever, mycoplasma infections, tonsillitis, pertussis, coccidiodomycosis, scarlet fever, acute pancreatitis, pleurodynia, blastomycosis, radiation esophagitis, viral gastroenteritis, toxic epidermolysis, immunization reactions, cytomegalovirus, viral conjunctivitis, status asthmaticus, cat scratch disease, Lyme disease, aspergillosis, selective IgA deficiency, common variable immunodeficiency, intestinal parasites, Immune Deficiency, malignancy, sarcoidosis, acute nephritic syndrome, metastases, systemic lupus erythematosis, membranous glomerulonephritis" ><![CDATA[nausea]]></ros>
								<ros answer="" star="3" critical="false"  category="GI" subops="" sourcesl1="Crimean-Congo hemorrhagic fever, acute respiratory failure, myocardial infarction, shock, status asthmaticus"  sourcesem="SARS, St. Louis encephalitis, acute disseminated encephalomyelitis, anthrax, aortic aneurysm, cavernous sinus thrombosis, iron poisoning, respiratory acidosis, septic shock or septicemia, subdural empyema, toxic epidermolysis" sources="influenza, pneumonia, otitis media, viral syndrome, upper respiratory infection, enteroviral infections, mycoplasma pneumonia, swine flu, viral pneumonia, human immunodeficiency virus infections, acute respiratory failure, Epstein-Barr virus, measles, septic shock or septicemia, shock, chlamydia infections, Rocky Mountain spotted fever, mycoplasma infections, peritonsillar abscess, bacteremia, tonsillitis, pertussis, coccidiodomycosis, scarlet fever, varicella zoster infections, cystic fibrosis, acute pancreatitis, pleurodynia, pseudomonas infection, blastomycosis, post abdominal surgery, respiratory acidosis, radiation esophagitis, viral gastroenteritis, toxic epidermolysis, asthma, immunization reactions, cytomegalovirus, viral conjunctivitis, status asthmaticus, cat scratch disease, Lyme disease, aspergillosis, selective IgA deficiency, common variable immunodeficiency, hypogammaglobulinemia, intestinal parasites, Immune Deficiency, malignancy, sarcoidosis, acute nephritic syndrome, foreign body in esophagus, metastases, systemic lupus erythematosis, membranous glomerulonephritis" ><![CDATA[vomiting]]></ros>
								<ros answer="" star="6" critical="false"  category="GI" subops="" sourcesl1=""  sourcesem="acute disseminated encephalomyelitis, aortic aneurysm, toxic epidermolysis" sources="common cold, upper respiratory infection, pharyngitis, enteroviral infections, human immunodeficiency virus infections, acute laryngitis, Epstein-Barr virus, peritonsillar abscess, tonsillitis, MRSA, scarlet fever, pericardial effusion, acute pericarditis, radiation esophagitis, toxic epidermolysis, cytomegalovirus, arthritis, rheumatoid arthritis, common variable immunodeficiency, Immune Deficiency, malignancy, sarcoidosis, small cell lung carcinoma, foreign body in esophagus, mediastinal mass, metastases, chronic lymphocytic leukemia, Kaposi's sarcoma, systemic lupus erythematosis, mixed connective tissue disease" ><![CDATA[difficulty swallowing]]></ros>
								<ros answer="" star="3" critical="false"  category="GI" subops="" sourcesl1=""  sourcesem="" sources="common cold, upper respiratory infection, neutropenia, pharyngitis, enteroviral infections, acute laryngitis, Epstein-Barr virus, peritonsillar abscess, tonsillitis, MRSA, pericardial effusion, acute pericarditis, radiation esophagitis, cytomegalovirus, foreign body in esophagus" ><![CDATA[pain on swallowing]]></ros>
								<ros answer="" star="0" critical="false"  category="GI" subops="" sourcesl1="myocardial infarction"  sourcesem="" sources="acute bronchitis, radiation esophagitis" ><![CDATA[heartburn]]></ros>
								<ros answer="" star="4" critical="false"  category="GI" subops="" sourcesl1="Crimean-Congo hemorrhagic fever, acute respiratory failure, shock, status asthmaticus"  sourcesem="anthrax, hemorrhagic fever with renal syndrome, iron poisoning, myocarditis, pneumocystis carinii pneumonia, septic shock or septicemia, toxic epidermolysis" sources="influenza, pneumonia, otitis media, viral syndrome, common cold, upper respiratory infection, enteroviral infections, mycoplasma pneumonia, swine flu, viral pneumonia, human immunodeficiency virus infections, acute respiratory failure, Epstein-Barr virus, tuberculosis pneumonia, septic shock or septicemia, shock, peritonsillar abscess, bacteremia, tonsillitis, coccidiodomycosis, MRSA, scarlet fever, varicella zoster infections, cystic fibrosis, acute pancreatitis, pleurodynia, sickle cell anemia, bronchiectasis, lung abscess, cor pulmonale, acute pericarditis, myocarditis, radiation esophagitis, viral gastroenteritis, toxic epidermolysis, asthma, immunization reactions, status asthmaticus, arthritis, rheumatoid arthritis, Hodgkin's lymphoma, malignancy, sarcoidosis, acute nephritic syndrome, small cell lung carcinoma, foreign body in esophagus, metastases, Felty Syndrome, chronic lymphocytic leukemia, systemic lupus erythematosis, alpha 1 antitrypsin deficiency, focal segmental glomerulosclerosis, nephrotic syndrome, membranous glomerulonephritis" ><![CDATA[poor appetite]]></ros>
								<ros answer="" star="3" critical="false"  category="GI" subops="" sourcesl1="Crimean-Congo hemorrhagic fever, myocardial infarction, shock, status asthmaticus"  sourcesem="acute disseminated encephalomyelitis, aortic aneurysm, hemorrhagic fever with renal syndrome, iron poisoning, pulmonary embolism, septic shock or septicemia" sources="influenza, pneumonia, viral syndrome, enteroviral infections, mycoplasma pneumonia, swine flu, viral pneumonia, human immunodeficiency virus infections, Epstein-Barr virus, septic shock or septicemia, shock, chlamydia infections, mycoplasma infections, puerperal infections, MRSA, scarlet fever, varicella zoster infections, cystic fibrosis, acute pancreatitis, pleurodynia, sickle cell anemia, empyema, pseudomonas infection, post abdominal surgery, pericardial effusion, acute pericarditis, pulmonary embolism, radiation esophagitis, viral gastroenteritis, immunization reactions, cytomegalovirus, status asthmaticus, cat scratch disease, Lyme disease, selective IgA deficiency, common variable immunodeficiency, intestinal parasites, Hodgkin's lymphoma, Immune Deficiency, malignancy, sarcoidosis, acute nephritic syndrome, small cell lung carcinoma, foreign body in esophagus, metastases, Felty Syndrome, chronic lymphocytic leukemia, systemic lupus erythematosis, alpha 1 antitrypsin deficiency" ><![CDATA[stomach pain]]></ros>
								<ros answer="" star="0" critical="true"  category="GI" subops="" sourcesl1="Crimean-Congo hemorrhagic fever"  sourcesem="anthrax, atrial myxoma, hemorrhagic fever with renal syndrome, iron poisoning, myocarditis, pneumocystis carinii pneumonia, septic shock or septicemia" sources="viral syndrome, human immunodeficiency virus infections, Epstein-Barr virus, septic shock or septicemia, cystic fibrosis, acute pancreatitis, sickle cell anemia, pseudomonas infection, blastomycosis, cor pulmonale, post abdominal surgery, pericardial effusion, acute pericarditis, myocarditis, viral gastroenteritis, cytomegalovirus, cat scratch disease, Lyme disease, aspergillosis, selective IgA deficiency, arthritis, rheumatoid arthritis, common variable immunodeficiency, intestinal parasites, toxoplasmosis, Hodgkin's lymphoma, Immune Deficiency, malignancy, sarcoidosis, acute nephritic syndrome, small cell lung carcinoma, Felty Syndrome, chronic lymphocytic leukemia, systemic lupus erythematosis, alpha 1 antitrypsin deficiency, focal segmental glomerulosclerosis, nephrotic syndrome, mixed connective tissue disease, membranous glomerulonephritis, mitral regurgitation" ><![CDATA[stomach swelling]]></ros>
								<ros answer="" star="0" critical="true"  category="GI" subops="" sourcesl1="Crimean-Congo hemorrhagic fever, shock"  sourcesem="anthrax, aortic aneurysm, hemorrhagic fever with renal syndrome, iron poisoning, septic shock or septicemia" sources="human immunodeficiency virus infections, septic shock or septicemia, shock, cystic fibrosis, acute pancreatitis, post abdominal surgery, radiation esophagitis, cytomegalovirus, aspergillosis, Hodgkin's lymphoma, malignancy, sarcoidosis, foreign body in esophagus, metastases, Kaposi's sarcoma, systemic lupus erythematosis, alpha 1 antitrypsin deficiency" ><![CDATA[blood in vomit]]></ros>
								<ros answer="" star="0" critical="false"  category="GI" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[change in bowel habits]]></ros>
								<ros answer="" star="3" critical="false"  category="GI" subops="" sourcesl1="Crimean-Congo hemorrhagic fever, shock"  sourcesem="SARS, acute disseminated encephalomyelitis, anthrax, iron poisoning, septic shock or septicemia, toxic epidermolysis" sources="influenza, pneumonia, otitis media, viral syndrome, upper respiratory infection, pharyngitis, enteroviral infections, mycoplasma pneumonia, swine flu, viral pneumonia, human immunodeficiency virus infections, septic shock or septicemia, shock, bacteremia, cystic fibrosis, acute pancreatitis, pleurodynia, pseudomonas infection, post abdominal surgery, radiation esophagitis, viral gastroenteritis, toxic epidermolysis, immunization reactions, cytomegalovirus, Lyme disease, selective IgA deficiency, atypical mycobacterial infection, common variable immunodeficiency, hypogammaglobulinemia, intestinal parasites, Hodgkin's lymphoma, IgG deficiencies, Immune Deficiency, malignancy, acute nephritic syndrome, small cell lung carcinoma, metastases" ><![CDATA[diarrhea]]></ros>
								<ros answer="" star="0" critical="false"  category="GI" subops="" sourcesl1=""  sourcesem="" sources="post abdominal surgery, sarcoidosis" ><![CDATA[constipation]]></ros>
								<ros answer="" star="2" critical="true"  category="GI" subops="" sourcesl1="Crimean-Congo hemorrhagic fever, shock"  sourcesem="anthrax, hemorrhagic fever with renal syndrome, iron poisoning, septic shock or septicemia, toxic epidermolysis" sources="human immunodeficiency virus infections, septic shock or septicemia, shock, acute pancreatitis, post abdominal surgery, radiation esophagitis, toxic epidermolysis, cytomegalovirus, Hodgkin's lymphoma, IgG deficiencies, Immune Deficiency, malignancy, sarcoidosis, foreign body in esophagus, metastases, Kaposi's sarcoma, systemic lupus erythematosis, alpha 1 antitrypsin deficiency" ><![CDATA[black stools]]></ros>
								<ros answer="" star="1" critical="false"  category="GI" subops="" sourcesl1="Crimean-Congo hemorrhagic fever, shock"  sourcesem="anthrax, hemorrhagic fever with renal syndrome, iron poisoning, septic shock or septicemia, toxic epidermolysis" sources="human immunodeficiency virus infections, septic shock or septicemia, shock, chlamydia infections, bacteremia, cystic fibrosis, acute pancreatitis, post abdominal surgery, radiation esophagitis, toxic epidermolysis, cytomegalovirus, aspergillosis, common variable immunodeficiency, hypogammaglobulinemia, intestinal parasites, Hodgkin's lymphoma, IgG deficiencies, Immune Deficiency, malignancy, sarcoidosis, acute nephritic syndrome, foreign body in esophagus, metastases, Kaposi's sarcoma, systemic lupus erythematosis, alpha 1 antitrypsin deficiency" ><![CDATA[blood in stool]]></ros>
								<ros answer="" star="0" critical="false"  category="BREAST" subops="" sourcesl1=""  sourcesem="" sources="MRSA, malignancy, metastases" ><![CDATA[pain in breast in females]]></ros>
								<ros answer="" star="0" critical="false"  category="BREAST" subops="" sourcesl1=""  sourcesem="" sources="MRSA, common variable immunodeficiency, Immune Deficiency, malignancy, metastases, Kaposi's sarcoma" ><![CDATA[lump in breast in females]]></ros>
								<ros answer="" star="0" critical="false"  category="BREAST" subops="" sourcesl1=""  sourcesem="" sources="MRSA, malignancy, metastases" ><![CDATA[a painful swelling in breast in females]]></ros>
								<ros answer="" star="0" critical="false"  category="BREAST" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[decreased production of breast milk]]></ros>
								<ros answer="" star="0" critical="false"  category="BREAST" subops="" sourcesl1=""  sourcesem="" sources="malignancy, metastases" ><![CDATA[discharge from nipple]]></ros>
								<ros answer="" star="1" critical="false"  category="EYES" subops="" sourcesl1="myocardial infarction, shock"  sourcesem="St. Louis encephalitis, acute disseminated encephalomyelitis, atrial myxoma, cavernous sinus thrombosis, subdural empyema" sources="sinusitis, human immunodeficiency virus infections, shock, chlamydia infections, acute pancreatitis, sickle cell anemia, pseudomonas infection, cytomegalovirus, cat scratch disease, Lyme disease, aspergillosis, arthritis, rheumatoid arthritis, toxoplasmosis, malignancy, sarcoidosis, acute nephritic syndrome, metastases, systemic lupus erythematosis, membranous glomerulonephritis" ><![CDATA[vision problems]]></ros>
								<ros answer="" star="0" critical="false"  category="EYES" subops="" sourcesl1=""  sourcesem="St. Louis encephalitis, cavernous sinus thrombosis" sources="chlamydia infections, acute pancreatitis, sickle cell anemia, malignancy, acute nephritic syndrome, membranous glomerulonephritis" ><![CDATA[blindness]]></ros>
								<ros answer="" star="1" critical="false"  category="EYES" subops="" sourcesl1=""  sourcesem="" sources="human immunodeficiency virus infections, arthritis, sarcoidosis, acute nephritic syndrome, membranous glomerulonephritis" ><![CDATA[double vision]]></ros>
								<ros answer="" star="0" critical="false"  category="EYES" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[cataract]]></ros>
								<ros answer="" star="0" critical="false"  category="EYES" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[glaucoma]]></ros>
								<ros answer="" star="0" critical="false"  category="EYES" subops="" sourcesl1=""  sourcesem="" sources="" ><![CDATA[eye injury]]></ros>
								<ros answer="" star="5" critical="false"  category="EYES" subops="" sourcesl1=""  sourcesem="cavernous sinus thrombosis" sources="influenza, sinusitis, Epstein-Barr virus, chlamydia infections, coccidiodomycosis, varicella zoster infections, pseudomonas infection, acute bacterial conjunctivitis, viral conjunctivitis, cat scratch disease, arthritis, rheumatoid arthritis, toxoplasmosis, Hodgkin's lymphoma, malignancy, sarcoidosis" ><![CDATA[eye pain]]></ros>
								<ros answer="" star="5" critical="false"  category="EYES" subops="" sourcesl1=""  sourcesem="septic shock or septicemia, toxic epidermolysis" sources="pneumonia, otitis media, sinusitis, septic shock or septicemia, chlamydia infections, bacteremia, pseudomonas infection, toxic epidermolysis, acute bacterial conjunctivitis, viral conjunctivitis, selective IgA deficiency, arthritis, rheumatoid arthritis, hypogammaglobulinemia" ><![CDATA[eye discharge]]></ros>
								<ros answer="" star="4" critical="false"  category="EYES" subops="" sourcesl1="Crimean-Congo hemorrhagic fever"  sourcesem="St. Louis encephalitis" sources="influenza, upper respiratory infection, swine flu, Epstein-Barr virus, measles, Rocky Mountain spotted fever, coccidiodomycosis, acute bacterial conjunctivitis, viral conjunctivitis, Lyme disease, arthritis, toxoplasmosis, sarcoidosis" ><![CDATA[photophobia]]></ros>
								<ros answer="" star="0" critical="false"  category="MS" subops="" sourcesl1=""  sourcesem="" sources="chlamydia infections, arthritis, rheumatoid arthritis" ><![CDATA[arthritis]]></ros>
								<ros answer="" star="0" critical="false"  category="MS" subops="" sourcesl1=""  sourcesem="St. Louis encephalitis, subdural empyema" sources="sickle cell anemia, immunization reactions, arthritis, rheumatoid arthritis, mixed connective tissue disease" ><![CDATA[limitation of movement]]></ros>
								<ros answer="" star="3" critical="false"  category="MS" subops="" sourcesl1=""  sourcesem="anthrax, myocarditis, pneumocystis carinii pneumonia, toxic epidermolysis" sources="influenza, pneumonia, viral syndrome, common cold, upper respiratory infection, acute bronchitis, mycoplasma pneumonia, swine flu, viral pneumonia, human immunodeficiency virus infections, pleural effusion, pleurisy, Epstein-Barr virus, tuberculosis pneumonia, bacteremia, tonsillitis, coccidiodomycosis, MRSA, scarlet fever, varicella zoster infections, cystic fibrosis, pleurodynia, sickle cell anemia, lung abscess, myocarditis, radiation esophagitis, toxic epidermolysis, immunization reactions, cytomegalovirus, Lyme disease, arthritis, rheumatoid arthritis, toxoplasmosis, malignancy, sarcoidosis, allergic bronchopulmonary aspergillosis, mediastinal mass, metastases, systemic lupus erythematosis, mixed connective tissue disease" ><![CDATA[muscle ache generalized]]></ros>
								<ros answer="" star="1" critical="false"  category="MS" subops="" sourcesl1=""  sourcesem="septic shock or septicemia, toxic epidermolysis" sources="human immunodeficiency virus infections, septic shock or septicemia, chlamydia infections, mycoplasma infections, coccidiodomycosis, sickle cell anemia, blastomycosis, toxic epidermolysis, cat scratch disease, Lyme disease, atypical mycobacterial infection, arthritis, rheumatoid arthritis, common variable immunodeficiency, Immune Deficiency, malignancy, sarcoidosis, Felty Syndrome, chronic lymphocytic leukemia, systemic lupus erythematosis, mixed connective tissue disease, mitral regurgitation" ><![CDATA[swollen joint(s)]]></ros>
								<ros answer="" star="4" critical="false"  category="MS" subops="" sourcesl1="myocardial infarction"  sourcesem="anthrax, aortic aneurysm, mediastinitis" sources="pharyngitis, sinusitis, human immunodeficiency virus infections, Epstein-Barr virus, peritonsillar abscess, tonsillitis, MRSA, scarlet fever, mediastinitis, acute pericarditis, cytomegalovirus, cat scratch disease, aspergillosis, atypical mycobacterial infection, arthritis, rheumatoid arthritis, common variable immunodeficiency, toxoplasmosis, Hodgkin's lymphoma, malignancy, metastases, chronic lymphocytic leukemia" ><![CDATA[pain in neck]]></ros>
								<ros answer="" star="4" critical="false"  category="MS" subops="" sourcesl1="Crimean-Congo hemorrhagic fever, myocardial infarction, shock"  sourcesem="aortic aneurysm, hemorrhagic fever with renal syndrome, mediastinitis, pneumocystis carinii pneumonia, pulmonary embolism" sources="influenza, pneumonia, mycoplasma pneumonia, swine flu, viral pneumonia, shock, chlamydia infections, mycoplasma infections, puerperal infections, varicella zoster infections, acute pancreatitis, pleurodynia, sickle cell anemia, mediastinitis, pseudomonas infection, acute pericarditis, pulmonary embolism, radiation esophagitis, arthritis, rheumatoid arthritis, Hodgkin's lymphoma, malignancy, acute nephritic syndrome, metastases, systemic lupus erythematosis" ><![CDATA[pain in back]]></ros>
								<ros answer="" star="1" critical="true"  category="NEURO" subops="" sourcesl1="ARDS, Crimean-Congo hemorrhagic fever, acute respiratory failure, myocardial infarction, shock, status asthmaticus"  sourcesem="SARS, St. Louis encephalitis, anthrax, aortic aneurysm, atrial myxoma, cavernous sinus thrombosis, hemorrhagic fever with renal syndrome, iron poisoning, myocarditis, pulmonary embolism, pulmonary infarction, septic shock or septicemia, subdural empyema, toxic epidermolysis" sources="influenza, enteroviral infections, swine flu, human immunodeficiency virus infections, acute respiratory failure, septic shock or septicemia, shock, Rocky Mountain spotted fever, bacteremia, varicella zoster infections, acute pancreatitis, sickle cell anemia, ARDS, cor pulmonale, post abdominal surgery, pericardial effusion, aspiration pneumonia, myocarditis, pulmonary embolism, radiation esophagitis, pulmonary infarction, viral gastroenteritis, toxic epidermolysis, asthma, immunization reactions, status asthmaticus, Lyme disease, sarcoidosis, acute nephritic syndrome" ><![CDATA[passing out]]></ros>
								<ros answer="" star="0" critical="false"  category="NEURO" subops="" sourcesl1=""  sourcesem="" sources="Lyme disease, acute nephritic syndrome, membranous glomerulonephritis" ><![CDATA[vertigo]]></ros>
								<ros answer="" star="0" critical="false"  category="NEURO" subops="" sourcesl1="acute respiratory failure"  sourcesem="St. Louis encephalitis, acute disseminated encephalomyelitis, atrial myxoma, hemorrhagic fever with renal syndrome, iron poisoning, pulmonary embolism, subdural empyema" sources="influenza, human immunodeficiency virus infections, acute respiratory failure, varicella zoster infections, sickle cell anemia, aspiration pneumonia, pulmonary embolism, immunization reactions, cat scratch disease, malignancy, sarcoidosis, metastases, systemic lupus erythematosis" ><![CDATA[convulsions]]></ros>
								<ros answer="" star="1" critical="false"  category="NEURO" subops="" sourcesl1="Crimean-Congo hemorrhagic fever"  sourcesem="acute disseminated encephalomyelitis" sources="human immunodeficiency virus infections, Epstein-Barr virus, mycoplasma infections, varicella zoster infections, sickle cell anemia, cytomegalovirus, cat scratch disease, Lyme disease, arthritis, rheumatoid arthritis, hypogammaglobulinemia, Hodgkin's lymphoma, sarcoidosis, small cell lung carcinoma, systemic lupus erythematosis, mixed connective tissue disease" ><![CDATA[impaired sensations]]></ros>
								<ros answer="" star="3" critical="false"  category="NEURO" subops="" sourcesl1="ARDS, acute respiratory failure, myocardial infarction, shock"  sourcesem="SARS, acute disseminated encephalomyelitis, pneumocystis carinii pneumonia, pulmonary embolism, septic shock or septicemia" sources="influenza, pneumonia, viral syndrome, common cold, upper respiratory infection, sinusitis, enteroviral infections, mycoplasma pneumonia, swine flu, human immunodeficiency virus infections, acute respiratory failure, tuberculosis pneumonia, septic shock or septicemia, shock, mycoplasma infections, tonsillitis, scarlet fever, varicella zoster infections, acute pancreatitis, pleurodynia, sickle cell anemia, ARDS, pulmonary embolism, viral gastroenteritis, Lyme disease, arthritis, toxoplasmosis, Hodgkin's lymphoma, malignancy, sarcoidosis, acute nephritic syndrome, metastases, Kaposi's sarcoma, systemic lupus erythematosis, focal segmental glomerulosclerosis, nephrotic syndrome, mixed connective tissue disease, membranous glomerulonephritis" ><![CDATA[weakness]]></ros>
								<ros answer="" star="0" critical="false"  category="NEURO" subops="" sourcesl1=""  sourcesem="St. Louis encephalitis, acute disseminated encephalomyelitis, subdural empyema" sources="human immunodeficiency virus infections, Epstein-Barr virus, varicella zoster infections, sickle cell anemia, Lyme disease, rheumatoid arthritis, malignancy, metastases, systemic lupus erythematosis" ><![CDATA[abnormal gait]]></ros>
								</review_of_systems>

					<additional_symptoms>
					<symptom star="2" sources="influenza, pneumonia, otitis media, viral syndrome, common cold, upper respiratory infection, enteroviral infections, mycoplasma pneumonia, swine flu, viral pneumonia, human immunodeficiency virus infections, acute respiratory failure, Epstein-Barr virus, tuberculosis pneumonia, septic shock or septicemia, shock, peritonsillar abscess, bacteremia, tonsillitis, coccidiodomycosis, MRSA, scarlet fever, varicella zoster infections, cystic fibrosis, acute pancreatitis, pleurodynia, sickle cell anemia, bronchiectasis, lung abscess, cor pulmonale, acute pericarditis, myocarditis, radiation esophagitis, viral gastroenteritis, toxic epidermolysis, asthma, immunization reactions, status asthmaticus, arthritis, rheumatoid arthritis, Hodgkin's lymphoma, malignancy, sarcoidosis, acute nephritic syndrome, small cell lung carcinoma, foreign body in esophagus, metastases, Felty Syndrome, chronic lymphocytic leukemia, systemic lupus erythematosis, alpha 1 antitrypsin deficiency, focal segmental glomerulosclerosis, nephrotic syndrome, membranous glomerulonephritis"  ><![CDATA[poor appetite]]></symptom><symptom star="2" sources="influenza, pneumonia, otitis media, viral syndrome, common cold, upper respiratory infection, neutropenia, pharyngitis, sinusitis, acute bronchitis, enteroviral infections, mycoplasma pneumonia, swine flu, viral pneumonia, human immunodeficiency virus infections, acute laryngitis, Epstein-Barr virus, septic shock or septicemia, chlamydia infections, mycoplasma infections, peritonsillar abscess, bacteremia, tonsillitis, scarlet fever, varicella zoster infections, pleurodynia, mediastinitis, blastomycosis, radiation esophagitis, viral gastroenteritis, toxic epidermolysis, asthma, cytomegalovirus, Lyme disease, selective IgA deficiency, toxoplasmosis, Hodgkin's lymphoma, Immune Deficiency, acute nephritic syndrome, foreign body in esophagus, chronic lymphocytic leukemia"  ><![CDATA[sore throat]]></symptom><symptom star="0" sources="pneumonia, sinusitis, acute bronchitis, mycoplasma pneumonia, human immunodeficiency virus infections, tuberculosis pneumonia, chlamydia infections, mycoplasma infections, puerperal infections, coccidiodomycosis, cystic fibrosis, sickle cell anemia, bronchiectasis, empyema, lung abscess, pseudomonas infection, blastomycosis, cor pulmonale, aspiration pneumonia, aspergillosis, selective IgA deficiency, common variable immunodeficiency, hypogammaglobulinemia, IgG deficiencies, Immune Deficiency, ciliary dyskinesia, malignancy, allergic bronchopulmonary aspergillosis, small cell lung carcinoma, metastases, alpha 1 antitrypsin deficiency"  ><![CDATA[cough with yellow or green phlegm]]></symptom><symptom star="2" sources="influenza, pneumonia, viral syndrome, common cold, upper respiratory infection, acute bronchitis, mycoplasma pneumonia, swine flu, viral pneumonia, human immunodeficiency virus infections, pleural effusion, pleurisy, Epstein-Barr virus, tuberculosis pneumonia, bacteremia, tonsillitis, coccidiodomycosis, MRSA, scarlet fever, varicella zoster infections, cystic fibrosis, pleurodynia, sickle cell anemia, lung abscess, myocarditis, radiation esophagitis, toxic epidermolysis, immunization reactions, cytomegalovirus, Lyme disease, arthritis, rheumatoid arthritis, toxoplasmosis, malignancy, sarcoidosis, allergic bronchopulmonary aspergillosis, mediastinal mass, metastases, systemic lupus erythematosis, mixed connective tissue disease"  ><![CDATA[muscle ache generalized]]></symptom><symptom star="0" sources="influenza, pneumonia, otitis media, sinusitis, swine flu, acute respiratory failure, pleurisy, septic shock or septicemia, bacteremia, asthma, viral conjunctivitis"  ><![CDATA[flu]]></symptom><symptom star="1" sources="influenza, pneumonia, neutropenia, acute bronchitis, mycoplasma pneumonia, swine flu, viral pneumonia, human immunodeficiency virus infections, acute laryngitis, acute respiratory failure, pleural effusion, pleurisy, measles, tuberculosis pneumonia, septic shock or septicemia, shock, chlamydia infections, Rocky Mountain spotted fever, mycoplasma infections, peritonsillar abscess, puerperal infections, bacteremia, tonsillitis, pertussis, coccidiodomycosis, MRSA, varicella zoster infections, cystic fibrosis, acute pancreatitis, pleurodynia, sickle cell anemia, bronchiectasis, empyema, lung abscess, ARDS, mediastinitis, pseudomonas infection, blastomycosis, cor pulmonale, post abdominal surgery, pericardial effusion, acute pericarditis, aspiration pneumonia, myocarditis, pulmonary embolism, respiratory acidosis, radiation esophagitis, pulmonary infarction, toxic epidermolysis, asthma, immunization reactions, status asthmaticus, cat scratch disease, aspergillosis, selective IgA deficiency, atypical mycobacterial infection, arthritis, rheumatoid arthritis, common variable immunodeficiency, hypogammaglobulinemia, toxoplasmosis, Hodgkin's lymphoma, IgG deficiencies, Immune Deficiency, ciliary dyskinesia, malignancy, sarcoidosis, allergic bronchopulmonary aspergillosis, acute nephritic syndrome, small cell lung carcinoma, foreign body in esophagus, mediastinal mass, metastases, chronic lymphocytic leukemia, Kaposi's sarcoma, systemic lupus erythematosis, alpha 1 antitrypsin deficiency, mixed connective tissue disease, membranous glomerulonephritis, mitral regurgitation"  ><![CDATA[difficulty breathing]]></symptom><symptom star="0" sources="pneumonia, mycoplasma pneumonia, acute respiratory failure, mycoplasma infections, pertussis, cystic fibrosis, aspiration pneumonia, asthma, status asthmaticus"  ><![CDATA[paroxysmal cough]]></symptom><symptom star="1" sources="influenza, pneumonia, acute bronchitis, enteroviral infections, mycoplasma pneumonia, swine flu, viral pneumonia, human immunodeficiency virus infections, acute respiratory failure, pleural effusion, pleurisy, Epstein-Barr virus, tuberculosis pneumonia, shock, mycoplasma infections, puerperal infections, pertussis, coccidiodomycosis, MRSA, varicella zoster infections, cystic fibrosis, acute pancreatitis, pleurodynia, sickle cell anemia, bronchiectasis, empyema, lung abscess, mediastinitis, blastomycosis, cor pulmonale, pericardial effusion, acute pericarditis, aspiration pneumonia, myocarditis, pulmonary embolism, radiation esophagitis, asthma, status asthmaticus, Lyme disease, aspergillosis, selective IgA deficiency, arthritis, rheumatoid arthritis, toxoplasmosis, Hodgkin's lymphoma, sarcoidosis, allergic bronchopulmonary aspergillosis, acute nephritic syndrome, small cell lung carcinoma, foreign body in esophagus, mediastinal mass, metastases, Kaposi's sarcoma, systemic lupus erythematosis, alpha 1 antitrypsin deficiency, mixed connective tissue disease, membranous glomerulonephritis, mitral regurgitation"  ><![CDATA[chest pain]]></symptom><symptom star="5" sources="pneumonia, acute bronchitis, mycoplasma pneumonia, viral pneumonia, human immunodeficiency virus infections, acute respiratory failure, pleural effusion, tuberculosis pneumonia, shock, cystic fibrosis, sickle cell anemia, bronchiectasis, empyema, ARDS, cor pulmonale, pericardial effusion, myocarditis, pulmonary embolism, pulmonary infarction, asthma, status asthmaticus, sarcoidosis, acute nephritic syndrome, mediastinal mass, Kaposi's sarcoma, alpha 1 antitrypsin deficiency, membranous glomerulonephritis, mitral regurgitation"  ><![CDATA[shortness of breath with exercise]]></symptom><symptom star="0" sources="common cold, upper respiratory infection, pharyngitis, sinusitis, asthma"  ><![CDATA[coughing at night]]></symptom><symptom star="2" sources="influenza, otitis media, common cold, upper respiratory infection, sinusitis, acute bronchitis, swine flu, viral pneumonia, chlamydia infections, cystic fibrosis, aspergillosis, selective IgA deficiency, common variable immunodeficiency, IgG deficiencies, Immune Deficiency, allergic bronchopulmonary aspergillosis"  ><![CDATA[nasal discharge]]></symptom><symptom star="0" sources="influenza, pneumonia, otitis media, viral syndrome, common cold, upper respiratory infection, sinusitis, mycoplasma pneumonia, swine flu, viral pneumonia, cystic fibrosis, aspergillosis, selective IgA deficiency, common variable immunodeficiency, IgG deficiencies, Immune Deficiency, allergic bronchopulmonary aspergillosis"  ><![CDATA[sinus congestion]]></symptom><symptom star="0" sources="influenza, otitis media, viral syndrome, common cold, upper respiratory infection, swine flu, acute respiratory failure, respiratory acidosis, asthma, status asthmaticus, Lyme disease, malignancy, foreign body in esophagus"  ><![CDATA[difficulty sleeping]]></symptom><symptom star="1" sources="common cold, upper respiratory infection, pharyngitis, enteroviral infections, human immunodeficiency virus infections, acute laryngitis, Epstein-Barr virus, peritonsillar abscess, tonsillitis, MRSA, scarlet fever, pericardial effusion, acute pericarditis, radiation esophagitis, toxic epidermolysis, cytomegalovirus, arthritis, rheumatoid arthritis, common variable immunodeficiency, Immune Deficiency, malignancy, sarcoidosis, small cell lung carcinoma, foreign body in esophagus, mediastinal mass, metastases, chronic lymphocytic leukemia, Kaposi's sarcoma, systemic lupus erythematosis, mixed connective tissue disease"  ><![CDATA[difficulty swallowing]]></symptom></additional_symptoms>
					<common_symptoms></common_symptoms>
					</symptom_questions>

					<lifestyle_options>
								<lifestyle>
									<lifestyle_label>immunosuppressed - hiv, steroid use, etc</lifestyle_label>
										<lifestyle_attribute>immunosuppressed</lifestyle_attribute>
										<lifestyle_value>Yes</lifestyle_value>
									</lifestyle>
								<lifestyle>
									<lifestyle_label>Family History</lifestyle_label>
										<lifestyle_attribute>familyhistoryof</lifestyle_attribute>
										<lifestyle_value>**familyhistoryof**</lifestyle_value>
										<familyhistoryof>alpha 1 antitrypsin deficiency</familyhistoryof>
											<familyhistoryof>alveolar proteinosis</familyhistoryof>
											<familyhistoryof>arthritis</familyhistoryof>
											<familyhistoryof>asthma</familyhistoryof>
											<familyhistoryof>ciliary dyskinesia</familyhistoryof>
											<familyhistoryof>common variable immunodeficiency</familyhistoryof>
											<familyhistoryof>cystic fibrosis</familyhistoryof>
											<familyhistoryof>epidermolysis bullosa</familyhistoryof>
											<familyhistoryof>hyper IgE syndrome</familyhistoryof>
											<familyhistoryof>mitral valve prolapse</familyhistoryof>
											<familyhistoryof>selective IgA deficiency</familyhistoryof>
											<familyhistoryof>sickle cell anemia</familyhistoryof>
											<familyhistoryof>status asthmaticus</familyhistoryof>
											</lifestyle>
								<lifestyle>
									<lifestyle_label>Smoking</lifestyle_label>
										<lifestyle_attribute>smoking</lifestyle_attribute>
										<lifestyle_value>Yes</lifestyle_value>
									</lifestyle>
								<lifestyle>
									<lifestyle_label>STD</lifestyle_label>
										<lifestyle_attribute>std</lifestyle_attribute>
										<lifestyle_value>Yes</lifestyle_value>
									</lifestyle>
								<lifestyle>
									<lifestyle_label>Injured</lifestyle_label>
										<lifestyle_attribute>injured</lifestyle_attribute>
										<lifestyle_value>Yes</lifestyle_value>
									</lifestyle>
								<lifestyle>
									<lifestyle_label>Alcohol</lifestyle_label>
										<lifestyle_attribute>drink</lifestyle_attribute>
										<lifestyle_value>Yes</lifestyle_value>
									</lifestyle>
								<lifestyle>
									<lifestyle_label>Environmental and Toxin Exposure</lifestyle_label>
										<lifestyle_attribute>texposure</lifestyle_attribute>
										<lifestyle_value>Yes</lifestyle_value>
									</lifestyle>
								<lifestyle>
									<lifestyle_label>Ethnicity</lifestyle_label>
										<lifestyle_attribute>ethnicity</lifestyle_attribute>
										<lifestyle_value>**ethnicity**</lifestyle_value>
										<ethnicity>Africian American</ethnicity>
											<ethnicity>Ashkenazi Jewish</ethnicity>
											<ethnicity>Caucasian</ethnicity>
											<ethnicity>Mediterranean Origin</ethnicity>
											</lifestyle>
								<lifestyle>
									<lifestyle_label>pregnant</lifestyle_label>
										<lifestyle_attribute>pregnancy</lifestyle_attribute>
										<lifestyle_value>Yes</lifestyle_value>
									</lifestyle>
								<lifestyle>
									<lifestyle_label>High Fat Diet</lifestyle_label>
										<lifestyle_attribute>highfat</lifestyle_attribute>
										<lifestyle_value>Yes</lifestyle_value>
									</lifestyle>
								<lifestyle>
									<lifestyle_label>Obesity</lifestyle_label>
										<lifestyle_attribute>weight</lifestyle_attribute>
										<lifestyle_value>Yes</lifestyle_value>
									</lifestyle>
								<lifestyle>
									<lifestyle_label>Sedentary</lifestyle_label>
										<lifestyle_attribute>sedentary</lifestyle_attribute>
										<lifestyle_value>Yes</lifestyle_value>
									</lifestyle>
								<lifestyle>
									<lifestyle_label>history of heart attack or bypass surgery</lifestyle_label>
										<lifestyle_attribute>recentsurgeryheart</lifestyle_attribute>
										<lifestyle_value>Yes</lifestyle_value>
									</lifestyle>
								</lifestyle_options>
					</questions>
			<tests>
			<procedures type="diagnostic"></procedures>
			<emergency_procedures></emergency_procedures>
			<lifethreatening_procedures></lifethreatening_procedures>			
			<procedures_with_ems>
				<procedure_with_em emlevel="" isparent="false" parent="" url="http://www.medgle.com/rw/procedures/Viral+Culture/" star="7" values="negative, positive,[ordered]" sourcesl1=""  sourcesem="" sources="influenza, viral syndrome, upper respiratory infection, enteroviral infections, swine flu, viral pneumonia, human immunodeficiency virus infections" cpt="87254" cost="96.80" cptper="" averageunit="" totalcost="" calccost="96.8" dollars="$$"  ><![CDATA[Viral Culture]]></procedure_with_em>

						<procedure_with_em emlevel="2" isparent="false" parent="" url="http://www.medgle.com/rw/procedures/Chest+X-ray/" star="6" values="abnormal, normal,[ordered]" sourcesl1=""  sourcesem="viral pneumonia" sources="influenza, pneumonia, acute bronchitis, swine flu, acute respiratory failure, pleural effusion" cpt="71022" cost="$34" cptper="" averageunit="" totalcost="" calccost="34.0" dollars="$"  ><![CDATA[Chest X-ray]]></procedure_with_em>

						<procedure_with_em emlevel="" isparent="false" parent="" url="http://www.medgle.com/rw/procedures/Polymerase+Chain+Reaction+%28PCR%29/" star="5" values="negative, positive,[ordered]" sourcesl1=""  sourcesem="" sources="viral syndrome, enteroviral infections, swine flu, viral pneumonia, human immunodeficiency virus infections" cpt="83901" cost="144" cptper="" averageunit="" totalcost="" calccost="144.0" dollars="$$+"  ><![CDATA[Polymerase Chain Reaction (PCR)]]></procedure_with_em>

						<procedure_with_em emlevel="2" isparent="true" parent="" url="http://www.medgle.com/rw/procedures/Complete+Blood+Count/" star="4" values="abnormal, normal,[ordered]" sourcesl1=""  sourcesem="viral pneumonia" sources="pneumonia, upper respiratory infection, enteroviral infections, human immunodeficiency virus infections, acute respiratory failure" cpt="85025" cost="$33.7" cptper="" averageunit="" totalcost="" calccost="33.7" dollars="$"  ><![CDATA[Complete Blood Count]]></procedure_with_em>

						<procedure_with_em emlevel="" subtest="true" parent="Complete Blood Count" url="http://www.medgle.com/rw/procedures/white+cell+count/" star="4" values="high, low,normal"  ><![CDATA[white cell count]]></procedure_with_em>
								<procedure_with_em emlevel="" subtest="true" parent="Complete Blood Count" url="http://www.medgle.com/rw/procedures/red+cell+count/" star="4" values="high, low,normal"  ><![CDATA[red cell count]]></procedure_with_em>
								<procedure_with_em emlevel="" subtest="true" parent="Complete Blood Count" url="http://www.medgle.com/rw/procedures/Hemoglobin%2Fhematocrit/" star="4" values="high, low,normal"  ><![CDATA[Hemoglobin/hematocrit]]></procedure_with_em>
								<procedure_with_em emlevel="" subtest="true" parent="Complete Blood Count" url="http://www.medgle.com/rw/procedures/neutrophils/" star="4" values="high, low,normal"  ><![CDATA[neutrophils]]></procedure_with_em>
								<procedure_with_em emlevel="" subtest="true" parent="Complete Blood Count" url="http://www.medgle.com/rw/procedures/lymphocytes/" star="4" values="high, low,normal"  ><![CDATA[lymphocytes]]></procedure_with_em>
								<procedure_with_em emlevel="" subtest="true" parent="Complete Blood Count" url="http://www.medgle.com/rw/procedures/monocytes/" star="4" values="high, low,normal"  ><![CDATA[monocytes]]></procedure_with_em>
								<procedure_with_em emlevel="" subtest="true" parent="Complete Blood Count" url="http://www.medgle.com/rw/procedures/eosinophils/" star="4" values="high, low,normal"  ><![CDATA[eosinophils]]></procedure_with_em>
								<procedure_with_em emlevel="" subtest="true" parent="Complete Blood Count" url="http://www.medgle.com/rw/procedures/abnormal+white+cells/" star="4" values="high, low,normal"  ><![CDATA[abnormal white cells]]></procedure_with_em>
								<procedure_with_em emlevel="" subtest="true" parent="Complete Blood Count" url="http://www.medgle.com/rw/procedures/abnormal+red+cells/" star="4" values="negative, positive"  ><![CDATA[abnormal red cells]]></procedure_with_em>
								<procedure_with_em emlevel="" subtest="true" parent="Complete Blood Count" url="http://www.medgle.com/rw/procedures/MCV/" star="4" values="high, low,normal"  ><![CDATA[MCV]]></procedure_with_em>
								<procedure_with_em emlevel="" subtest="true" parent="Complete Blood Count" url="http://www.medgle.com/rw/procedures/MCHC/" star="4" values="high, low,normal"  ><![CDATA[MCHC]]></procedure_with_em>
								<procedure_with_em emlevel="" subtest="true" parent="Complete Blood Count" url="http://www.medgle.com/rw/procedures/RDW/" star="4" values="high, low,normal"  ><![CDATA[RDW]]></procedure_with_em>
								</procedures_with_ems>


			</tests>

<therapies>
			<advice_options>

				<otc_drugs>
				<otc_drug url="http://www.medgle.com/rw/drugs/Acetaminophen/" star="3" values="" sources="otitis media, pneumonia, viral syndrome" labels="Tylenol, Panadol" ><![CDATA[Acetaminophen]]></otc_drug>
						</otc_drugs>


				<homecare_options>
				<homecare  star="3" values="" sources="cough"  ><![CDATA[http://www.nlm.nih.gov/medlineplus/ency/article/003072.htm]]></homecare>
						<homecare  star="3" values="" sources="fever"  ><![CDATA[http://www.nlm.nih.gov/medlineplus/ency/article/003090.htm]]></homecare>
						<homecare  star="2" values="" sources="influenza"  ><![CDATA[http://www.nlm.nih.gov/medlineplus/ency/article/000080.htm]]></homecare>
						<homecare  star="2" values="" sources="pneumonia"  ><![CDATA[http://www.nlm.nih.gov/medlineplus/ency/article/000145.htm]]></homecare>
						</homecare_options>

				<chronic_homecare_options>
				</chronic_homecare_options>

			</advice_options>

<therapeutic_procedures>
				<therapeutic_procedure emlevel="4" isparent="false" parent="" url="http://www.medgle.com/rw/procedures/Plenty+of+Fluids/" star="7" values="[ordered]" sourcesl1="" sourcesem="" sources="common cold, sinusitis, acute bronchitis, acute laryngitis" dollars="$$" >Plenty of Fluids</therapeutic_procedure>
						<therapeutic_procedure emlevel="4" isparent="false" parent="" url="http://www.medgle.com/rw/procedures/Humidifier+Therapy/" star="5" values="[ordered]" sourcesl1="" sourcesem="" sources="common cold, sinusitis, acute laryngitis" dollars="$$+" >Humidifier Therapy</therapeutic_procedure>
						<therapeutic_procedure emlevel="4" isparent="false" parent="" url="http://www.medgle.com/rw/procedures/Nasal+Saline+Sprays/" star="3" values="[ordered]" sourcesl1="" sourcesem="" sources="common cold, upper respiratory infection" dollars="$" >Nasal Saline Sprays</therapeutic_procedure>
						<therapeutic_procedure emlevel="4" isparent="false" parent="" url="http://www.medgle.com/rw/procedures/gargling/" star="3" values="[ordered]" sourcesl1="" sourcesem="" sources="upper respiratory infection, pharyngitis" dollars="$$+" >gargling</therapeutic_procedure>
						</therapeutic_procedures>





			<therapeutic_drugs>
				<therapeutic_drug emlevel="4" isparent="false" parent="" url="http://www.medgle.com/rw/drugs/Acetaminophen/" star="7" values="[ordered]" sourcesl1="" sourcesem="" sources="otitis media, viral syndrome, common cold, upper respiratory infection, pharyngitis, acute bronchitis, enteroviral infections, acute laryngitis" ><![CDATA[Acetaminophen]]></therapeutic_drug>
						<therapeutic_drug emlevel="4" isparent="false" parent="" url="http://www.medgle.com/rw/drugs/Ibuprofen/" star="7" values="[ordered]" sourcesl1="" sourcesem="" sources="otitis media, viral syndrome, common cold, pharyngitis, sinusitis, acute bronchitis, enteroviral infections, acute laryngitis" ><![CDATA[Ibuprofen]]></therapeutic_drug>
						<therapeutic_drug emlevel="4" isparent="false" parent="" url="http://www.medgle.com/rw/drugs/Cefuroxime/" star="3" values="[ordered]" sourcesl1="" sourcesem="" sources="pneumonia, otitis media, sinusitis, acute bronchitis" ><![CDATA[Cefuroxime]]></therapeutic_drug>
						<therapeutic_drug emlevel="4" isparent="false" parent="" url="http://www.medgle.com/rw/drugs/Azithromycin/" star="3" values="[ordered]" sourcesl1="" sourcesem="" sources="pneumonia, otitis media, acute bronchitis, human immunodeficiency virus infections" ><![CDATA[Azithromycin]]></therapeutic_drug>
						</therapeutic_drugs>
			</therapies>
			</suggestions>
			<results>
			<triage_completed>false</triage_completed>
				<ddxstreams>
				</ddxstreams>
<query_detailed><![CDATA[A 23 years old presents with FEVER, AND COUGH (chief complaints).]]></query_detailed>
			<analysis_summary><![CDATA[A 23 years old presents with FEVER, AND COUGH (chief complaints). 

ASSESSMENT (AUTOMATED)
CLINICALGPS TRIAGE LEVEL: 4

Most likely causes for fever, and cough include influenza, pneumonia, otitis media, viral syndrome, and common cold. 

Influenza matches all the given symptoms. 

Pneumonia matches all the given symptoms. 

Otitis media matches all the given symptoms. 

Viral syndrome matches all the given symptoms. 

Common cold matches all the given symptoms. 

END AUTOMATED ASSESSMENT


NOTES & COMMENTS
]]></analysis_summary>
			<analysis_summary_hl7><![CDATA[MSH|^~\&|ClinicalGPS|MEDgle|GECENTRICITY|SUMMITMED|2013619102231||ORU^R01|$SHORTCODE|P|2.3.1
$PID
OBX|1|TX|AGE||23|y|||||X
OBX|1|TX|GENDER||||||||X
OBX|1|TX|CHIEF COMPLAINT||fever, and cough||||||X
OBX|1|TX|SYMPTOM DURATION||3 days||||||X
OBX|1|TX|IMMUNOSUPPRESSED||N||||||X
OBX|1|TX|TRIAGE LEVEL||4||||||X
OBX|1|TX|SELECTED POSSIBLE DIAGNOSES||||||||X
OBX|1|TX|TOP POSSIBLE DIAGNOSES||influenza, pneumonia, otitis media, viral syndrome, common cold||||||X
OBX|1|TX|AUTOMATED ASSESSMENT AND PLAN||||||||X
OBX|1|TX|AUTOMATED ASSESSMENT||||||||X
OBX|1|TX|HISTORY OF PRESENT ILLNESS AUTONOTE||A 23 years old presents with FEVER, AND COUGH (chief complaints).||||||X
]]></analysis_summary_hl7>

			<lifethreatening_diagnoses>
				<lifethreatening_diagnosis star="3" >ARDS</lifethreatening_diagnosis>
						<lifethreatening_diagnosis star="4" >acute respiratory failure</lifethreatening_diagnosis>
						<lifethreatening_diagnosis star="3" >shock</lifethreatening_diagnosis>
						<lifethreatening_diagnosis star="2" >status asthmaticus</lifethreatening_diagnosis>
						</lifethreatening_diagnoses>

			<estimated_total_cost probability="1.0" standard_deviation="49.49"  >177.38258</estimated_total_cost><diagnoses_result_count>200</diagnoses_result_count>
			<diagnoses_shown_result_count>4</diagnoses_shown_result_count>
			<diagnoses>
				<diagnosis>
						<diagnosis_name>influenza</diagnosis_name>
						<diagnosis_presentation_label>influenza virus infections</diagnosis_presentation_label>
						<diagnosis_url>http://www.medgle.com/rw/diagnoses/influenza</diagnosis_url>
						<diagnosis_layman>flu</diagnosis_layman>
						<diagnosis_shortform>flu</diagnosis_shortform>
						<diagnosis_prevalence>very common</diagnosis_prevalence>
						<diagnosis_is_chronic>false</diagnosis_is_chronic>
						<diagnosis_test_cost dollars="$$">93.0</diagnosis_test_cost>
						<diagnosis_treat_cost dollars="$$+">184.2</diagnosis_treat_cost>
						<diagnosis_symptoms type="common">fever, headache, nausea, poor appetite</diagnosis_symptoms>
						<diagnosis_is_added>false</diagnosis_is_added>
						<diagnosis_is_previous_condition>false</diagnosis_is_previous_condition>
						<diagnosis_is_given>false</diagnosis_is_given>
						<diagnosis_emergency>No</diagnosis_emergency>
						<diagnosis_category>infectious diseases, pulmonary</diagnosis_category>
						<diagnosis_emergency_level>4</diagnosis_emergency_level>
						<diagnosis_emergency_level_options>1, 2, 3, 4</diagnosis_emergency_level_options>
						<diagnosis_result_score>7</diagnosis_result_score>
						<diagnosis_raw_score>17.303118</diagnosis_raw_score>
						<diagnosis_mod_up></diagnosis_mod_up>
						<diagnosis_mod_down></diagnosis_mod_down>
						<diagnosis_sym_match>cough, fever</diagnosis_sym_match>
						<diagnosis_sym_not_match></diagnosis_sym_not_match>
						<diagnosis_match_with_upstream></diagnosis_match_with_upstream>
						<diagnosis_match_with_parent></diagnosis_match_with_parent>

			
						<subdiagnosis>influenza A</subdiagnosis>
							<subdiagnosis>influenza B</subdiagnosis>
							<diagnosis_ads>
							</diagnosis_ads>
						<ICD9>487</ICD9>
							<ICD10>J10.</ICD10>
							<ICD10>J11.</ICD10>
							<diagnosis_upstream></diagnosis_upstream>
						

						<diagnosis_downstream></diagnosis_downstream>
						<diagnosis_homecare><![CDATA[1) Avoid alcohol., 2) Stop smoking and Avoid exposure to secondary smoke., 3) Drink plenty of liquids., 4) Soothe the throat with apple juice, warm soup or hard candy., 5) Take prescription medicine as directed., 6) Blow your nose gently., 7) Use saline nose drops to clear the nose., 8) Apply petroleum jelly to dry skin around the nostrils., 9) Take nonprescription medication for sore throat, 10) Gargle with warm salt water, 11) Perform deep breathing exercises., 12) Place a vaporizer or nebulizer in the bedroom at night.]]></diagnosis_homecare>
					</diagnosis>
				<diagnosis>
						<diagnosis_name>pneumonia</diagnosis_name>
						<diagnosis_presentation_label>pneumonia</diagnosis_presentation_label>
						<diagnosis_url>http://www.medgle.com/rw/diagnoses/pneumonia</diagnosis_url>
						<diagnosis_layman>lung infection</diagnosis_layman>
						<diagnosis_shortform>CAP</diagnosis_shortform>
						<diagnosis_prevalence>very common</diagnosis_prevalence>
						<diagnosis_is_chronic>false</diagnosis_is_chronic>
						<diagnosis_test_cost dollars="$$+">103.5</diagnosis_test_cost>
						<diagnosis_treat_cost dollars="$$+">150.9</diagnosis_treat_cost>
						<diagnosis_symptoms type="common">cough, difficulty breathing, fever, shortness of breath with exercise</diagnosis_symptoms>
						<diagnosis_is_added>false</diagnosis_is_added>
						<diagnosis_is_previous_condition>false</diagnosis_is_previous_condition>
						<diagnosis_is_given>false</diagnosis_is_given>
						<diagnosis_emergency>Yes</diagnosis_emergency>
						<diagnosis_category>infectious diseases, pulmonary</diagnosis_category>
						<diagnosis_emergency_level>4</diagnosis_emergency_level>
						<diagnosis_emergency_level_options>2, 3, 4</diagnosis_emergency_level_options>
						<diagnosis_result_score>7</diagnosis_result_score>
						<diagnosis_raw_score>16.509548</diagnosis_raw_score>
						<diagnosis_mod_up></diagnosis_mod_up>
						<diagnosis_mod_down></diagnosis_mod_down>
						<diagnosis_sym_match>cough, fever</diagnosis_sym_match>
						<diagnosis_sym_not_match></diagnosis_sym_not_match>
						<diagnosis_match_with_upstream></diagnosis_match_with_upstream>
						<diagnosis_match_with_parent></diagnosis_match_with_parent>

			
						<diagnosis_ads>
							</diagnosis_ads>
						<ICD9>480-486</ICD9>
							<ICD9>770.0</ICD9>
							<ICD9>055.1</ICD9>
							<ICD10>J12.</ICD10>
							<ICD10>J13.</ICD10>
							<ICD10>J14.</ICD10>
							<ICD10>J15.</ICD10>
							<ICD10>J16.</ICD10>
							<ICD10>J17.</ICD10>
							<ICD10>J18.</ICD10>
							<ICD10>P23.</ICD10>
							<diagnosis_upstream>acute bronchitis, human immunodeficiency virus infections, asthma, rheumatoid arthritis, chronic obstructive pulmonary disease, bronchogenic carcinoma, drugs and toxins</diagnosis_upstream>
						

						<diagnosis_downstream>acute bronchitis, human immunodeficiency virus infections, asthma, rheumatoid arthritis, chronic obstructive pulmonary disease, bronchogenic carcinoma, drugs and toxins</diagnosis_downstream>
						<diagnosis_upstream_detail star="6" >acute bronchitis</diagnosis_upstream_detail>
								<diagnosis_upstream_detail star="5" >human immunodeficiency virus infections</diagnosis_upstream_detail>
								<diagnosis_upstream_detail star="3" >asthma</diagnosis_upstream_detail>
								<diagnosis_upstream_detail star="1" >rheumatoid arthritis</diagnosis_upstream_detail>
								<diagnosis_upstream_detail star="0" >chronic obstructive pulmonary disease</diagnosis_upstream_detail>
								<diagnosis_upstream_detail star="0" >bronchogenic carcinoma</diagnosis_upstream_detail>
								<diagnosis_upstream_detail star="0" >drugs and toxins</diagnosis_upstream_detail>
								<diagnosis_homecare><![CDATA[1) Stop smoking and Avoid exposure to secondary smoke, 2) Drink plenty of liquids and Get plenty of rest., 3) Perform deep breathing exercises, 4) Take prescribed medicines as directed., 5) Use a vaporizer or humidifier.]]></diagnosis_homecare>
					</diagnosis>
				<diagnosis>
						<diagnosis_name>otitis media</diagnosis_name>
						<diagnosis_presentation_label>otitis media</diagnosis_presentation_label>
						<diagnosis_url>http://www.medgle.com/rw/diagnoses/otitis+media</diagnosis_url>
						<diagnosis_layman>middle ear infection</diagnosis_layman>
						<diagnosis_shortform></diagnosis_shortform>
						<diagnosis_prevalence>very common</diagnosis_prevalence>
						<diagnosis_is_chronic>false</diagnosis_is_chronic>
						<diagnosis_test_cost dollars="$$">84.7</diagnosis_test_cost>
						<diagnosis_treat_cost dollars="$$+">130.3</diagnosis_treat_cost>
						<diagnosis_symptoms type="common">earache, fever, nausea, tympanic membrane dull or opaque</diagnosis_symptoms>
						<diagnosis_is_added>false</diagnosis_is_added>
						<diagnosis_is_previous_condition>false</diagnosis_is_previous_condition>
						<diagnosis_is_given>false</diagnosis_is_given>
						<diagnosis_emergency>No</diagnosis_emergency>
						<diagnosis_category>head and neck, infectious diseases</diagnosis_category>
						<diagnosis_emergency_level>4</diagnosis_emergency_level>
						<diagnosis_emergency_level_options>3, 4</diagnosis_emergency_level_options>
						<diagnosis_result_score>7</diagnosis_result_score>
						<diagnosis_raw_score>16.336365</diagnosis_raw_score>
						<diagnosis_mod_up></diagnosis_mod_up>
						<diagnosis_mod_down></diagnosis_mod_down>
						<diagnosis_sym_match>cough, fever</diagnosis_sym_match>
						<diagnosis_sym_not_match></diagnosis_sym_not_match>
						<diagnosis_match_with_upstream></diagnosis_match_with_upstream>
						<diagnosis_match_with_parent></diagnosis_match_with_parent>

			
						<diagnosis_ads>
							</diagnosis_ads>
						<ICD9>381-382</ICD9>
							<ICD9>055.2</ICD9>
							<ICD9>385.10</ICD9>
							<ICD10>H65.-H67.</ICD10>
							<diagnosis_upstream></diagnosis_upstream>
						

						<diagnosis_downstream></diagnosis_downstream>
						<diagnosis_homecare><![CDATA[1) Avoid swimming., 2) Drink plenty of liquids., 3) Apply warm compresses for 20-30 minutes, 4 times a day., 4) Take prescribed medications as directed.]]></diagnosis_homecare>
					</diagnosis>
				<diagnosis>
						<diagnosis_name>viral syndrome</diagnosis_name>
						<diagnosis_presentation_label>viral syndrome</diagnosis_presentation_label>
						<diagnosis_url>http://www.medgle.com/rw/diagnoses/viral+syndrome</diagnosis_url>
						<diagnosis_layman>type of flu</diagnosis_layman>
						<diagnosis_shortform></diagnosis_shortform>
						<diagnosis_prevalence>very common</diagnosis_prevalence>
						<diagnosis_is_chronic>false</diagnosis_is_chronic>
						<diagnosis_test_cost dollars="$$">54.8</diagnosis_test_cost>
						<diagnosis_treat_cost dollars="$$+">200.0</diagnosis_treat_cost>
						<diagnosis_symptoms type="common">lower abdominal pain, poor appetite, stomach pain, vomiting</diagnosis_symptoms>
						<diagnosis_is_added>false</diagnosis_is_added>
						<diagnosis_is_previous_condition>false</diagnosis_is_previous_condition>
						<diagnosis_is_given>false</diagnosis_is_given>
						<diagnosis_emergency>No</diagnosis_emergency>
						<diagnosis_category>infectious diseases, cardiac</diagnosis_category>
						<diagnosis_emergency_level>4</diagnosis_emergency_level>
						<diagnosis_emergency_level_options>4, 5</diagnosis_emergency_level_options>
						<diagnosis_result_score>6</diagnosis_result_score>
						<diagnosis_raw_score>15.84287</diagnosis_raw_score>
						<diagnosis_mod_up></diagnosis_mod_up>
						<diagnosis_mod_down></diagnosis_mod_down>
						<diagnosis_sym_match>cough, fever</diagnosis_sym_match>
						<diagnosis_sym_not_match></diagnosis_sym_not_match>
						<diagnosis_match_with_upstream></diagnosis_match_with_upstream>
						<diagnosis_match_with_parent></diagnosis_match_with_parent>

			
						<diagnosis_ads>
							</diagnosis_ads>
						<ICD9>079.99</ICD9>
							<ICD10>B97.89</ICD10>
							<diagnosis_upstream></diagnosis_upstream>
						

						<diagnosis_downstream></diagnosis_downstream>
						<diagnosis_homecare><![CDATA[1) Avoiding contact, such as vigorous physical activities, with other persons until symptoms resolve., 2) Do not share towels and maintain proper hygenic conditions]]></diagnosis_homecare>
					</diagnosis>
				</diagnoses>
			<meta_analysis>
			<upstream_diagnoses>
				<upstream_diagnosis star="6" val="68.01366" sources="pneumonia, acute bronchitis, acute respiratory failure" diffnotcontains="false" chronic="true" >asthma</upstream_diagnosis>
						<upstream_diagnosis star="2" val="31.46119" sources="pneumonia" diffnotcontains="false" chronic="false" >acute bronchitis</upstream_diagnosis>
						<upstream_diagnosis star="2" val="29.670353" sources="acute respiratory failure" diffnotcontains="false" chronic="false" >pneumonia</upstream_diagnosis>
						<upstream_diagnosis star="2" val="29.354553" sources="pneumonia" diffnotcontains="false" chronic="true" >human immunodeficiency virus infections</upstream_diagnosis>
						<upstream_diagnosis star="2" val="24.68765" sources="acute respiratory failure" diffnotcontains="false" chronic="true" >pleural effusion</upstream_diagnosis>
						<upstream_diagnosis star="1" val="16.509548" sources="pneumonia" diffnotcontains="true" chronic="true" >drugs and toxins</upstream_diagnosis>
						<upstream_diagnosis star="1" val="13.160804" sources="acute respiratory failure" diffnotcontains="true" chronic="false" >anaphylaxis</upstream_diagnosis>
						</upstream_diagnoses>



			<downstream_diagnoses>
				<downstream_diagnosis star="10" val="94.36721" sources="" diffnotcontains="false" >ARDS</downstream_diagnosis>
						<downstream_diagnosis star="6" val="60.134274" sources="" diffnotcontains="false" >acute respiratory failure</downstream_diagnosis>
						<downstream_diagnosis star="2" val="27.176058" sources="" diffnotcontains="false" >septic shock or septicemia</downstream_diagnosis>
						</downstream_diagnoses>

			<medication_sideeffects>
				<medication_sideeffect star="0" val="1.315" sources=""  >Gemcitabine</medication_sideeffect>
						<medication_sideeffect star="0" val="1.3" sources=""  >Balsalazide disodium</medication_sideeffect>
						<medication_sideeffect star="0" val="1.3" sources=""  >Cidofovir injection</medication_sideeffect>
						<medication_sideeffect star="0" val="1.3" sources=""  >Clozapine</medication_sideeffect>
						<medication_sideeffect star="0" val="1.3" sources=""  >Dobutamine</medication_sideeffect>
						<medication_sideeffect star="0" val="1.3" sources=""  >Enoxaparin</medication_sideeffect>
						<medication_sideeffect star="0" val="1.3" sources=""  >Eplerenone</medication_sideeffect>
						<medication_sideeffect star="0" val="1.3" sources=""  >Escitalopram</medication_sideeffect>
						<medication_sideeffect star="0" val="1.3" sources=""  >Eszopiclone</medication_sideeffect>
						<medication_sideeffect star="0" val="1.3" sources=""  >Fexofenadine</medication_sideeffect>
						<medication_sideeffect star="0" val="1.3" sources=""  >Flunisolide</medication_sideeffect>
						<medication_sideeffect star="0" val="1.3" sources=""  >Fluticasone</medication_sideeffect>
						<medication_sideeffect star="0" val="1.3" sources=""  >Gabapentin</medication_sideeffect>
						<medication_sideeffect star="0" val="1.3" sources=""  >Levocetirizine</medication_sideeffect>
						<medication_sideeffect star="0" val="1.3" sources=""  >Lisinopril</medication_sideeffect>
						<medication_sideeffect star="0" val="1.3" sources=""  >Metronidazole</medication_sideeffect>
						<medication_sideeffect star="0" val="1.3" sources=""  >Nifedipine</medication_sideeffect>
						<medication_sideeffect star="0" val="1.3" sources=""  >Omeprazole</medication_sideeffect>
						<medication_sideeffect star="0" val="1.3" sources=""  >Pioglitazone hydrochloride and glimepiride</medication_sideeffect>
						<medication_sideeffect star="0" val="1.3" sources=""  >Ramipril</medication_sideeffect>
						<medication_sideeffect star="0" val="1.3" sources=""  >Ribavirin</medication_sideeffect>
						<medication_sideeffect star="0" val="1.3" sources=""  >Terbinafine</medication_sideeffect>
						<medication_sideeffect star="0" val="1.3" sources=""  >Topiramate</medication_sideeffect>
						<medication_sideeffect star="0" val="1.3" sources=""  >Tranylcypromine Sulfate</medication_sideeffect>
						<medication_sideeffect star="0" val="1.3" sources=""  >Zanamivir</medication_sideeffect>
						<medication_sideeffect star="0" val="1.3" sources=""  >divalproex</medication_sideeffect>
						<medication_sideeffect star="0" val="1.21" sources=""  >Benazepril</medication_sideeffect>
						<medication_sideeffect star="0" val="1.21" sources=""  >Geodon</medication_sideeffect>
						<medication_sideeffect star="0" val="1.21" sources=""  >Mebendazole</medication_sideeffect>
						<medication_sideeffect star="0" val="1.21" sources=""  >Medroxyprogesterone acetate</medication_sideeffect>
						<medication_sideeffect star="0" val="1.21" sources=""  >Oxaliplatin injection</medication_sideeffect>
						<medication_sideeffect star="0" val="1.21" sources=""  >Progesterone</medication_sideeffect>
						<medication_sideeffect star="0" val="1.21" sources=""  >Tetrabenazine</medication_sideeffect>
						<medication_sideeffect star="0" val="1.21" sources=""  >Ziprasidone</medication_sideeffect>
						<medication_sideeffect star="0" val="1.0315" sources=""  >Nevirapine</medication_sideeffect>
						<medication_sideeffect star="0" val="1.03" sources=""  >Azacitidine</medication_sideeffect>
						<medication_sideeffect star="0" val="1.03" sources=""  >Azathioprine</medication_sideeffect>
						<medication_sideeffect star="0" val="1.03" sources=""  >Carmustine</medication_sideeffect>
						<medication_sideeffect star="0" val="1.03" sources=""  >Clobetasol</medication_sideeffect>
						<medication_sideeffect star="0" val="1.03" sources=""  >Ezetimibe and simvastatin</medication_sideeffect>
						</medication_sideeffects>

			<acute_graphs_and_charts>
					<acute_diag_score_graph><![CDATA[http://chart.apis.google.com/chart?cht=lc&chs=325x150&chd=t:8.651,8.254,8.168,7.921,7.916,7.916,7.779,7.582,7.506,7.475,7.080,7.048,7.048,6.580,6.422,6.112,5.778,5.763,5.763,5.763,5.257,5.007,4.634,4.596,4.581,4.581,4.581,4.576,4.576,4.576,4.576,4.553,4.549,4.528,4.515,4.461,4.416,4.351,4.314,4.294,4.294,4.251,4.243,4.243,4.243,4.236,4.236,4.236,4.228,4.228,4.076,4.068,4.056,4.041,4.027,4.027,4.027,4.027,3.961,3.961,3.898,3.898,3.488,3.026,2.341,2.321,2.299,2.299,2.233,2.220,2.197,2.165,2.140,2.139,2.123,2.123,2.119,2.119,2.092,2.092,2.092,2.092,2.058,2.056,2.040,2.039,2.035,2.022,1.956,1.956,1.947,1.947,1.079,1.034,0,0,0,0,0,0,0&chds=0,20.0,0,101&chco=3366AA]]></acute_diag_score_graph>
					<acute_diag_category_graph><![CDATA[http://chart.apis.google.com/chart?chs=350x100&cht=p&chd=t:381.59656,174.09572,138.86017,45.695156,27.002903&chxt=x&chxs=0,232323,10&chco=005577&chf=bg,s,00000000&chxl=0:|INFECTIOUS DISEASES|PULMONARY|HEAD AND NECK|CARDIAC|DERMATOLOGY|]]></acute_diag_category_graph>
				</acute_graphs_and_charts>

				</meta_analysis>

			<hospitals>
				</hospitals>


				<physicians>
				</physicians>
			<chronic>
			<healthiermee>
				<corporateuser>false</corporateuser>
			<logo type="small">http://www.medgle.com/logo/medglelogoBB.png</logo>
			<logo type="big">http://www.medgle.com/logo/medglelogoE.jpg</logo>

			<hme_query>
				<gender></gender>
				<age></age>

				<height></height>
				<weight></weight>
				<givenbmi></givenbmi>

				<activitylevel>2</activitylevel>
				<activitylevellabel>some activity</activitylevellabel>
			
				<numdailydrinks>0.0</numdailydrinks>
				<numdailydrinkslabel>0</numdailydrinkslabel>
	
				<numdailypacks>0.0</numdailypacks>
				<numdailypackslabel>0</numdailypackslabel>
	
				<dailyfat>1</dailyfat>
				<dailyfatlabel>normal</dailyfatlabel>
				</hme_query>

			<analysis>
				<healthage>18</healthage>
				<fitscore>920.4</fitscore>
				<rawfitscore>731</rawfitscore>
				<maxfitscoreforage>794</maxfitscoreforage>

				<fitscore_gimg>http://chart.apis.google.com/chart?chs=125x70&amp;cht=gom&amp;chd=t:76&amp;chxt=x&amp;chxs=0,767676,14&amp;chxl=0:|B</fitscore_gimg>
				<fitscore_grade>B</fitscore_grade>

				<dailycalorieburn>798</dailycalorieburn>
				<dailyrecommendedlose>0</dailyrecommendedlose>
				<currentcalorieburnclose>1000</currentcalorieburnclose>
				<dietcalorieburnclose>1000</dietcalorieburnclose>

				<current_weight_meal_plan>http://www.mypyramid.gov/downloads/results/results_1000_18.pdf</current_weight_meal_plan>
				<diet_weight_meal_plan>http://www.mypyramid.gov/downloads/results/results_1000_18.pdf</diet_weight_meal_plan>
			

				<bmidata>
					<bmi>22.0</bmi>
					<bmiunderweight>18.5</bmiunderweight>
					<bmioverweight>24.9</bmioverweight>
					<bmiobese>29.9</bmiobese>
					<bmilabel>normal</bmilabel></bmidata>


				<estimated_health_cost probability="10.0" >23.9</estimated_health_cost>
					<estimated_health_cost_est standard_deviation="0.00" >0</estimated_health_cost_est>
					<atriskfor>
					<atrisk_diagnosis riskrank="1.4410002" riskscore="1.4410002" dollars="$$$$$" positive_factors="" negative_factors="FHISTORY, Fat, Overweight" ><![CDATA[diabetes mellitus type 2]]></atrisk_diagnosis>

						</atriskfor>

				<chronic_diagnostic_tests>
				<chronic_diagnostic_test star="-4" val="0.46623945" sources="diabetes mellitus type 2"  >Fasting blood sugar</chronic_diagnostic_test>
						<chronic_diagnostic_test star="-4" val="0.46623945" sources="diabetes mellitus type 2"  >Glutamic acid decarboxylase (GAD) antibodies</chronic_diagnostic_test>
						<chronic_diagnostic_test star="-4" val="0.46623945" sources="diabetes mellitus type 2"  >HBA1c (Hemoglobin A1c)</chronic_diagnostic_test>
						<chronic_diagnostic_test star="-4" val="0.46623945" sources="diabetes mellitus type 2"  >Islet cell antibodies</chronic_diagnostic_test>
						<chronic_diagnostic_test star="-4" val="0.46623945" sources="diabetes mellitus type 2"  >Serum glutamic acid decarboxylase (GAD) antibodies</chronic_diagnostic_test>
						<chronic_diagnostic_test star="-4" val="0.46623945" sources="diabetes mellitus type 2"  >serum glucose</chronic_diagnostic_test>
						<chronic_diagnostic_test star="-3" val="0.36477053" sources="diabetes mellitus type 2"  >Monofilament Foot Sensation</chronic_diagnostic_test>
						<chronic_diagnostic_test star="-3" val="0.31478757" sources="diabetes mellitus type 2"  >Complete metabolic panel</chronic_diagnostic_test>
						<chronic_diagnostic_test star="-3" val="0.31478757" sources="diabetes mellitus type 2"  >Serum Creatinine</chronic_diagnostic_test>
						<chronic_diagnostic_test star="-3" val="0.31478757" sources="diabetes mellitus type 2"  >Urinalysis</chronic_diagnostic_test>
						</chronic_diagnostic_tests>

				<chronic_symptoms>
				<chronic_symptom star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[BP >=130/80 mmHg]]></chronic_symptom>
						<chronic_symptom star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[abnormal blood fats]]></chronic_symptom>
						<chronic_symptom star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[acanthosis nigricans]]></chronic_symptom>
						<chronic_symptom star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[blister(s) or bump(s) on foot (feet)]]></chronic_symptom>
						<chronic_symptom star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[blister(s) or bump(s) under breasts]]></chronic_symptom>
						<chronic_symptom star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[decreased deep tendon reflexes lower extremity]]></chronic_symptom>
						<chronic_symptom star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[diabetes mellitus]]></chronic_symptom>
						<chronic_symptom star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[diabetes mellitus type 2]]></chronic_symptom>
						<chronic_symptom star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[diabetic foot]]></chronic_symptom>
						<chronic_symptom star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[diabetic nephropathy]]></chronic_symptom>
						</chronic_symptoms>




				<chronic_therapeutic_procedures>
				<chronic_therapeutic_procedure star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[Avoid Smoking]]></chronic_therapeutic_procedure>
						<chronic_therapeutic_procedure star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[Bariatric surgery]]></chronic_therapeutic_procedure>
						<chronic_therapeutic_procedure star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[Blood Glucose Self-Monitoring]]></chronic_therapeutic_procedure>
						<chronic_therapeutic_procedure star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[Blood Pressure Management]]></chronic_therapeutic_procedure>
						<chronic_therapeutic_procedure star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[Diabetes Education]]></chronic_therapeutic_procedure>
						<chronic_therapeutic_procedure star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[Diabetes Skin Care]]></chronic_therapeutic_procedure>
						<chronic_therapeutic_procedure star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[Diabetes control]]></chronic_therapeutic_procedure>
						<chronic_therapeutic_procedure star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[Diabetic Foot Care]]></chronic_therapeutic_procedure>
						<chronic_therapeutic_procedure star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[Diabetic drug management]]></chronic_therapeutic_procedure>
						<chronic_therapeutic_procedure star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[Exercise programs]]></chronic_therapeutic_procedure>
						</chronic_therapeutic_procedures>



				<chronic_therapeutic_medications>
				<chronic_therapeutic_medication star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[22. 	rosiglitazone(Avandia )]]></chronic_therapeutic_medication>
						<chronic_therapeutic_medication star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[Acarbose]]></chronic_therapeutic_medication>
						<chronic_therapeutic_medication star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[Chlorpropamide]]></chronic_therapeutic_medication>
						<chronic_therapeutic_medication star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[Colesevelam]]></chronic_therapeutic_medication>
						<chronic_therapeutic_medication star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[Diabinese]]></chronic_therapeutic_medication>
						<chronic_therapeutic_medication star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[Glimepiride]]></chronic_therapeutic_medication>
						<chronic_therapeutic_medication star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[Glipizide]]></chronic_therapeutic_medication>
						<chronic_therapeutic_medication star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[Glipizide/metformin]]></chronic_therapeutic_medication>
						<chronic_therapeutic_medication star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[Glucagon]]></chronic_therapeutic_medication>
						<chronic_therapeutic_medication star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[Glyburide]]></chronic_therapeutic_medication>
						<chronic_therapeutic_medication star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[Glyburide/metformin]]></chronic_therapeutic_medication>
						<chronic_therapeutic_medication star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[INSULIN ASPART]]></chronic_therapeutic_medication>
						<chronic_therapeutic_medication star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[INSULIN GLARGINE]]></chronic_therapeutic_medication>
						<chronic_therapeutic_medication star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[Insulin]]></chronic_therapeutic_medication>
						<chronic_therapeutic_medication star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[Insulin detemir]]></chronic_therapeutic_medication>
						<chronic_therapeutic_medication star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[Insulin glulisine]]></chronic_therapeutic_medication>
						<chronic_therapeutic_medication star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[Metformin]]></chronic_therapeutic_medication>
						<chronic_therapeutic_medication star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[Miglitol]]></chronic_therapeutic_medication>
						<chronic_therapeutic_medication star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[Nateglinide]]></chronic_therapeutic_medication>
						<chronic_therapeutic_medication star="7" val="1.4410002" sources="diabetes mellitus type 2"  ><![CDATA[Pioglitazone hydrochloride and glimepiride]]></chronic_therapeutic_medication>
						</chronic_therapeutic_medications>

				<chronic_monitoring_options>
					<chronic_monitor type="" details="" frequency="1" frequencyunit="year" prn="" atdiagnosis="" target1="" target2="" sources="" star="1" rawscore="2.0" ><![CDATA[HBA1c (Hemoglobin A1c)]]></chronic_monitor>
							<chronic_monitor type="" details="" frequency="1" frequencyunit="year" prn="" atdiagnosis="" target1="" target2="" sources="" star="0" rawscore="1.0" ><![CDATA[2HR 75G OGTT (IGT)]]></chronic_monitor>
							<chronic_monitor type="" details="" frequency="1" frequencyunit="year" prn="" atdiagnosis="" target1="" target2="" sources="" star="0" rawscore="1.0" ><![CDATA[2HR OGTT
75G ANHYDROUS GLUCOSE IN WATER]]></chronic_monitor>
							<chronic_monitor type="" details="" frequency="1" frequencyunit="year" prn="" atdiagnosis="" target1="" target2="" sources="" star="0" rawscore="1.0" ><![CDATA[FASTING PLASMA GLUCOSE (IFG)]]></chronic_monitor>
							<chronic_monitor type="" details="" frequency="1" frequencyunit="year" prn="" atdiagnosis="" target1="" target2="" sources="" star="0" rawscore="1.0" ><![CDATA[FASTING PLASMA GLUCOSE: NO CAL INTAKE FOR AT LEAST 8 HRS]]></chronic_monitor>
							<chronic_monitor type="" details="" frequency="1" frequencyunit="year" prn="" atdiagnosis="" target1="" target2="" sources="" star="0" rawscore="1.0" ><![CDATA[RANDOM PLASMA GLUCOSE WITH CLASSIC SYMPTOMS OF HYPERGLYCEMIA OR HYPERGLYCEMIC CRISIS]]></chronic_monitor>
							<chronic_monitor type="" details="" frequency="1" frequencyunit="year" prn="" atdiagnosis="" target1="" target2="" sources="" star="0" rawscore="1.0" ><![CDATA[activitylevel]]></chronic_monitor>
							<chronic_monitor type="" details="" frequency="1" frequencyunit="year" prn="" atdiagnosis="" target1="" target2="" sources="" star="0" rawscore="1.0" ><![CDATA[body mass index]]></chronic_monitor>
							</chronic_monitoring_options>

				<gaps_of_care>
					<gap_of_care type="" details="" frequency="1" frequencyunit="year" prn="" atdiagnosis="" target1="" target2="" sources="" star="1" rawscore="2.0" required_times="1"  ><![CDATA[HBA1c (Hemoglobin A1c)]]></gap_of_care>
							<gap_of_care type="" details="" frequency="1" frequencyunit="year" prn="" atdiagnosis="" target1="" target2="" sources="" star="0" rawscore="1.0" required_times="1"  ><![CDATA[2HR 75G OGTT (IGT)]]></gap_of_care>
							<gap_of_care type="" details="" frequency="1" frequencyunit="year" prn="" atdiagnosis="" target1="" target2="" sources="" star="0" rawscore="1.0" required_times="1"  ><![CDATA[2HR OGTT
75G ANHYDROUS GLUCOSE IN WATER]]></gap_of_care>
							<gap_of_care type="" details="" frequency="1" frequencyunit="year" prn="" atdiagnosis="" target1="" target2="" sources="" star="0" rawscore="1.0" required_times="1"  ><![CDATA[FASTING PLASMA GLUCOSE (IFG)]]></gap_of_care>
							<gap_of_care type="" details="" frequency="1" frequencyunit="year" prn="" atdiagnosis="" target1="" target2="" sources="" star="0" rawscore="1.0" required_times="1"  ><![CDATA[FASTING PLASMA GLUCOSE: NO CAL INTAKE FOR AT LEAST 8 HRS]]></gap_of_care>
							<gap_of_care type="" details="" frequency="1" frequencyunit="year" prn="" atdiagnosis="" target1="" target2="" sources="" star="0" rawscore="1.0" required_times="1"  ><![CDATA[RANDOM PLASMA GLUCOSE WITH CLASSIC SYMPTOMS OF HYPERGLYCEMIA OR HYPERGLYCEMIC CRISIS]]></gap_of_care>
							<gap_of_care type="" details="" frequency="1" frequencyunit="year" prn="" atdiagnosis="" target1="" target2="" sources="" star="0" rawscore="1.0" required_times="1"  ><![CDATA[activitylevel]]></gap_of_care>
							<gap_of_care type="" details="" frequency="1" frequencyunit="year" prn="" atdiagnosis="" target1="" target2="" sources="" star="0" rawscore="1.0" required_times="1"  ><![CDATA[body mass index]]></gap_of_care>
							</gaps_of_care>

				<successes_of_care>
				</successes_of_care>



				<chronic_therapy_options>
					<chronic_therapy type="diet" details="" frequency="0" frequencyunit="day" prn="" atdiagnosis="" target1="" target2="" sources="diabetes mellitus type 2" star="0" ><![CDATA[LOW CARB LOW CHOL/TRANS FAT/SAT FAT, INCREASED OMEGA 3 FA, INCREASED HIGH FIBER]]></chronic_therapy>
							<chronic_therapy type="beh" details="" frequency="" frequencyunit="day" prn="" atdiagnosis="true" target1="7% BODY WEIGHT" target2="" sources="diabetes mellitus type 2" star="0" ><![CDATA[WEIGHT LOSS]]></chronic_therapy>
							<chronic_therapy type="exer" details="" frequency="" frequencyunit="week" prn="" atdiagnosis="true" target1="150 MINS/WEEK" target2="" sources="diabetes mellitus type 2" star="0" ><![CDATA[PHYSICAL ACTIVITY]]></chronic_therapy>
							<chronic_therapy type="diet" details="" frequency="" frequencyunit="" prn="" atdiagnosis="" target1="" target2="" sources="diabetes mellitus type 2" star="0" ><![CDATA[14G FIBER/1000 CALS]]></chronic_therapy>
							<chronic_therapy type="diet" details="" frequency="" frequencyunit="" prn="" atdiagnosis="" target1="" target2="" sources="diabetes mellitus type 2" star="0" ><![CDATA[WHOLE GRAINS=1/2 GRAIN INTAKE]]></chronic_therapy>
							<chronic_therapy type="beh" details="" frequency="" frequencyunit="" prn="" atdiagnosis="" target1="" target2="" sources="diabetes mellitus type 2" star="0" ><![CDATA[SMOKING CESSATION]]></chronic_therapy>
							<chronic_therapy type="proc" details="" frequency="1" frequencyunit="year" prn="true" atdiagnosis="true" target1="" target2="" sources="diabetes mellitus type 2" star="0" ><![CDATA[ANNUAL HISTORY AND PHYSICAL EXAM]]></chronic_therapy>
							</chronic_therapy_options>


				<acute_atriskfor>
					</acute_atriskfor>


				<improvement_factors>
					<improvement_factor delta="808.3" >Increase Activity</improvement_factor>
							</improvement_factors>
			</analysis>
		</healthiermee>
				</chronic>
			</results>
			<metastats>
				<spaceredux>
					<spaceredux_point reason="(total possibilities)" color="#0066A5" value="241674585600000" >241 trillion</spaceredux_point>
									<spaceredux_point reason="symptoms, possible diagnoses, age, gender" color="#006FBB" value="16759680000" >16B</spaceredux_point>
									<spaceredux_point reason="duration, diagnostic tests, modifiers" color="#0077D2" value="2234624000" >2B</spaceredux_point>
									<spaceredux_point reason="first pass" color="#0080E9" value="708" >708</spaceredux_point>
									<spaceredux_point reason="final pass" color="#0088FF" value="201" >201</spaceredux_point>
									</spaceredux>


					<analysis_time>651</analysis_time>
					</metastats>
			</root>
			