Patients' Reasons for Visiting Physicians, Exercises of Statistics

Download Patients' Reasons for Visiting Physicians and more Exercises Statistics in PDF only on Docsity! Patients’ Reasons for Visiting Physicians: National Ambulatory Medical Care Survey United States, 1977-78 National estimates are presented on principal reasons for visit expressed by patients during visits to physicians’ offices. Data are tabu- lated by sex of the patient and in terms of other characteristics of the physician-patient encounter. Age-specific average annual visit rates are included by sex of the patient. Second- and third-listed reasons for visit and principal diagnoses associated with the prin- cipal reasons are also enumerated. Data From the National Heal’thSurvey Series 13, No. 56 DHHS Publication No. (PHS) 82-1717 U.S. Department of Health and Human Services Public Health Service Office of Health Research, Statistics, and Technology National Center for Health Statistics Hyattsville, Md. December 1981 National Center for Health Statistics DOROTHY P. RICE, Director ROBERT A. ISRAEL, Deputy Director JACOB J. FELDMAN, Ph.D., Associate Director for Analysis and Epklemiokgv GAIL F. FISHER, Ph.D., Assoczizte Director for the Cooperative Health Statistics System GARRIE J. LOSEE, Associate Director for Data Processing and Services ALVAN O. ZARATE, Ph.D., Assistant Director for International Statistics E. EARL BRYANT, Associate Director for Interview and Examination Statistics ROBERT C. HUBER, Associate Director for Management MONROE G. SIRKEN, Ph, D., Associate Director for Research and Methodology PETER L. HURLEY, Associate Director for Vital and Health Care Statistics ALICE HAYWOOD, Information Officer Division of Health CareStatistics W. EDWARD BACON, Ph.D., Director JOAN VAN NOSTRAND, Deputy Director JAMES E. DELOZIER, Chie~ Ambzdatow Care Statistics Branch Patients’ Reasons for Visiting Physicians: National Ambulatory Medical Care Survey by Beulah K. Cypress, Ph.D., Division of Health Care Statistics Introduction Purpose This report presents a detailed tabular analysis of data collected in the National Ambulatory Medical Care Survey of the National Center for Health Statis- tics on patients’ reasons for visiting office-based phy- sicians, based on a classification system developed in 1977 for use in this survey.1 Its primary purpose is to serve as a source document of data that can be used in planning, curriculum development, health care, and medical and behavioral research. A limited amount of information on selected principal (first-listed) reasons for visit was included in the summary of the 1977 survey published in a pre- vious report.2 However, the present report uses data from 2 years of the survey, covers a wider range of specific principal reasons for visit than the summary, and presents tabulations that are structured chiefly around the sex of the patient. Estimates are shown in tables mainly by the proportions of visits for the most frequent principal reasons for visit distributed by demographic and other variables that are repre- sentative of the physician-patient encounter. Tabula- tions and figures are presented for age-specific average annual visit rates based on selected principal reasons for visit. The report also provides previously unpub- lished data on the number of visits for every reason in the 1977 National Ambulatory Medical Care Survey classification system and on the association of princi- pal reasons for visit with second- or third-listed reasons and with physicians’ diagnoses. Visits for cough, headache, and preventive care in 1977-78 were separately highlighted in Advance Data From Vital and Health Statistics, Series Nos. 65, 67, and 69.s’5 Background The National Ambulatory Medical Care Survey (NAMCS) was inaugurated by the National Center for Health Statistics (NCHS) in April 1973 after 6 years of intensive planning and feasibility studies. Details of the survey’s purpose and background, as well as sam- ple design and methodology, were published in Vital and Health Statistics, Series 2, No. 61.6 That report also provides a description of the two-phase feasibil- ity studies conducted in 1968-69 and 1970-71. Dur- ing these pilot studies, coders experienced difficulty in adapting the patient’s reason for the encounter which was expressed in the patient’s words, to the rubrics devised primarily for physicians’ diagnoses. The need for a separate classification for patients’ problems, symptoms, or other reasons emerged from this exploratory work. In 1972, at the Conference on Ambulatory Medical Care Records held in Chicago,7 the rationale for such a system was succinctly artic- ulated by the participants. In response to their recom- mendations, the item “Reason for Encounter” was included in the uniform minimum basic data set for ambulatory care recommended by the United States National Committee on Vital and Health Statistics.8 The Committee made no specific recommendation, however, regarding the choice of an appropriate clas- sification system for these data. From its inception, the NAMCS data collection form (see appendix III) included an item designed to provide information on the patient’s problem, com- plaint, symptom, or other reason for visit. This item is distinct from the physician’s diagnosis in that it is intended to describe the patient’s motivation for seeking medical care rather than the physician’s clini- cal evaluation of the condition. From 1973 through 1976, data were coded according to a symptom clas- sification developed specifically for use in NAMCS by Meads and McLemore.g In 1975, under a contract with NCHS, the Amer- ican Medical Record Association (AMRA) held a con- ference in Chicago lo for the purpose of evaluating and revising the symptom classification system.1 As a result, a reason for visit classification for ambulatory care (RVC) was developed by the AMRA, and, from 1977 to the present, this system has been used to 1 code these data on patients’ reasons for visit. 1 Be- cause of the change in coding systems, the estimates for 1977-78 presented in this report are not com- parable with those of prior years. A brief description of the scope of the survey and the source and limitations of data follow to provide the reader with a frame of reference for interpreta- tion of data on the reasons for visit. The RVC is also briefly outlined to facilitate examination of the tables without repeated reference to A Reason for Visit Classification for Ambulatory Care.1 However, the reader is advised to consult that publication for clari- fication of the subtle distinctions of the system. Description and scope of the survey The NAMCS is a sample survey conducted yearly by the Division of Health Care Statistics of the NCHS. Data collection and processing for the 1977 and 1978 NAMCS were the responsibility of the Univer- sity of Chicago’s National Opinion Research Center. Sample selection was accomplished with the assist- ance of the American Medical Association (AMA) and the American Osteopathic Association (AOA). The basic sampling unit for NAMCS was the physician-patient encounter or visit. The current scope of this survey includes all office visits within the conterminous United States made by ambulatory patients to nonfederally employed office-based physi- cians as classified by the AMA or the AOA. The NAMCS physician universe excludes anesthesiologists, pathologists, and radiologists; and physicians princi- pally engaged in teaching, research, or administration. Telephone contacts and visits conducted outside the physician’s office are also excluded. The definitions for office, physician, patient, and visit used to determine eligibility for NAMCS are pre- sented in appendix II. Source and limitations of the data The estimates in this report are based on informa- tion obtained from Patient Record forms for a sample of visits provided by a national probability sample of office-based physicians. The sample for the 1977 and 1978 NAMCS included 6,007 physicians, 973 of whom were out of scope (not eligible) at the time of the survey. Of the 5,034 physicians who were in scope (eligible), 3,782 (75. 1 percent) actually partici- pated (see appendix I). Sample physicians listed all office visits during a randomly assigned 7-day reporting period. During the 2-year period information was recorded on the Pa- tient Record form for a systematic random sample of 98,335 visits. Readers are urged to peruse the appendixes to this report, which include information necessary for proper understanding and interpretation of the statis- tics presented. Appendix I contains a general descrip- tion of the survey methods, the sample design, and the data collection and processing procedures. Meth- ods of estimation and imputation are also presented. The statistics in this report are based on a sample of office visits rather than on all visits and are subject to sampling errors. Therefore, particular attention should be paid to the section on “Reliability of esti- mates” in appendix I. Charts of relative standard er- rors and instructions for their use are also shown in appendix I. Definitions of the terms used in this report and in the survey operations are presented in appendix II. Facsimiles of survey materials, such as the Introduc- tory Letter and Induction Interview forms are fur- nished in Vital and Health Statistics, Series 13, No. 44.2 The 1977 and 1978 surveys were conducted in identical fashion by using the same instruments, defi- nitions, and procedures. The 2 years of data were combined to provide greater reliability of estimates. Therefore, the reader should note that estimates of numbers of visits contained in this report are for a 2- year period, but ratios and rates represent average an- nual estimates. Organization of the RVC The RVC utilizes a modular structure. The basic categorizations of patients’ reasons for visit are repre- sented by seven modules: (1) Symptom; (2) Disease; (3) Diagnostic, Screening, and Preventive; (4) Treat- ment; (5) Injuries and Adverse Effects; (6) Test Re- sults; and (7) Administrative. Generally, the reasons for visit classified in the Symptom Module represent visits in which the patient expressed his or her reason for visit as a complaint, symptom, or problem. Often these are initial visits for the problem. Reasons coded into the Disease Module represent visits at which the patient gives a diagnosis as the reason for visit. The reasons for visit coded into the Diagnostic, Screening, and Preventive Module usually represent nonillness visits, for example, visits for routine physicals and preven- tive care or visits for family planning or pre,gnancy- related examinations. Those visits coded in the Treatment Module are generally for the purpose of providing specific therapeutic care. The Inju]ies and Adverse Effects Module includes reasons for visit that are clearly the result of an injury or adverse effect. Reasons coded into the Test Results Module repre- sent return visits to receive test results. Reasons for visit coded into the Administrative Module generally are visits initiated by an outside party rather than by the patient or physician. Specific reasons for visit are grouped within each module by using three-digit codes preceded by a let- ter that denotes the module. For example, S400-S499 2 are code numbers for the group classified as “symp- toms referable to the respiratory system”; S440 is the code for cough (S is the code letter for the symptom module). The complete tabular list of categories may be found m A Reason for Visit-Classification for Am- bulatory Care.~ Organization of the report Detailed tables for this report were developed to provide the maximum amount of uniform informa- tion on reasons for visit, with the least threat to the reliability of the estimates. For uniformity, cross- variables are generally partitioned in the same manner for all reasons listed. Many of the reasons for visit are sex-specific. Therefore, the majority of detailed tables and charts are also sex-specific with inappropriate reasons for visit deleted. Exceptions are tables 1, 2 and 5-10, which show combined estimates for both sexes. Be- cause the tables look very similar, the reader should note the sex designation in the table title. Except for tables 1-7, 41, 42, and 67-68 detailed tables display data according to module, the three- digit groups within that module, the most frequent specific reasons within each group, and the aggregate of estimates of all other reasons within the group. This arrangement provides flexibility to examine data by single specific reasons or by combined groups of related entities. The latter option often enhances the reliabilityy of small estimates. For the most part, data are grouped in a set of three tables for one or more cross-variables for females, followed by a similar set for males. Data for the Symptom Module are shown in one table followed by a second table that includes the Disease, Injuries, and Adverse Effects; Test Results; and Administrative Modules. The third table in the set lists reasons in the Diagnostic, Screening, and Pre- ventive Module and the Treatment Modules. All threedigit groups within each module are listed ex- cept for congenital anomalies (D950-D989), poison- ing and adverse effects (J900-J999), progress visits (T800), and other or blank. Visits for these reasons were either too few or too ambiguous for a reason- able analysis. Application of the Reason for Visit Classification Of the,417 three-digit codes listed in the Reason for Visit Classification (RVC),412 were actually used in 1977-78. Reasons that were not used represent relatively rare events (at the present time) in physi- cians’ offices. These reasons were all perinatal condi- tions (D990), electroencephalogram (X3 55), acu- puncture (T420), dead on arrival (J83 5), and adverse effects of environment (J920). Since there are more reasons for women’s visits than for men’s in the RVC it was not unexpected that more codes were used for visits by women (403) than for those by men (379). Visits in metropolitan areas required 412 codes compared with 392 codes in non- metropolitan areas. The more narrowly defined the physician spe- cialty, the fewer were the types of reasons for visit presented. The least number of codes utilized were for cardiovascular surgeons; the most were for general and family practitioners (table A). Table A. Number of reason for visit classification codes’ used, by physician specialty: United States, 1977-78 Number Physician specialty of codes used General and family practice . . . . . . . . . . . . . . . . . . . . Internal medicine . . . . . . . . . . . . . . . . . . . . . . . . . . . General surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . pediatrics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Obstetrirx andgynecology . . . . . . . . . . . . . . . . . . . . . Cardiovascular disea=s . . . . . . . . . . . . . . . . . . . . . . . Psych iatry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Orthopedic surgery . . . . . . . . . . . . . . . . . . . . . . . . . . Urological surgery . . . . . . . . . . . . . . . . . . . . . . . . . . Ophthalmology . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dermatology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Neurology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Neurological surgery . . . . . . . . . . . . . . . . . . . . . . . . . Plastic surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Thoracic surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . Allergy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cardiovascular surgery . . . . . . . . . . . . . . . . . . . . . . . . 377 354 322 284 229 170 153 140 134 121 101 96 96 91 89 86 60 ‘See reference 1. 3 .+- .Q > 100 90 80 70 60 50 40 30 20 10 0 r- Under 15-24 25-44 45-64 65 and 15 over Age in years Figure 2. Average annual rate of office visits with weightgainasthe principal reason for visit, by sax and age of patient: United States, 1977-78 Tables 17-22 provide data on the distribution of visits by patient age groups. Distribution by the phy- sician’s practice location may be found in tables 23-28 and by physician specialty in tables 29-34. Ad- ditional information on physician specialty is shown in tables E, F, and G. Table E examines selected rea- sons for visiting doctors of medicine and doctors of osteopathy. Tables F (female patients) and G (male patients) provide a comparison among five physician specialties based on the proportions of their practices used by patients seeking care for different reasons. Visits described by prior visit status and serious- ness of condition are proportionately distributed in 140 ,- 1 Male 120 100 0 0 0. 60 % Q 20 0 i Under 15-24 25-44 45-64 65 and 15 over Age in yaars Figure 3. Average annual rate of office visits with chest pain and re- lated symptoms as the principal reason for visit, by sex and age of patient: United States, 1977-78 tables 35-40. A category entitled “new problem” was derived from two of the three visit status categories shown in these tables, New problem visits are the total of new patient and old patient, new problem visits. (This classification was also the derivation of the new problem category used in table 7.) This new problem group was examined to determine the rela- tionship between the reasons for the visit and the time since the onset of the complaint. These data, which provide average estimates of the amount of time that elapses between the patient’s fust percep- tion of the symptom and the visit to the physician, are summarized for symptomatic new problems in tables 41 (females) and 42 (males). Another characteristic of visits based on new problems is whether the patient was referred by another physician. Table H shows the number of most frequently referred reasons for visit and the pro- portions of all visits it represents for each reason. Table J presents data in terms of which physician specialists saw patients referred to them for sjpecific health problems. For each reason shown in the table, the specialty or specialties that received the greater portion of those visits is listed. For example, 1.4 mil- 6 60 50 40 — Female 30 — Male 20 10 0 Under 15-24 25-44 45-64 65 and 15 over Age in years Figure 4. Average annual rate of office visits with anxiety and nervous- ness as the principal reason for visit, by sex and age of patient: United States, 1977-78 lion referred visits were for abdominal pain, cramps, or spasms. About 38 percent of those referrals were treated by general surgeons. Diagnostic services ordered or provided during the visit are detailed in tables 43-48; therapeutic services are shown in tables 49-54. Duration of the visit is shown in tables 55-60, and disposition of the visit is presented in tables 61-66. The clinical picture of visits is concluded with tables 67 and 68 in which selected symptomatic rea- sons for visit are related to the diagnoses made by the physician proportionately most often. Diagnoses were classified and coded according to the Eighth Revision International Classification of Diseases, Adapted for Under 15-24 25-44 45-64 65 and 15 over Age in years Figure 5. Average annual rate of office visits with depression as the principal reason for visit, by sex and age of patient: United States, 1977-78 Use in the United States (ICDA).l 1 In these tables the total visits for a selected symptom are listed with the proportions of the most frequently associated diagnoses shown below. A large group of mental disorders were diagnosed when the asymptomatic reason for visit, social prob- lem counseling, was presented. Of the 4.9 million vis- its for this reason, 83 percent were diagnosed as neurotic or psychotic conditions (table K). This observation is pointed out to emphasize that a one-to-one relationship does not always exist between the reason for visit expressed in the patient’s words and the physician’s clinical diagnosis. 7 Female Male 10 t oL_lJJ- Under 15-24 25-44 45-64 65 and 15 over Age in years Figure 6. Average annual rate of office visits with headache as the principal reason for visit, by sex and age of patient: United States, ‘1977-78 140 120 100 80 60 40 20 Female / lMale Under 15-24 25-44 45-64 65 and 15 over Age in years Figure 7. Average annual rate of office visits with vertigo-dizziness as the principal reason for visit, by sex and age of patient: United States, 1977-78 30 Female Under 15-24 25-44 45-64 65 alnd 15 over Age in years Figure 8. Average annual rate of office visits with abnormal pulsations and palpitations as the principal reason for visit, by sex and age of patient: United States, 1977-78 8 240 r I Female Under 15-24 25-44 45-64 65 and 15 over Age in years c 0.- x s n 0 ~ 0 0. 240 200 160 120 80 40 0 Under 15-24 2544 45-64 65 and 15 over Age in yeers Figure 14. Averege annual rate of office visits with blood pressure test as the principal reason for visit, by sex and age of patient: United States, 1977-78 Figure 13. Average annual rate of office visits with general medical examination as the principal reason for visit, by sex and age of pa- tient: United States, 1977-78 11 70 60 50 c “; 40 7 c1 o n o 0 z’ 30 & CL w % L 10 0 r Female Under 15-24 25.44 45-64 65 and 15 over Age in years Figure 15. Average annual rate of office visits for female patients with Pap smear as the principal reason for visit, by age of patient: United States, 1977-78 Table D. Number and percent of office visits, by sex of patient and selected most frequent principal reasons for visit in the Adminis- trative Module: United States, 1977-78 Principal reason for visit and Sex R VC code ~ Female Mala All visits . . . . . . . . . . . . . . . . . . . . . . . . . . . Physical examination required for employ meri t . . . . . . . . . . . . . . . . .. AIOO Physical examination required for school . . . . . . . . . . . . . . . . . . . . . ..A11O Physical examination required for extracurricu laractivitias . . . . . . . . . .AI15 Insurance examination . . . . . . . . . . .A125 Numbarofvisits in thousands 6,957 12,072 Percent of visits 26.2 35.6 33.2 20.2 15.4 16.7 5.4 11.1 Table E. Numbar and percent of office visits to doctors of medicine and osteopathy, by selected principal reasons for visit: United States, 1977-78 General Doctor Principal reason for visit and and family of osteo- R VC codel practice pathy (M. D.) ,(D.O.) All vkits . . . . . . . . . . . . . . . . . . . . . . . . . Weightgain . . . . . . . . . . . . . . . . . ..S040 Necksymptoms, . . . . . . . . . . . . . ..s900 Backsymptoms . . . . . . . . . . . . . . ..S905 Lowbacksymptoms . . . . . . . . . . . ..S910 Shoulder symptoms . . . . . . . . . . . . .S940 General medical examination . . . . . . .XIOO Number of visits in thousands 433,936 !59,773 Percent of visits 1.5 4.7 1.0 2.1 2.4 5.7 1.1 5.2 1.1 1.6 4.3 2.4 lSee reference 1. lSee reference 1, 12 Tab[e F. Number andpercent distribution ofoffice visits made by female patients byprincipal reason forvisit, according to selected physician specialties: United States, 1977-78 Principal reason for visit and R VC code~ Allvisits by female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . General symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S001-S099 Symptoms referable topsychological and mental disorders . . . . . . . . . . . S100-S199 Symptoms referable tothenawous system (excluding sense organs) . . . . . S200-S259 Symptoms referable tothecardiovascular andlymphaticwstems . . . . . . S260-S299 Symptoms referabletothe eyes andears . . . . . . . . . . . . . . . . . . . . . . . S300-S399 Symptoms referable totherespiratory system . . . . . . . . . . . . . . . . . . . S400-S488 Symptoms referable tothedigestive system . . . . . . . . . . . . . . . . . . . . . S500-S639 Symptoms referable tothegenitourinary system . . . . . . . . . . . . . . . . . S640-S829 Symptoms referable totheskin, nails,andhair. . . . . . . . . . . . . . . . . . . S830-S899 Symptoms referable tothemusculoskeletal system . . . . . . . . . . . . . . . . S900-S999 Infective and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . .. DOOI-D099 Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. DIOO-D199 Endocrine, nutritional, and metabolic diseases . . . . . . . . . . . . . . . . . . . D200-D249 Diseases of the blood and blood-forming organs . . . . . . . . . . . . . . . . . . D250-D299 Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D300-D349 Diseases of thenewoussystem . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D350-D399 Diseases of theeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D400-D449 Diseases Of the ear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D450-D499 Diseaw?s of thecirculatory systam . . . . . . . . . . . . . . . . . . . . . . . . . .. D500-D599 Diseases of the respiratory system . . . . . . . . . . . . . . . . . . . . . . . . . . .D600-D649 Diseases of the digestive system... . . . . . . . . . . . . . . . . . . . . . . . . .. D650-D699 Diseases of the genitourinary system . . . . . . . . . . . . . . . . . . . . . . . . .D700-D799 Diseases of the skin and subcutaneous tissue . . . . . . . . . . . . . . . . . . . .D800-D899 Diseases of the musculoskeletal system and connective tissue . . . . . . . . . D900.D949 General examinations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. XI OO-X199 Special examinations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X200-X299 Diagnostic tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X300-X399 Othar screening and preventive procedures . . . . . . . . . . . . . . . . . . . . .X400-X499 Family planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X500-X599 Medications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. TIOO-T199 Preoperative and postoperative care . . . . . . . . . . . . . . . . . . . . . . . . . . T200-T299 Specific types of therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. T400-T499 Specific therapeutic procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T500-T599 Medical counseling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. T600.T699 Social problem counseling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. T700-T799 Progress visitr N. E. C.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. T800-T899 Injuries and adverse effects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .JOOI-J999 Test results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. RI OO-R700 Administrative . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. A1oo-A14o Allother3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. residual Physician specialty General Obstetrics and Internal Pediatrics General family medicine and gyne- surgery Cology practice 258,662 100.0 10.8 2.0 4.6 0.6 2.8 14.5 6.3 5.9 3.7 10.2 0.4 0.2 1.2 0.2 *0.O 0.2 ●0.O *0.O 2.7 1.1 0.3 0.3 0.5 0.9 5.1 5.5 5.9 0.8 0.8 2.0 0.8 0.2 0.7. 1.2 *0. I 0.9 3.5 0.6 1.8 0.9 Number of visits in thousands 77.233 54,920 39,640 Percent distribution 100.0 11.6 2.6 5.8 1.9 1.5 10.4 7.9 3.6 1.9 11.5 ‘0.3 1.3 3.1 “0.4 ●0.1 “0.2 *0. I ‘0.0 5.4 1.0 ‘0.4 ●0.2 ●0.2 1.7 6.9 1.4 7.0 0.6 ●0.2 1.5 0.5 0.5 ●0.4 0.6 ●0. I 2.4 1.4 1.1 1.0 1.4 100.0 10.8 ‘0.4 0.9 *0.4 8.9 21.1 5.4 1.8 4.8 1.2 0.9 *0. I *0.2 ●0. I ‘0.2 ‘0.0 1.3 *0. I 1.7 ●0. I ‘0.0 *0.4 *0. I 25.7 *0.5 0.8 1.4 “0.0 3.6 ●0.1 ●0. I 0.9 “0.4 *0.1 0.9 2.2 ●0.2 1.5 0.8 100.0 6.7 0.9 2.2 ‘0.4 0.9 4.9 9.7 11.2 6.8 9.1 ‘0.2 3.3 1.0 ‘0.0 ●0.O *0. I *0. I *0.2 2.1 “0.5 2.3 *0.5 1.1 *0.5 2.7 2.1 2.7 ‘0.4 *0.2 0.9 13.0 +0.5 2.5 ●0.5 ‘0.0 1.8 4.2 1.1 *0.7 2.3 102,869 100.0 4.6 0.4 0.5 *0. I *0.O 0.6 2.3 16.9 0.8 0.8 *0.3 0.8 *0. I *0. I ‘0.0 *0.2 *0. I *0.O 1.7 *0. I *0.O 5.5 45.9 2.8 ‘0.0 5.6 0.7 5.1 0.6 0.6 *0.O 0.4 *0.3 1.1 *0.2 1.0 lSeerefarenca 1. 2N. E.l&= “Otel$e~her~ classified. 31ncludes blanks; problems, complaints, N. E. C.; entries Of “none’’; and illegible entries. 13 Table J. Number of referred office visits, byselected principal reasons forvisit, and percent of referred visits, byphysician specialty referred to because ofprincipal reason: United States, 1977-78 All Percent Principal reason for visit and R VC code 7 referred Physician specialty of visits in referred thousands visits Abdominal pain, cramps, spasms . . . . . . . . . . . . . . S550 Backsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S905 Vision dysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S305 Symptomsreferable tothroat . . . . . . . . . . . . . . . . . . . . . . ..S455 Headache, pain in head . . . . . . . . . . . . . . . . . . . . . . . . . . ..S210 Earache, orearinfection. . . . . . . . . . . . . . . . . . . . . . . ... ..S355 Skin rash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S860 Lump ormassofbreast ..,. . . . . . . . . . . . . . . . . . . . . . . ..S805 Kneesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S925 Shouldersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S940 Chest pain and related symptoms (not referable to body system) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S050 Pranatal examination, routine . . . . . . . . . . . . . . . . . . . . . . ..X205 Abnormal sensationsof theeye . . . . . . . . . . . . . . . . . . . . . ..S320 Family planning, N.0.S.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . X500 Skin lesion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . ..S865 Hearingdysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S345 Symptoms referable toanus-rectum . . . . . . . . . . . . . .S605 Footand toesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . ..S935 Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D51O Herniaofabdominal cavity.. . . . . . . . . . . . . . . . . . . . . . . ..D660 Uterineandvaginal bleeding.. . . . . . . . . . . . . . . . . . . . . . ..S755 1,434 ‘1,356 1,329 1,144 1,053 1,027 1,015 998 925 856 789 783 747 717 675 644 630 584 569 468 449 General surgery Orthopedic surgery Ophthalmology General and family practice, and otolaryngology Neurology Otolaryngology Dermatology General surgery Orthopedic surgery Orthopedic surgery Internal medicine, and cardiovascular diseases Obstetrics and gynecology Ophthalmology Obstetrics and gynecology General surgery, and dermatology Otolaryngology General surgery Orthopedic surgery Internal medicine General surgery Obstetrics and gynecology 38.3 40.7 88.0 72.1 34.4 57.4 73.5 90.7 72.1 61.4 64.6 75.9 93.2 49.8 81.8 78.8 52.9 53.4 66.8 90.9 79.9 lSee reference 1. 2N. o.5. = not otherwise specified. Table K. Number and percent distribution of office visits for social problem counseling, by most frequent principal diagnoses: United States, 1977-78 Number Percent Principal diagnoses and ICDA code 1 of visits distri- in thou- bution sands _All visits . . . . . . . . . . . . . . . . . . . . . . . 4,869 100.0 Schizophrenia . . . . . . . . . . . . . . . . ...295 * 294 6.0 Neuroses . . . . . . . . . . . . . . . . . . . . ...300 t ,544 31.7 Personality disorders . . . . . . . . . . . . . .301 967 19.9 Transient situational disturbances , . . . .307 922 18.9 Behavior disorders of childhood . . . . . . .308 ++317 6.5 Another . . . . . . . . . . . . . . . ... .. residual 826 17.0 lSee reference 11. 16 Conclusion This report was developed to supply as much in- uniquely appropriate for certain kinds of research. formation as is reasonably possible on the use of the The staff of the Ambulatory Care Statistics Branch in RVC in the 1977-78 NAMCS, under the constraints the Division of Health Care Statistics should be con- of precision of estimates, uniformity, and importance suited for guidance in the interpretation and applica- of data elements. There may be other ways to ap- tion of the data. preach the analysis of these data that may be 17 References 1National Center for Health Statistics: A reason for visit classi- fication for ambulatory care, by D. Schneider, L. Appleton, and T. McLemore. Vital and Health Statistics, Series 2-No. 78. DHEW Pub. No. (PHS) 79-1352, Public Health Service. Wash- ington. U.S. Government Printing Office, Feb. 1979. 2National Center for Health Statistics: The National Ambula- tory Medical Care Survey, 1977 Summary, United States, Jan.- Dec. 1977, by T. Ezzati and T. McLemore. Vital and Health Statistics, Series 13-No. 44. DHEW Pub. No. (PHS) 80-1795. Public Health Service. Washington. U.S. Government Printing Office, Apr. 1980. 3National Center for Health Statistics: Cough as the reason for office visits, National Ambulatory Medical Care Survey: United States, 1977-78, by B. K. Cypress. Advance Data From Vital and Health Statistics, No. 65. DHHS Pub. No. (PHS) 81- 1250. Public Health Service. Hyattsville, Md., Nov. 5, 1980. 4National Center for Health Statistics: Headache as the reason for office visits, National Ambulatory Medical Care Survey: United States, 1977-78, by B. K. Cypress. Advance Data From Vital and Health Statistics. No. 67. DHHS Pub. No. (PHS) 81- 1250. Public Health Service. Hyattsville, Md., Jan. 7, 1981. . 5National Center for Health Statistics: Office visits for preven- tive care, National Ambulato~ Medical Care Survey: United States, 1977-78, by B. K. Cypress. Advance Data From Vital and Health Statistics, No. 69. DHHS Pub. No. (PHS) 81-1250. Public Health Service. Hyattsville, Md., Apr. 1, 1981. 6National Center for Health Statistics: National Ambulatow Medical Care Survey, background and methodology, United States, 1967-72, by J. Tenney, K. White, and J. Williamson. Vital and Health Statistics. Series 2-No. 61. DHEW Pub. No. (HRA) 74-1335. Health Resources Administration. Washing- ton. U.S. Government Printing Office, Apr. 1974. 7conference on ambulatory medical care records: in J. H. Murnaghan, cd., Ambulatory Medical Care Data: Report of the Conference on Ambulatory Medical Care Records, held at Chi- cago, Apr. 18-22, 1972. Philadelphia, J. B. Lippincott, 1973, pp. 10-12. 8National Center for Health Statistics: Ambulatory medical care records: Uniform minimum basic data set, United States, Vital and Health Statistics. Series 4-No. 16. DHEW Pub. No. (HRA) 75-1453. Health Resources Administration. Washing- ton. U.S. Government Printing Office, Aug. 1974. 9National Center for Health Statistics: National Ambulatory Medical Care Survey: Symptom classification, by S. Meads and T. McLemore. Vital and Health Statistics. Series 2-No. 63. DHEW Pub. No. (HRA) 74-1337. Health Resources Adminis- tration. Washington. U.S. Government Printing Office, May 1974. 10 American Medical Record Association: Evaluation of the National Ambulatory Medical Care Survey Symptom Classifi- cation Contractor’s Final Report. Contract No. HRA 230-75- 0197. Chicago, Oct. 1976. 11 National Center for HeaIth Statistics: Eighth R evixion In ter- national Classification of Diseases, Adapted for Use in the United States, PHS Pub. No. 1693. Public Health Service. Washington. U.S. Government Printing Office, 1967. 12National Center for Health Statistics: Replication: An ap- proach to the analysis of data from complex surveys, by P. J. McCarthy. Vital and Health Statistics. Series 2-No. 14. DHEW Pub. No. (HSM) 73-1269. Health Services and Mental Health Administration. Washington. U.S. Government Printing Office, Apr. 1966. 13 National Center for Health Statistics: Pseudoreplication: Further evaluation and application of the balanced hdf-sarnple technique, by P. J. McCarthy. Vital and Health Statistics. Series 2-No. 31. DHEW Pub. No. (HSM) 73-1270. Health Serv- ices and Mental Health Administration. Washington. U.S. Government Printing Office, Jan. 1969. 18 55. 56. 57. 58. 60. Module and the Treatment Module: United States, 1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number and percent distribution of office visits made by fa- male patients by duration of visit, according to principal rea- son for visit in the Symptom Module: United States, 1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number and percent distribution of office visits made by fe- male patients by duration of visit, according to principal rea- son for visit in the Disease, lniurias and Adverse Effects, Test Resultsr and Administrativa Modules: United States, 1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number and percent distribution of office visits made by fe- male patients by duration of visit, according to principal raa- son for visit in the Diagnostic, Screening, and Preventive Module and the Treatment Modula: United States, 96 97 99 . --- -- 1001311-IS5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number and percent distribution of office visits made by male patients by duration of visit, according to principal rea- son for visit in the Symptom Module: United States, 1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number and percent distribution of office visits made by male patients by duration of visit, according to principal raa- son for visit in the Disease, injuries and Adverse Effects, Test Results, and Administrative Modules: United States, 1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number and percent distribution of office visits made by male patients by duration of visit, according to principal rea- son for visit in the Diagnostic, Screening, and Prevantiva Module and the Treatment Module: United States, 1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . ...”... 101 103 104 61. 62. 63. 64. 65. 66. 67. 68. Number and percent ofoffice visits msdeby female patients, by disposition of visit and principal reason for visit in the Symptom Module: UnitedStates, 1977-78 . . . . . . . . . . . Numbar and percent ofoffice visits made by famale patients, by disposition of visit and principal reason for visit in the Diseasa, Injuries and Adverse Effects, Test Results, and Ad- ministrative Modules: United States, 1977-78 . . . . . . . . . Number and percent of office visits made by female patients, by disposition of visit and principal reason for visit in the Diagnostic, Screening, and Preventive Module and the Treat- merit Module: United States, 1977-78 . . . . . . . . . . . . . . Number and percent of office visits made by mala patients, by disposition of visit and principal reason for visit in the Symptom Module: United States, 1977-78 . . . . . . . . . . . Number and percent of office visits medeby male patients, by disposition of visit and principal reason for visit in the Disease, Injuries and Adverse Effects, Test Results, and Ad- ministrative Modules: United States, 1977-78 . . . . . . . . . Number and percent of office visits made by male patients, by disposition of visit and principal reason for visit in the Diagnostic, Screening, and Preventive Module and the Treat- merit Module: United States, 1977-78 . . . . . . . . . . . . . . Number and percent ofoffice visits made by female patients, by selected principal reasons for visit in the Symptom Mod- ule and the most frequent principal diagnoses: United States, 1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number and percent of office visits made by male patients, by selectad principal reasons for visit in the Symptom Mod- ule and the most frequent principal diagnoses: Unitad States, 1977-78 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105 107 108 109 111 112 113 115 21 \ Tablel. Number of office visits by principal reason forvisit insequential order of thereason for visit classification: United States, 1977-78 principal reason forvisit and RVCcode1,2 Number of visits in thou- sands Principalreason forvisit and RVCcodel S2 Number of visits in thou- Symptom Module Chills . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S005 Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S010 Tiredness, exhaustion . . . . . . . . . . . . SO15 General weakness . . . . . . . . . . . . . . . . . . . . . . . ..S020 General ill feeling . . . . . . . . . . . . . . . . . . . . . . . ..S025 Fainting (syncope) . . . . . . . . . . . . . . . . . . . . . . ..S030 Symptoms offluid abnormalities . . . . . . . . . . . .S035 Weightgain . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S040 Weight loss . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S045 Chest pain and related symptoms . . . . . . . . . . . . S050 Pain, site notreferable toaspeciflc body system . . . S055 Pain and related symptoms, generalized, site unspecified . . . . . . . . . . . . . . . . . . . . . . . . . . ..S060 Tumor or mass, site unspecified . . . . . . . . . . S065 Bleeding, site unspecified. . . . . . . . . . . . . . .S070 Symptom ofgrovvth anddevelopmental disorders . . S075 General symptoms of infants, N. E.C.3 . . . . . .S080 General orunspecified infection . . . . . S085 Allergy, N,0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . .S090 Disorder of motor functions . . . . . . . . . , . . S095 Anxiety and nervousness . . . . . . . . . . . . . . . . . . .. S100 Fears and phobias . . . . . . . . . . . . . . . . . . . . . . . .S105 Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S110 Anger . . . . . . . . . . . . . . . . . . . . . . . . .. S115 Probiems with identity and self-esteem . . . . . . . . . . S120 Restlessness . . . . . . . . . . . . . . . . . . . . . . . . . .. S125 Behavioral disturbances . . . . . . . . . . . . . . . .S130 Disturbances of sleep . . . . . . . . . . . . . . . . . . . . ..s135 Smoking problems . . . . . . . . . . . . . . . . . . . . . . .. S140 Alcohol-related problems . . . . . . . . . . . . . . . . . . S145 Abnormal drug usage . . . . . . . . . . . . . . . . . . . . .. S150 Delusions or hallucinations . . . . . . . . . . . . . . S155 Psychosexual disorders . . . . . . . . . . . . . . . . . . . .. S160 Other symptoms or problems relating to psychological andmental disorders, N. E.C.3 . . . . . . . . . S165 Abnormal involuntary movements. . . . . . . .S200 Convulsions . . . . . . . . . . . . . . . . . . . . . . . . . . .. S205 Headache, pain in head . . . . . . . . . . . . . . . . . . . .. S210 Memory, disturbancesof . . . . . . . . . . . . . . . . . . .. S215 Disturbances of sensation . . . . . . . . . . . . . . . . s220 Vertigo-dizziness . . . . . . . . . . . . . . . . . . . . . . . .. S225 Weakness (necrologic) . . . . . . . . . . . . . . . . . . . . .. S230 Disorders ofspeech, speech disturbance . . . . . . . . . S235 Other symptoms referable to the nervous system . . . . S240 Abnormal pulsations and palpitations . . . . . . S260 Heart pain . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S265 Other symptoms of the heart . . . . . . . . . . . . . . . .. S270 Symptoms of lymph glands (or nodes) . . . . . . . . . . S275 Other symptoms referable to cardiovascular/ Lymphatic system, N. E.C.3 . . . . . . . . . . . . S280 Vision dysfunctions . . . . . . . . . . . . . . . . . . . . . .. S305 Discharge from eye . . . . . . . . . . . ., . . . . . . . . . .. S310 Eye infection and inflammation . . . . . . . . . . . . . . . S315 Abnormal sensations of the eye . . . . . . . . S320 Abnormal eye movements . . . . . . . . . . . . . . . . . .. S325 Abnormal appearance of eyes . . . . . . . . . . . . . . . S330 Other symptoms referable to eye, N. E.C.3 . . . . S335 Symptoms of eyelids . . . . . . . . . . . . . . . . . . . . .. S340 Hearing dysfunctions . . . . . . . . . . . . . . . . . . . . .. S345 Discharge from ear . . . . . . . . . . . . . . . . . . . . . . .. S350 Earache, orear infection . . . . . . . . . . . . . . . . . . .. S355 Plugged feeling in ear . . . . . . . . . . . . . . . . . . . . .. S360 Other symptoms referable to the ears, N. E.C.3 . S365 Nasal congestion . . . . . . . . . . . . . . . . . . . . . . . .. S400 Other symptoms of nose . . . . . . . . . . . . . . . . . . .. S405 Slnusproblems . . . . . . . . . . . . . . . . . . . . . . . . .. S410 See footnotesat end of table, 22 857 18,039 8,026 5,747 2,833 1,466 2,684 12,494 1,225 18,081 6,301 4,545 1,244 944 *168 1,153 1,161 6,402 870 12,078 817 9,081 354 739 720 1,425 1,526 *117 ’269 ’65 392 1,019 2,339 957 1,770 18,342 *242 3,344 11,342 *253 *136 889 3,187 *147 1,135 1,795 753 15,824 1,592 758 5,888 664 2,408 2,687 2,322 4,772 1,573 19,100 3,398 5,224 11,052 2,858 3,520 Symptom Module–Con. Shortness of breath . . . . . . . . . . . . . . . . . . . . . . . S415 Labored or difficult breathing . . . . . . . . . . . . . S420 Wheezing . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S425 Breathing problems, N. E.C.3 . . . . . . . . . . . . . . . . S430 Sneezing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S435 Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S440 Head cold, upper respiratory infection (coryza) . . . . . S445 Flu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S450 Symptoms referable to throat . . . . . . . . . . . . . . S455 Symptoms referable to tonsils . . . . . . . . . . . . . .S460 Abnormal itiesof sputum orphlegm . . . . . . . . . . . . . S470 Congestion ln chest . . . . . . . . . . . . . . . . . . . . . .. S475 Disorders of voice . . . . . . . . . . . . . . . . . . . . . . . .S480 Other symptoms referable to the respiratory system, N. E.C.3 . . . . . . . . . . . . . . . . . . . . . . .. S485 Symptoms ofteeth and gums . . . . . . . . . . . . . . . .. S500 Symptoms referable to lips . . . . . . . . . . . . . . . .S505 Symptoms referable to mouth . . . . . . . . . . . . . . . .S510 Symptoms referable to tongue . . . . . . . . . . . . . . . . S515 Difficulty inswallowing (dysphasia) . . . . . . . . . . . .S520 Nausea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S525 Vomiting . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S530 Heartburn and indigestion (dyspepsia) . . . . . . . . . .S535 Gastrointestinal infection . . . . . . . . . . . . . . . . . .S540 Stomach pain, cramps, and spasms . . . . . . . . . . . . . S545 Abdominal pain, cramps, and spasms . . . . . . . . . . . . S550 Change in abdominal size .,.... . . . . . . . . . . . . .. S565 Appetite, abnormal . . . . . . . . . . . . . . . . . . . . . .. S570 Gastrointestinal bleeding . . . . . . . . . . . . . . . . . . . . S580 Flatulence . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S585 Constipation . . : . . . . . . . . . . . . . . . . . . . . . . . .. S590 Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S595 Other symptoms orchanges in bowel function . . . . . . S600 Symptoms referable to anus-rectum . . . . . . . . . . . . . S605 Symptoms of liver, gallbladder, and biliary tract . . . . S61 O Other symptoms referable to digestive system . . . . . . S615 Abnormalities of urine . . . . . . . . . . . . . . . . . . . .. S640 Frequency and urgency of urination . . . . . . . . . . . . S645 painful urination . . . . . . . . . . . . . . . . . . . . . . . .. S650 Incontinence of urine (enuresis) . . . . . . . . . . . . . S655 Other urinary dysfunctions . . . . . . . . . . . . . . . . . . S660 Symptoms of the bladder . . . . . . . . . . . . . . . . . .. S665 Symptoms of the kidneys . . . . . . . . . . . . . . . . . .. S670 Urinary tract infection, N.0.S.3 . . . . . . . . . . . . . . . S675 Other symptoms referable to urinary tract . . . . . . . S680 Symptoms of penis . . . . . . . . . . . . . . . . . . . . . . .. S700 Penile discharge . . . . . . . . . . . . . . . . . . . . . . . . .. S705 Symptoms of prostate . . . . . . . . . . . . . . . . . . . . .. S710 Symptoms of scrotum and testes . . . . . . . . . . . . . . S715 Other symptoms of male reproductive system . . . . . . S720 Absence of menstruation (amenorrhea) . . . . . . . . . . S730 Irregularity of menstrual interval . . . . . . . . . . . . . . . S735 Irregularity of menstrual flow . . . . . . . . . . . . . . . . . S740 Menstrual symptoms, other and unspecified . . . . . . . S745 Menopausal symptoms . . . . . . . . . . . . . . . . . . . .. S750 Uterine and vaginal bleeding . . . . . . . . . . . . . . . . . S755 Vaginal discharge . . . . . . . . . . . . . . . . . . . . . . . .. S760 Other vaginal symptoms . . . . . . . . . . . . . . . . . . .. S765 Vulvar disorders . . . . . . . . . . . . . . . . . . . . . . . . .. S770 Pelvic symptoms . . . . . . . . . . . . . . . . . . . . . . . .. S775 Problems of pregnancy and the postpartum period . . . S790 Other symptoms referable to the female reproductive system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S795 Pain orsoreness of breast . . . . . . . . . . . . . . . . . . .. S800 Lumpormass of breast . . . . . . . . . . . . . . . . . . . .. S805 Other symptoms referable to breast . . . . . . . . . . S81 O 6,474 3,348 2,987 685 1,096 29,059 21,145 2,968 34,884 398 606 2,859 1,675 542 535 660 1,779 540 1,234 4,454 3,726 1,254 *115 6,407 17,567 789 991 725 598 1,101 4,847 884 4,426 541 1,998 1,908 4,340 5,468 1,681 2,154 1,564 1,217 1,787 466 1,279 728 933 1,494 ’230 1,745 1,793 1,282 1,566 2,842 4,196 3,939 4,481 995 1,762 734 *328 1,718 4,199 Table 1. Number of office visits by principal reason for visit in sequential order of the reason for visit classification: United States, 1977-78–Con. Number Number Principal reason for visit and R VC code 1,2 of visits Principal reason for visit and R VC code 1,2 of visits in thou- in thou- sands sands Symptom Module–Con. Symptoms of infertility . . . . . . . . . . . . . . . . . . . .. S815 Hormone deficiency or problem . . . . . . . . . . . . . . . S820 Symptoms of sexual dysfunction . . . . . . . . . . . , . . S825 Acneorpimpies . . . . . . . . . . . . . . . . . . . . . . . . .. S830 Discoloration or pigmentation . . . . . . . . . . . . . . . . S835 Infections of skin, N.0.S.3 . . . . . . . . . . . . . . . . . . . S840 Symptoms ofskin moles . . . . . . . . . . . . . . . . . . ..s645 Warts, N.0.S.3 . . . . . . . . . . . . . . . . . , . . . . . . . .. S850 Other growth of skin . . . . . . . . . . . . . . . . . . . . .. S855 Skin rash . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S860 Skin lesion . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s865 Skin irritations, N. E.C.3 . . . . . . . . . . . . . . . . . . .. S870 Swelling of skin . . . . . . . . . . . . . . . . . . . . . . . . .. S875 Other symptoms referable to skin . . . . . . . . . . . . . . S880 Symptoms referable to nails . . . . . . . . . . . . . . . . . . S885 Symptoms referable to hair and scalp . . . . . . . . . . . . S890 Other symptoms of skin, nails, and hair . . . . . . . . . . S895 Neck symptoms . . . . . . . . . . . . . . . . . . . . . . . . .. S900 Back symptoms . . . . . . . . . . . . . . . . . . . . . . . . ..s905 Low backsymptoms . . . . . . . . . . . . . . . . . . . . . .. S910 Hip symptoms . . . . . . . . . . . . . . . . . . . . . . . . . .. S915 Leg Wmptoms . . . . . . . . . . . . . . . . . . . . . . . . . .. S920 Knee symptoms . . . . . . . . . . . . . . . . . . . . . . . . .. S925 Ankle symptoms . . . . . . . . . . . . . . . . . . . . . . . .. S930 Footand toe symptoms . . . . . . . . . . . . . . . . . . .. S935 Shoulder symptoms . . . . . . . . . . . . . . . . . . . . . .. S940 Arm symptoms . . . . . . . . . . . . . . . . . . . . . . . . .. S945 Elbow symptoms . . . . . . . . . . . . . . . . . . . . . . . .. S950 Wrist symptoms . . . . . . . . . . . . . . . . . . . . . . . . .. S955 Hand and finger symptoms . . . . . . . . . . . . . . . . .. S960 Symptoms of unspecified muscles . . . . . . . . . . . . . . S965 Symptoms ofunspecified joints . . . . . . . . . . . . . .. S970 Musculoskeletal deformities . . . . . . . . . . . . . . . . . . S975 Other musculoskeletal symptoms . . . . . . . . . . . . . . S980 Disease F.hodule Intestinal infectious diseases . . . . . . . . . . . . . . . . . .DO05 Streptococcal infection . . . . . . . . . . . . . . . . . . . .. DOIO Viral diseases . . . . . . . . . . . . . . . . . . . . . . . . . . .. DO15 Venereal diseases . . . . . . . . . . . . . . . . . . . . . . . .. D020 Fungus infections (mycosis) . . . . . . . . . . . . . . . . .D025 Parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . .. D030 Other and unspecified infections and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D035 Cancer, gastrointestinal tract . . . . . . . . . . . . . . . . .DIOO Cancer, respiratory tract . . . . . . . . . . . . . . . . . . . .DI05 Cancer, skin and subcutaneous tissues . . . . . . . . . . .DI1O Cancer, breast . . . . . . . . . . . . . . . . . . . . . . . . . .. DII5 Cancer, female genital tract . . . . . . . . . . . . . . . . . .D120 Cancer, urinary andmale genital tract . . . . . . . . . . .D125 Other malignant andunspecified naoplasms . . . . . . .D130 Hodgkin’s disease, Iymphomata, Ieukemias . . . . . . . . D135 Fibroids and other uterina neoplasms . . . . . . . . . . . . D140 Other benign neoplasms . . . . . . . . . . . . . . . . . . .. D145 Diseases of the thyroid gland . . . . . . . . . . . . . . . . .D200 Diabatas mellitus . . . . . . . . . . . . . . . . . . . . . . . .. D205 Gout, hyperuricemia . . . . . . . . . . . . . . . . . . . . . .. D210 Other endocrine, nutritional, and metabolic diseases . .D215 Anemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D250 Other diseases of blood and blood-forming organs . . .D255 Organic psychoses . . . . . . . . . . . . ., . . . . . . . . .. D3OO Functional psychoses . . . . . . . . . . . . . . . . . . . . .. D305 Neuroses . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D310 Personality and character disorders . . . . . . . . . . . . .D315 Alcoholism and drug dependence . . . . . . . . . . . . . .D320 Mental retardation . . . . . . . . . . . . . . . . . . . . . . .. D325 See footnotes at end of table. 929 “138 405 10,239 2,329 2,059 2,070 4,492 3,153 20,053 7,455 4,470 3,173 1,913 1,082 1,310 ●332 9,714 22,508 9,644 3,747 10,475 10,809 3,397 8,550 8,706 4,261 2,473 2,275 6,262 981 3,543 1,158 414 ●334 563 2,486 401 710 ’148 *235 486 409 1,175 920 389 553 1,021 735 481 822 1,810 8,981 573 668 1,306 *104 *99 487 “243 *95 418 *23 Disease Module–Con. Other mental disease . . . . . . . . . . . . . . . . . . . . . .. D330 Multiple sclerosis . . . . . . . . . . . . . . . . . . . . . . . .. D350 Parkinson’s diseasa (paraiysisagitans) . . . . . . . . . . . .D355 Epilepsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D360 Migraine headache . . . . . . . . . . . . . . . . . . . . . . .. D365 Other diseases of central nervous system . . . . . . . . . .D370 Inflammatory diseases of the aye . . . . . . . . . . . . . .D400 Refractive error . . . . . . . . . . . . . . . . . . . . . . . . .. D405 Cataract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D410 Glaucoma . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D415 Other diseases of theeye . . . . . . . . . . . . . . . . . . .. D420 Otitis media . . . . . . . . . . . . . . . . . . . . . . . . . . .. D450 Other diseases of the ear . . . . . . . . . . . . . . . . . . .. D455 Rheumatic fever andchronic rheumatic heart disease .D500 Hypertension with involvement of target organs . . . . .D505 Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . .. D51O Ischemic heart disease . . . . . . . . . . . . . . . . . . . . .. D515 Other heart disease . . . . . . . . . . . . . . . . . . . . . . .. D520 Cerebrovascular disease . . . . . . . . . . . . . . . . . . . . .D525 Atherosclerosis . . . . . . . . . . . . . . . . . . . . . . . . .. D530 Phlebitis, thrombophlebitis . . . . . . . . . . . . . . . . . .D535 Varicose veins . . . . . . . . . . . . . . . . . . . . . . . . . .. D540 Hemorrhoids . . . . . . . . . . . . . . . . . . . . . . . . . . .. D545 Other disease ofcirculatory system . . . . . . . . . . . . .D550 Upper respiratory infections except tonsillitis . . . . . .D600 Tonsil litis . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D605 Bronchitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D610 Emphysema . . . . . . . . . . . . . . . . . . . . . . . . . . .. D620 Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D625 Pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D630 Hay fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D635 Other respiratory diseasas . . . . . . . . . . . . . . . . . .. D640 Diseases of theesophagus, stomach, and duodenum . .D650 Appendicitis, all types . . . . . . . . . . . . . . . . . . . . .. D655 Hernia of abdominal cavity . . . . . . . . . . . . . . . . . .D660 Diseases of theintestine and peritoneum . . . . . . . . .D665 Diseases ofliver, gallbladder, and pancreas . . . . . . . .D670 Other disaases ofdigestive system . . . . . . . . . . . . . .D675 Cystitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D700 Urinary tract disease except cystitis . . . . . . . . . . . . .D705 Diseases of themale genital organs . . . . . . . . . . . . .D710 Fihrocystic andother diseases of breast . . . . . . . . . .D715 Pelvic inflammatory disease (PID) . . . . . . . . . . . . .. D720 Cervicitis, vaginitis . . . . . . . . . . . . . . . . . . . . . . .. D725 Other diseases of famale reproductive system . . . . . .D730 Diagnosed complications of pregnancy and puerperium . . . . . . . . . . . . . . . . . . . . . . . . . .. D735 Carbuncle, furuncle, boil, cellulitis, abscess, N. E.C.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D800 Impetigo . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D805 Seborrheic dermatitis . . . . . . . . . . . . . . . . . . . . . . D810 Eczema anddermatitisr N.0.S.2 . . . . . . . . . . . . . . .D815 Psoriasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D820 Other diseases of the skin . . . . . . . . . . . . . . . . . .. D825 Arthritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D900 Nonarticular rheumatism . . . . . . . . . . . . . . . . . . . .D905 Other musculoskeletal orconnective tissue disease . . .D910 Congenital anomalies of heart and circulatory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D950 Undescended testicles . . . . . . . . . . . . . . . . . . . . .. D955 Other congenital anomalies . . . . . . . . . . . . . . . . . .D960 Allperinatal conditions . . . . . . . . . . . . . . . . . . . .. D990 Diagnostic, Scraening, and Preventive Module General medical examination . . . . . . . . . . . . . . . . .XIOO Well baby examination . . . . . . . . . . . . . . . . . . . .. XI05 *61 *145 “231 *275 459 897 790 529 2,333 1,738 835 1,891 349 *102 * 200 15,973 3,216 684 494 *298 470 447 1,478 1,151 2,810 972 1,715 *257 2,288 1,492 1,608 629 1,187 *156 2,364 936 744 ●155 575 1,412 1,339 *122 *169 1,220 616 *221 2,252 *59 ++147 1,323 789 3,544 5,259 1,093 1,082 *22 *76 550 59,115 13,726 23 Table2. Numbr, percent dttir,bution, andcumulat#ve perwntof office vnsits,bymostfrequent principal reamnsforvlsit inrankordec United States, 1977-78 Number Percent Cumu- Number Cumu- Rank Princ!palreaso” forvisit and RVCcodel Percent of Vis!ts distri- Iative Rank Principal reason for visit a“d R VC codel of visits distrk Iative in thou- bmron percent in thaw bution sands percent 0 f visits sands of visits 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 46 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 66 69 70 71 72 73 74 75 76 77 78 79 60 61 82 All visits . . . . . . . . . . . . . . . . . . . . . . . . . . . . General medical examination ., ., . .. X1OO Prenatal exarnimticm,r outine . . . . . . .X205 Symptoms referable to throat . . . . . . . . . .S455 Po.stopemtivevisit . . . . . . . . . . . . . . . . .. T205 Cough . . . . . . . . . . . . . . . . . . . . . . . . .. S440 Blood preswre test . . . . . . . . . . . . . . ,.. .X32O 8ackwmptoms . . . . . . . . . . . . . . . . . . ..s905 Head cold, upper respiratory infection (.oryza), . . . . . . . . . . . . . . . . . . . . . . . S445 Skm rash . . . . . . . . . . .,. s880 Earache . . . . . . . . . . . . . . . . . . . . ,,. ,.s355 Headache, pai”i” head . . . . . . . . . . . . . .. S210 Chest pain and related symptoms (not referable to body system) ., S050 Fever . . . . . . . . . . . . . . . . . . . . . . . ,.. .so1o Abdominal pain, cramps, s+pasms. . . . . . . . .s550 PrOgmssvisit . . . . . . . . . . . . . . . . . . . . .. T600 Hypertension , . . . . . . . . . . . . . . . . . . .. D51 O Vision dysfunctmm . . . . . . . . . . . . . . ., ,s305 Well baby examinatio” . . . . . . . . . . . . . .. X105 Gynecologmal examination ., ., ., ., ., ,X225 Allergy medication ., ., .,.,.,.,. ,.. ., TIOO Weight gai” . .,, . . . . . . . . . . ... . . . . ..s040 Anxiety andnervo”mess . . . . . . . . . . .. S1OO Eyoexami”aticm . . . . . . . . . . . . . . . . . .. X230 Vertigodizziness . . . . . . . . . . . . . . . . . .. S225 Nasal congestmn . . . . . . . . ..s400 Knee symptoms, . . . . . . . . . . . . . . . .S925 Leg symptoms ., . . . . . ,., .,., . . . S920 Acne orpimples . . . . . . . . . . . . . . . . . . .. S830 “None” or “no complaint” . . . . . . . . . . . . U997 Neck symptoms, . . . . . . . . . . . . . . . . . ..s900 Low backsymptorm . . . . . . . . . . . . . .,. ,S910 Depressmn . ., ., ., ., ...,.,.,. ,., ., S110 Diabetes mellitus . . . . . . . . . . . . . . . ... .D205 Shoulder symptoms . . . . . . . . . . . . . . . .. S940 Footandtcesymptmns . . . . . . . . . . . . .. S935 Prophylactic inoculations ,. X400 Tiredness, exhausticm . . . . . ., ., ., ., ,s015 Papsmear . . . . . . . . . . . . . . . . . . . . ,.. .X365 Skin lesion . . . . . . . . . . . . . . . . . . . .S865 Shortness of breath . . . . . . . . . . . . . . . .. S415 Stomach pain, cramps, spasms ., ., ., ., .S545 Allergy, N.0.S.2 . . . . . . . . . . . . . . . . . ..s090 Pain, site not referable to a specif,c body system ., ., . . . . . . . . . . . . . . . ..s055 Handtmd finger symptoms ., . .S960 Physical exammatio” requmed for employ meri t . . . . . . . . . . . . . . . . . . .. A1OO Suture-insertion, removal . . . . . . . . . . . ., T555 Abnormal sensations of eye . . . . . . . ., S320 Infections . . . . . . . . . . . . . . . . . . . ,., ., T11O General weakness, . ., ..,.,.,. .,. ,.. s020 Pam ful urination..,.,.,.,.,., . . .. S650 Arthrm,s, ., .,.,.,... .,, ,., . . . . .. D9OO Other symptoms referable to the ears, N, E.C.2 ., . . . . . . . . . . . . . . . . . . ,. .S365 Omrrhea, . . . . . . . . . . . . . . . . . . . .,, ,. S595 O!etand nutritiomdcounseling ,. . .T600 Hearing dysfunctions . . . . . ,. .,. ,.s345 Physma( examination required for school ..,,.. . . . . . . . . ,,. ,. AI1O Heart examlnatmn . . . . . .X235 Pam a“d related symptoms, generalized, site unspec,f,ed .,.,. . . . . . . . . . . . .. SC6O Warts. . ,,, .,. .,, . . . . . . . . . .. S850 Other vagmalsymptorns ., ., S765 Skmirrttatmns, N. E.C.2 . . . . ., ., ,sB70 Nausea . . . . . . . . . . . . . . . S525 Symptoms referable to anus-rectum ., S605 Frequency tmdurgemyof urmatmn S645 Arm symptoms.,., ,. .,. ,., , . . . ..s945 Lumper mass of breast . . . . . . . . S805 Uteri”e a”dvagl”al bleeding S755 Postpartum exam, natto” . . . .. X215 Vagimldmcharge ..,..,,...,.. ,. .S760 Hip symptoms . . . . . . . S915 Laceratiomemd cut% upper extremmy J225 Vom!tmg. . . . . . . . . . . ,,. ,,, .S530 Fam!lyplannlng, N.0.S.2 ., .,., ,, .X500 Other d,seasesoftheskm ., . . .D825 Symptoms ofunspecuf,ed]omts ., .S970 Smusproblems ., .,. ,,, ,., ,.. ,,, S410 Plugged feelmgtn ear ,., . . . . ,S360 Ankle symptoms. ,, .,,,,.. ,s930 Labored ordlff,cuk breath mg(dyspnea) S420 Disturbances ofsensatmn ., ., ., ., . ..s220 Injury, type unmec,fied: hand and fi”ger(s} . . . . . . . . . . . . . . . . . .. J570 Pregnancy, u”co”f,rmed .X200 1,154,550 59,115 40,394 34,884 29,674 29,059 23,696 22,507 21,145 20,053 19,100 1B,342 18,081 16,039 17,567 17,115 15,973 15,B24 13,726 13,262 12,991 12,494 12,078 11,952 11,342 11,052 10,809 10,475 10,239 10,030 9,714 9,644 9,081 8,981 8,706 6,550 8,152 8,o26 7,631 7,455 6,474 6,407 6,402 6,301 6,282 6,119 6,095 5,88B 5,861 5,747 5,468 5,259 5,224 4,847 4,626 4,772 4,741 4,683 4,545 4,492 4,481 4,470 4,454 4,426 4,340 4,261 4,199 4,196 4,114 3,939 3,747 3,746 3,726 3,549 3,544 3,543 3,520 3,398 3,397 3,34B 3,344 3,271 3.254 100.00 5.12 3.50 3.02 2.57 2.52 2.05 1.95 1.83 1.74 1.65 1,59 1,57 1,56 1.52 1.46 1.38 1.37 1.19 1.15 1.13 1.08 1.05 1.04 0.96 0.96 0.94 0,91 0,B9 0.B7 0.B4 0.84 0.79 0.78 0.75 0.74 0.71 0,70 0.66 0,65 0,56 0.55 0.55 0.55 0.54 0.53 0.53 0.51 0.51 0.50 0.47 0,46 0,45 0,42 0,42 0,41 0.41 0.41 039 0.39 0.39 0.39 0.39 0.38 038 0.37 0,36 0.36 036 0,34 0,32 032 0.32 0.31 0.31 031 0.30 0.29 0.29 0,29 0,29 0.28 0 2B 100.00 5.12 8.62 11.64 14.21 16.73 18.78 20.73 22.56 24.30 25.95 27,54 29,11 30,67 3219 33,67 35,05 36.42 37.61 38.76 39.89 40.97 42.02 43.06 44.04 4500 45.94 46.B5 47.74 48,61 49.45 50.29 51,06 51.86 52.61 53.35 54.06 54,76 55,42 56,07 66,63 57,18 57,73 58.28 58.82 S8.35 59.88 60.39 60.90 61.40 61.87 62.33 62,78 63,20 63.62 64.03 64.44 64.85 65.24 65.63 66.02 66.41 66.80 67.18 67.56 67.93 68,29 68,65 69,01 69.35 89.67 68.99 7031 70.62 70.93 71,24 71.54 7183 72,12 72.41 72,70 72,9B 73,26 83 84 85 86 87 68 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 1s6 107 10B 109 110 111 112 113 114 115 116 117 llB 119 120 121 122 123 124 125 126 127 128 129 130 131 132 133 134 135 136 13-) 13B 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 65-74 years-Con. Ischemw heaftdisease . . . . . . . . . . . . . . .. D515 Abnormal pulsations and palpitations S260 Other growths of skin.........,.. . . .. S855 Psychotherapy . . . . . . . . . . . . . . . . . . . .. T41o Swelling of skin . . . . . . . . . . . . . . . . . S875 Physical examination required for . . extracurricular actwntas . . Al 15 Medication, other and unspecified kinds . T1 15 Wheezing . . . . . . . . . . . . . . . . . . . . . . .. S425 Flu . . . . . . . . . . . . . . . . . . . . . . ,., .,. S450 Fitting glassesand contact lenses . . . ., . . . Ts15 Congestion mchest . . . . . . . . . . . . . . . .. S475 Other symptoms of nose . . . . . . . . . . . . .. S405 Menopausal symptoms . . . . . . . . . . . . . S750 General ill feeling . . . . . . . . . . . . . . . . . .. S025 Upper respiratory infections, except tonsillitis . . . . . . . . . . . . . . . . ., .,...0600 Other symptoms referable to eye, N. E.c.2 . . . . . . . . . . . . . . . . . . . . . . ..s335 Symptoms of fluid abnormalities . . . . . . . . S035 Counseling, N.0.S.2 . ., . . . . . T605 For other and unspacifued test results . . . . . . R700 Contraceptive dewce . . . . . . . . . . . . . . . .X51O Viral dis?ases . . . . . . . . . . . . . . . . . . . .. DO15 Elbawsyrnptoms . . . . . . . . . . . . . . . . . .. S950 Abnormal appearance of eyes . . . . . . . . . . S330 Glucose level determinatmn . . . . . . . . . . . X310 Hernia of abdominal cavity . . . . . . . . . . . D660 Other symptoms or problems relating to psychological and mental disorders, N. E. C.2 . . . . . . . . . . . . . . . . . . . . . . .. S165 Cataract . . . . . . . . . . . . . . . . . . . . . . ...0410 Di%oloration or pigmentation . . . . . . . . . . S835 Symptoms of eyelids . . . . . . . . . . . . . . ..s340 Asthma . . . . . . . . . . . . . . . . . . . ,., .,. D625 Wrist svmptoms . . . . . . . . . . . . . . ... .,. S955 Carbuncle, furuncle, boil, cellu litis, abscess,N. E.C.2 . . . . . . . . . . . . . . . . 0800 Other and unspeclfred diagnostic tests . . . . . X370 Preoperatwe visit for specified and unspecified types of surgery . . T200 Other urinary dysfunctions . ., ., ., ., S660 Symptoms ofskin moles ... . . . . . . . . . .. S845 Infections of skin, N.0.s.2 . . S840 Other symptoms referable to digestive system . . . . . . . . . . . . . . . . . . . . . . . .. S615 Other bloodiest . . . . . . . . . . . . . . . .. X31515 Other syny.xoms referable to skin . . . . . S880 Abnormalities of urine ., ., . . . . . . . . . . S640 Otitismedla . . . . . . . . . . . . . . . . . . . ...0450 Foreign body, eye . . . . . . . . . . . . . . . . .. J600 Contraceptive medication . . . . . . . . . X5O5 Marital problems . . . . . . . . . . . . . . T705 Diseases of the thyroid gland . . . ., . . ...0200 Symptoms of lymph glands (or nodes) . . . . . S275 Irregularity of menztrual interval . . . . . . . . . S735 Urinary tract infectnon ., . . . . S675 Symptoms referable to mouth . . . . . . . . . . S51O Convulsions ,., . . . . . . . . . . . . . . . . . .. S205 Pelvlcsymptoms . . . . . . . . . . . . . . . .,. ,S775 Absence of menstruation [amenorrhea) . S730 Glaucoma ..,........,.,.,.,., . . .. D415 Pain or soreness of breast ., ., ., . . . . . . S800 Bronchitis . . . . . . . . . . . . . . . . . . . . . ...0610 Insurance examination . . . . . . . . . . . ., .A125 Accident, N.0.S.2 . . . . . . . . . . . . . . . . .. J810 Motor vehtcle accident, type of iniury’ unspeclf,ed . . . . . . . . . . . . ,., .,. ,., .J805 Inccmtmence of urnne {enuresm) . S655 Omordersofvoice ,. ..,. . . . . . . . . . .. S480 Burns, all degree% extremn,es . . . . . . J715 Hay fever, ., . . . . . . . . . . . . . . . . . . . .. D635 Discharge from eye . . . . . . . . . . . . . . . . .. S310 Discharge from ear . . . . . . . . . . . . .,. ... S350 Menstrual symptoms, other and unspectfmd S745 Symptoms of the bladder S665 Injury, type unspecified: head, neck, and face . . . . . . . . . . . . . . . . . . . . . . . . . . J505 Fractures and ddocatlonc arm . J035 Disturbances of sleep . . . . . . . . . . . . . . .. S135 Symptoms of scrotum and testes . . . . . . . . . S715 Pneumonia . . . . . . . . . . . . . . . . . . . . ...0630 Hemorrhoids . . . . . . . . . . . . . . . . . . . ,.. D545 Chemotherapy . . . . . . . . . . . . . . . . . . . .. T425 Fainting (syncope) ...,.,.,.,.. . . . . .. S030 Dre$smg, bandage.application, change . . . . . T545 Contusions, abrasions, and bruiwm foot andtoels} . . . . . . . . . . . . . . . . . . .. J545 Cast, splint-application, removal . . ., . . T540 Behavioral disturbances . . . . . . . . . . . . . S130 3,216 3,187 3,153 3,12B 3,113 3,087 3,024 2,987 2,968 2,954 2,B59 2,858 2,642 2,833 2,810 2,667 2,684 2,596 2,574 2,566 2.4B6 2,473 2,40B 2,397 2,364 2<339 2,333 2,329 2.322 2,268 2,276 2,252 2,185 2,156 2,154 2,070 2,059 1,998 1,968 1,913 1,906 1,891 1,872 1,833 1,S23 1,B1O 1,795 1,793 1,787 1,779 1,770 1,762 1,745 1,738 1,718 1,715 1,711 1,697 1,690 1,681 1,675 1,638 1,608 1,592 1,573 1,555 1,564 1,558 1,538 1,526 1,494 1,492 1,478 1,472 1,466 1,450 1,444 1,429 1,425 0.28 0.26 0.27 0.27 0.27 0.27 0.26 0.26 0.26 0.26 0.25 0.25 0.25 0,25 0,24 0.23 0.23 0.22 0.22 0.22 0.22 0.21 0.21 0.21 0.20 0.20 0.20 0.20 0.20 0.20 0.20 0.20 0.19 0.19 0.19 0.18 0,18 0,17 0.17 0.17 0.17 0.16 0.16 0.16 0.16 0.16 0.16 0.16 0,15 0.15 0.15 0,15 0.15 0.15 0.15 0,15 0.15 0.15 0.15 0.15 0.15 0.14 0.14 0,14 0.14 0.14 0,14 0.13 0.13 0,13 0.13 0.13 0.13 0.13 0.13 0.13 0.13 0.12 0.12 73.54 73.82 74.09 74.36 74.63 74.90 75.16 75.42 7S.68 75.94 76.19 76.44 76.69 76.94 77.18 77.41 77,64 77.86 78.08 78.30 78.52 78.73 78.84 78.15 78.35 79.55 79.75 79.95 BO.15 BO.35 80.55 80,75 80.94 81,13 81.32 81.50 81.68 B1.85 82.02 82.19 82,36 82.52 82.68 82.84 83.00 83.16 83.32 B3.48 83.63 83.78 83.93 84.08 84.23 84.38 84,53 84,6S 84.83 84.98 65.13 85.2B 85.43 85.57 B5.71 85.85 85.99 86,13 8627 B6.40 86.53 66.66 B6.79 86.92 87.05 87,18 87,31 87,44 87.57 87.69 87.61 See foomotes at end of table. 26 Table 2. Number, percent distribution, and cumulative percent of office visits, by most frequent principal reasons far visit in rank order: United States, 1977-78–Cmt. Number Percent Cumu- Number Cumu- Rank Principal reason for visit and R VC code~ Percem of visits distri- Iawe Rank Principal reason for visit and R VC codel of visits Iative in thOu- distri- bution percent in thou- percent sands of visits bution sands of visits 162 163 164 165 166 167 168 169 170 171 172 173 174 175 176 177 176 179 160 181 182 183 184 185 188 167 188 189 190 191 192 193 184 195 186 197 198 188 200 201 202 203 204 205 2043 207 208 209 210 211 212 213 214 215 216 217 218 219 220 221 222 Urinary tract dissase, exc~pt cystitis . . . . D705 Diseases of the male genital organs . . . . . . . D71 O E=ema and dermatitis, N.O.S.2 . . . . . . . . . D81 5 Problems, complaints, N. E.C.2 . . . . . . . . . . U990 Symptoms rsferable to hair and scalp . . . . . . S890 Anemia . . . . . . . . . . . . . . . . . . . . . . ...0250 Irregularity of menstrual flow . . . . . . . . . . . S740 Symptoms of penis . . . . . . . . . . . . . . . . .. S700 For cytology findings . . . . . . . . . . . . . . .. R300 Heartburn and indigestion (dyspepsia) . . . . . S635 Injury, type unspecified back . . . . . . . J515 Tumor or mass, site unspecified . . . . . . . . . SC65 Difficulty in swallowing (dysphagia) . . . . . . S520 Weight loss . . . . . . . . . . . . . . . . . . . . . ..s045 Cwvicitis,v aginitis . . . . . . . . . . . . . . . ...0725 Symptoms of the kidneys . . . . . . . . . . . . . S670 Fr~tures and dislocations, leg . . . . . . . . . . J020 Diseases of the esophagus, stomach, and duodenum . . . . . . . . . . . . . . . . . . . . .. D650 Cancer, skm and subcutaneous tissues. . . . .. D110 General or unspecified infection . . . . . . . . . S065 Injury, type unspecifieti multiple or unspecified . . . . . . . . . . . . . . . . . . . . .. J575 Musculoskeletal deformities . . . . . . . . . . . . S975 Fractures and dislocations ankle . . . . . . . . J120 Minor surgew . . . . . . . . . . . . . . . . . . . . T120 General symptoms of infants, N. E.C.2 . . . . . S080 Other disease of circulatory system . . . . . . . D550 Injury, type unspecified knee . . . . . . . . . . J535 Other symptoms of the hem . . . . . . . . . . . S270 Premarital examination . . . . . . . . . . . . . . .A135 Injury, type unspecified: eye . . . . . . . . . . . J51O Bitexinwct . . . . . . . . . . . . . . . . . . . . .. J755 Constipation . . . . . . . . . . . . . . . . . . . . .. S590 Sneezing . . . . . . . . . . . . . . . . . . . . . . . .. S435 Nonarticular rheumatism . . . . . . . . . . . . . D905 Fractures and dislocations: hand and fingers . . . . . . . . . . . . . . . . . . . . . . . . . JC45 Lacerations and cuts facial area . . . . . . . J21 O Symptoms referable to nails . . . . . . . . . . . . S885 Other musculoskeletzl or connective tissue disease . . . . . . . . . . . . . . . . . . . . . . . . . 0910 Bites animal, human . . . . . . . . . . . . . . .. J760 Injury, type unspecified ankle . . . . . . . . . . J540 Other malignant and unspecified neoplasms .0130 Psychosexual disorders . . . . . . . . . . . . . .. S160 Lacerations and cut% upper extremity . . . . . J220 Vulvardisorders . . . . . . . . . . . . . . . . . . .. S770 Appetite. abnormal . . . . . . . . . . . . . . . ..s570 Symptoms of unspecified muscles . . . . . . . . S865 Other reason for visit required by party other than the patient or the health provider . . . . . . . . . . . . . . . . . . . . . . .. A140 Urine tetts . . . . . . . . . . . . . . . . . . . . . .. X325 Tormllitis . . . . . . . . . . . . . . . . . . . . . . .. D605 Abnormal involuntary movements . . . . . . . . S200 Bleeding, site unspecified . . . . . . . . . . . . . . S070 Oiseasm of the intestine and peritoneum . . . D665 Symptoms of prostate . . . . . . . . . . . . . . .. S710 Symptoms of infertility . . . . . . . . . . . . . . . SB15 Driver’s license examination . . . . . . . . . . . .A120 Other specific therapeutic procedures, N. E.C.2 . . . . . . . . . . . . . . . . . . . . . . .. T560 Cancer, breast . . . . . . . . . . . . . . . . . . . . . D115 13reastexamination . . . . . . . . . . . . . . . . .. X220 Other diseaws of central nervous system . . D370 Other symptoms referable to the nervous system . . . . . . . . . . . . . . . . . . . . . . . .. S240 Other symptoms of changes in bowel 1,412 1,339 1,323 1,320 1,310 1,306 1,2B2 1,279 1,273 1,254 1,247 1,244 1,234 1,225 1,220 1,217 1,204 1,1B7 1,175 1,161 1,160 1,158 1,156 1,153 1,153 1,151 1,145 1,135 1,132 1,130 1,103 1,101 1,096 1,093 1,089 1,085 1,082 1,082 1,089 1,037 1,021 1,019 1,006 995 991 981 980 977 972 957 844 934 933 929 923 921 920 915 897 889 884 0.12 0.12 0.11 0.11 0.11 0.11 0.11 0.11 0.11 0.11 0.1 ‘1 0.11 0.11 0.11 0.11 0.11 0.10 0.10 0.10 0.10 0.10 0.10 0.10 0.10 0.10 0.10 0.10 0.10 0.10 0.10 0.10 0.10 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.09 0.06 0.08 0.08 0.08 0.08 0.08 0.08 0.08 0.08 0.08 0.08 0.08 0.08 o.OB 0.08 0.08 87.93 88.05 8S.16 88.27 8B.38 8B.49 88.60 88.71 88.82 88.93 89.04 89.15 89.26 223 224 Disnrders of motor function . . . . . . . . . . . . S895 Chills . . . . . . . . . . . . . . . . . . . . . . . . . .. SCQ5 Other diseas@sof theeye . . . . . . . . . . . . .. D42Q Other &+nign neoplasms . . . . . . . . . . . . .. D145 Fears and phobias . . . . . . . . . . . . . . . . ..s105 Injury, type unspeciied leg . . . . . . . . . . . . J530 Lacerations and cuts site unspecified . . . . J230 Inflammatory diseasesof the eye . . . . . . . . D400 Chartge in abdominal size.... . . . . . . . . ..S%5 Psoriasis . . . . . . . . . . . . . . . . . . . . . . . . . 0820 Lacerations and cut= head and neck arm . . J205 Fractures and dmlocations: ankle . . . . . . . . J025 Eye infection and inflammation . . . . . . . . . S315 Other symptoms referable to cardiovascular/ Iymphaticsystem, N. E.C.2 . . . . . . . . . . S2B0 Oiseasesof liver, gallbladder, and pancreas . . . . . . . . . . . . . . . . . . . . . .. D670 Problems with identity and self-esteem . . . . . S120 Hodgkin’s disease, Iymphomata, Ieukemias ..0135 Problems of pregnancy and the postpartum period . . . . . . . . . . . . . . . . . . . . . . . .. S790 Fractures and dmlocations: wrist . . . . . . . J040 Penile di~harge . . . . . . . . . . . . . . . . . . .. S705 Gastrointestinal bleeding . . . . . . . . . . . . . . S580 Restlessness . . . . . . . . . . . . . . . . . . . . .. S125 Fungus infections (mycosesl . . . . . . . . ...0025 Parent-child problems . . . . . . . . . . . . . . . .T71O Kidney dialysis . . . . . . . . . . . . . . . . . . .. T525 Other symptoms referable to breast . . . . . . . S81O Breathing problems, N. E.C.2 . . . . . . . . . S430 Other heart disease . . . . . . . . . . . . . . . ...0520 Occupational problems . . . . . . . . . . T725 For radiological findings . . . . . . . . . . R400 Sprains and sfrai”s back . . . . . . . . . . . . .. J11O Other endocrine, nutritional, and metabolic diseases . . . . . . . . . . . . . . . . . . . . . ...0215 Abnormal eye movements . . . . . . . . . . S325 Symptoms referable to lips . . . . . . . . . S505 Social adjustment problems . . . . . . . . . . . T730 Injury, typ unspecified: arm . . . . . . . . . . . J555 Burn, site unspecified . . . . . . . . . . . . . . . . J720 Other respirator diseates . . . . . . . . . . ...0840 Other diseates of female reproductive system . . . . . . . . . . . . . . . . . . . . . . ...0730 Foreign body, skin . . . . . . . . . . . . . . . . . J61O Injury, type unspecified: wrist . . . . . . . . . . J585 Abnormalities of sputum m phlegm . . . . . . . S470 Flatulence . . . . . . . . . . . . . . . . . . . . . . . S585 Fractures and dislocation% trunk area, except spinal column . . . . . . . . . . . . J015 Sterilization to be performed (at this visit) . . . . . . . . . . . . . . . . . . . . . . . . .. X525 Cystitis . . . . . . . . . . . . . . . . . . . . . . ...0700 Fractures and dmlocationx foot and toes. . . . J030 Other special examination . . . . . . . . . . . . X240 Gou%, hyperuncemia . . . . . . . . . . . . . . . .. D21O Streptcccccal infection . . . . . . . . . . . . . .. DO1O Cancer, urinaw and male genital tract . . . .. D125 Other congenital anomalies . . . . . . . . . . . . D8%i0 Injury, type unspecified: shoulder . . . . . . . . J550 Other symptoms referable to the respiratory system, N. E.C.2 . . . . . S485 Symptoms of Iwer, gallbladder, and biliary tract . . . . . . . . . . . . . . . . . . . .. S610 Symptoms referable to tongue . . . . . . . . . . S51 5 Symptoms referable to IIPS . . . . . . . . . . . . S500 Refractive error . . . . . . . . . . . . . . . . . . .. D405 Allothe$ . . . . . . . . . . . . . . . . . . . . ..rmdual 870 857 835 822 817 817 813 790 789 789 776 771 758 753 744 739 735 734 729 728 725 720 710 700 690 668 685 684 681 676 670 888 6S4 560 658 654 641 629 616 614 610 608 598 568 578 575 575 573 573 583 553 550 545 542 541 540 535 529 34.462 0.08 0.07 0.07 0.07 0.07 0.07 0.07 0.07 0.07 0.07 0.07 0.07 0.07 0.07 0.06 0.06 0.06 0.06 0.06 0.06 0.06 0.06 0.06 0.08 0.06 0.06 0.08 0.08 0.06 0.O6 0.08 0.06 0.06 0.06 0.06 0.06 0.06 0.05 0.05 0.05 0.05 0.05 0.05 0.05 0.05 0.05 0.05 0.05 0.05 0.05 0.06 0.05 0.05 0.05 0.05 0.05 0.05 0.05 2.98 93.72 93.79 93.66 93.93 94.00 94.07 94.14 94.21 94.2B 94.35 94.42 94.49 94.56 94.63 94.69 94.75 94.81 94.87 84.93 84.99 95.05 95.11 95.17 85.23 95.29 95.35 95.41 95.47 95.53 95.59 95.65 95.71 95.77 95.83 95.89 95.95 86.ot 98.08 98.11 8S.16 98.21 98.26 S&31 96.36 96.41 96.46 96.51 96.56 96.6t 95.66 88.71 86.76 98.81 96.86 96.91 96.96 97.01 97.06 100,04 225 226 227 228 229 230 231 232 233 234 235 23689.37 89.4B 89.59 89.69 237 238 89.79 88.89 89.99 90.09 239 24o 241 242 24390.19 90.29 244 245 246 247 248 249 80.39 90.49 90.59 80.69 90.79 80.89 90.99 91.09 81.19 91.28 91.37 91.48 91.55 91.64 91.73 91.82 91.91 92.00 250 251 252 253 254 255 258 257 258 259 26o 261 262 263 264 265 266 267 268 269 92.08 92.18 92.27 92.36 92.44 92.52 92,60 92.66 92.76 92.84 270 271 272 27392.92 93.00 274 27E 276 277 278 93.oB 93.16 93.24 93.32 93.40 93.48 279 280 93.58 93.64function . . . . . . . . . . . . . . . . . . . . . . . S600 lSee reference 1. 2N.O.S. = not otherwise specified; N.E.C. = not alsewhnra specifmd. 31ncluda%blank, illegible, and uncodabl. entries. 27 Table 3. Number and percent distribution of office visits made by female patients, by age of patient and the 20 most frequent principal reasons for visit: United States, 1977-78 Number Percent Number Ager principal reason for visit, Percentof visits distri- Age, principal reason for visit, of visits and R VC code 1 in thou- distri- bution and R VC code q in thou- sands bution sands Under 15 years All visits by female patients . . . . . . . . . . . . . . General medical examination . . . . . . . XIOO Symptoms referable to throat . . . . . . S455 Fever . . . . . . . . . . . . . . . . . . . . . . . .. S010 Well baby examination . . . . . . . . . . . .XI05 Cough . . . . . . . . . . . . . . . . . . . . . . . .. S440 Earache, or ear infection . . . . . . . . . . . S355 Skin rash . . . . . . . . . . . . . . . . . . . . . .. S860 Head cold, upper respiratory infection (coryza) . . . . . . . . . . . . . . . . . . . . . . S445 Allergy medication . . . . . . . . . . . . . . .TIOO Prophylactic inoculations . . . . . . . . . . . .X400 Other symptoms referable to the ears, N. E.C.2 . . . . . . . . . . . . . . . . . . . . .. S365 Vomiting . . . . . . . . . . . . . . . . . . . . . .. S530 Nasal congestion . . . . . . . . . . . . . . . . .. S400 Physical examination required for school . . . . . . . . . . . . . . . . . . . . . ..AIIO Postoperative visit . . . . . . . . . . . .T205 Otitismedia . . . . . . . . . . . . . . . . . . . ..D450 Abdominal pain, cramps,spasms . . . . . .S550 Eyeaxaminetion . . . . . . . . . . . . . . . . ..X230 Allergy, N.0.S.2 . . . . . . . . . . . . . . . . ..S090 Headache, pain in head . . . . . . . . . . . . .S210 All other3 . . . . . . . . . . . . . . . . . . .. residual 15-24 years Allvisits by female patients. . . . . . . . . . . . Prenatal examination, routine . . . . . . .X205 Symptoms referable to throat . . . . . . . .S455 Acne or pimples . . . . . . . . . . . . . . . . .. S830 General medical examination . . . . . . . . .XIOO Gynecological examination . . . . . . . . . . .X225 Abdominal pain, cramps, spasms . . . . . . . S550 Skin rash . . . . . . . . . . . . . . . . . . . . . .. S860 Head cold, upper respiratory infection (coryza) . . . . . . . . . . . . . . . . . . . . .. S445 Postoperative visit . . . . . . . . . . . . . . . .T205 Cough . . . . . . . . . . . . . . . . . . . . . . . .. S440 Postpartum examination . . . . . . . . . . . . .X215 Headache, pain inhead . . . . . . . . . . . . .. S21 O Pap smear . . . . . . . . . . . . . . . . . . . . . . X365 Pregnancy, unconfirmed . . . . . . . . . . . .X200 Back symptoms . . . . . . . . . . . . . . . . .. S905 Weight gain . . . . . . . . . . . . . . . . . . . .. S040 Other vaginal symptoms . . . . . . . . . . . . .S765 Family planning, N.0.S.2 . . . . . . . . . . . .X500 Earache, orear infection . . . . . . . . . . . . S355 Eye examination . . . . . . . . . . . . . . . . .. X230 Allother3 . . . . . . . . . . . . . . . . . . .. residual 25-34 years Allvisits by female patients. . . . . . . . . . . . Prenatal examination, routine . . . . . . . . .X205 Gynecological examination . . . . . . . , . . .X225 General medical examination . . . . . . , . . .XIOO Postoperative visit . . , . . . . . . . . . . . . . .T205 Symptoms referable to throat . . . . . . . . . S455 Weight gain . . . . . . . . . . . . . . . . . . . .. S040 Abdominal pain, crampsr spasms . . . . . S550 Pap smear . . . . . . . . . . . . . . . . . . . . .. X365 Postpartum examination . . . . . . . . . . . .X215 Acne or pimples . . . . . . . . . . . . . . . . .. S830 Headache, pain in head . . . . . . . . . .. S210 102,331 10,447 7,281 6,857 6,711 6,103 5,191 3,880 3,478 1,949 1,867 1,436 1,413 1,402 1,376 1,253 959 944 908 885 787 37,205 112,236 19,070 4,833 3,722 3,184 2,607 2,284 2,257 2,212 2,188 1,976 1,772 1,645 1,636 1,610 1,487 1,465 1,387 1,321 1,249 1,197 53,133 122,425 19,577 4,486 4,142 3,463 2,959 2,813 2,730 2,589 2,051 2,002 2,001 100.0 10.2 7.1 6.7 6.6 6.0 5.1 3.8 3.4 1.9 1.8 1.4 1.4 1.4 1.3 1.2 0.9 0.9 0.9 0.9 0.8 36.4 100.0 17.0 4.3 3.3 2.8 2.3 2.0 2.0 2.0 1.9 1.8 1.6 1.5 1.5 1.4 1.3 1.3 1.2 1.2 1.1 1.1 47.3 100.0 16.0 3.7 3.4 2.8 2.4 2.3 2.2 2.1 1.7 1.6 1.6 25-34 years–Con. Anxiety and nervousness . . . . . . . . . . . S100 Head cold, upper respiratory infection (coryza) . . . . . . . . . . . . . . . . . . . . . . S455 Cough . . . . . . . . . . . . . . . . . . . . . . . .. S440 Back symptoms . . . . . . . . . . . . . . . . .. S905 Depression . . . . . . . . . . . . . . . . . . . . .. S110 Other vaginal symptoms . . . . . . . . . . . . .S765 Vaginal discharge . . . . . . . . . . . . . . . .. S760 Skin rash . . . . . . . . . . . . . . . . . . . . . ..s860 Diet and nutritional counseling . . . . . . . .T600 Allother3 . . . . . . . . . . . . . . . . . . .. residual 3544 years Allvisits by female patients. . . . . . . . . . . . . . . General medical examination . . . . . . . . . .XIOO Postoperative visit . . . . . . . . . . . . . . . . .T205 Weight gain . . . . . . . . . . . . . . . . . . . .. S040 Gynecological examination . . . . . . . . . . .X225 Headache, pain in head . . . . . . . . . . . . .. S210 Symptoms referable to throat . . . . . . . . .S455 Back symptoms . . . . . . . . . . . . . . . . .. S905 Anxiety and nervousness . . . . . . . . . . . .S100 Abdominal pain, cramps, spasms . . . . . . . S550 Depression . . . . . . . . . . . . . . . . . . . . .. S110 Prenatal examination, routine . . . . . . . . .X205 Pap smear . . . . . . . . . . . . . . . . . . . . .. X365 Head cold, upper respiratory infection (coryza) . . . . . . . . . . . . . . . . . . . . .. S445 Cough . . . . . . . . . . . . . . . . . . . . . . . .. S440 Chest pain and related symptoms, not referable to body system . . . . . . . . . . . S050 Lumpormass of breast . . . . . . . . . . . .. S805 Neck symptoms . . . . . . . . . . . . . . . . .. S900 Skin rash . . . . . . . . . . . . . . . . . . . . . ..s860 Low backsymptoms . . . . . . . . . . . . . .. S910 Vision dysfunctions . . . . . . . . . . . . . . . . S305 Allother3 . . . . . . . . . . . . . . . . . . .. residual 45-54 years Allvisits by female patients . . . . . . . . . . . . . . . General medical examination . . . . . . . . . .XIOO Postoperative visit . . . . . . . . . . . . . . . .. T205 Blood pressure test . . . . . . . . . . . . . . .. X320 Back symptoms . . . . . . . . . . . . . . . . .. S905 Headache, pain in head . . . . . . . . . . . . . .S210 Weight gain . . . . . . . . . . . . . . . . . . . .. S040 Gynecological examination . . . . . . . . . . .X225 Hypertension . . . . . . . . . . . . . . . . . . .. D510 Cough . . . . . . . . . . . . . . . . . . . . . . . .. S440 Vision dysfunctions . . . . . . . . . . . . . . . .S305 Menopausal symptoms . . . . . . . . . . . . .S750 Chest pain and related symptoms not referable to body system . . . . . . . . . . . S050 Abdominal pain, cramps, spasms . . . . . . . S550 Anxiety andnervousnass . . . . . . . . . . .S100 Symptoms referable to throat . . . . . . . . . S455 Head cold, upper respiratory infection (coryza) . . . . . . . . . . . . . . . . . . . . .. S445 Vertigodizziness . . . . . . . . . . . . . . . . .. S225 Eye examination.......,.. . . . . . . .. X230 Injections . . . . . . . . . . . . . . . . . . . . . . TIIO Depression . . . . . . . . . . . . . . . . . . . . .. S110 Allother3 . . . . . . . . . . . . . . . . . . .. residual 1,761 1,704 1,667 1,619 1,508 1,479 1,457 1,418 1,410 59,587 75,760 3,235 2,738 2,571 2,266 1,857 1,836 1,818 1,639 1,549 1,546 1,335 1,269 1,178 1,127 1,101 1,016 991 902 891 804 44,089 83,719 3,750 3,159 2,341 2,109 2,039 2,037 2,002 1,762 1,672 1,500 1,499 1,467 1,429 1,361 1,193 1,186 1,183 1,158 1,140 1,107 48,624 1.4 1.4 1.4 1.3 1.2 1.2 1.2 1.2 1.2 48.7 100.0 4.3 3.6 3.4 3.0 2.5 2.4 2.4 2.2 2.0 2.0 1.8 1.7 1.6 1.5 1.5 1.3 1.3 1.2 1.2 1.1 58.2 100.0 4.5 3.8 2.8 2.5 2.4 2.4 2.4 2.1 2.0 1.8 1.8 1.8 1.7 1.6 1.4 1.4 1.4 1.4 1.4 1.3 58.1 See footnotes at end of table. 28 Table4. Number andpercent distribution of office visits made bymalepatients, bya~ofpatient andthe20 mofifrequent principal reasons forvisit: United States, 1977-78–Con. Number Percent Number Age, principal reason for visit, of visits Age, principal reason for visit, Percent distri- of visits and R VC code q in thou- distri- bution and R VC code 1 in thou- sands bution sands 45-54 years–Con. Anxiety and nervousness . . . . . . . . . . . .S100 Depression . . . . . . . . . . . . . . . . . . . . .. S110 Shoulder symptoms . . . . . . . . . . . . . . .. S940 Skin lesion . . . . . . . . . . . . . . . . . . . . ..S865 Eyeexamination . . . . . . . . . . . . . . . . ..X230 Foot andtoesymptoms . . . . . . . . . . . . .S935 Allother3 . . . . . . . . . . . . . . . . . . .. residual 55-64 years Allvisits by male patients . . . . . . . . . . . . . . . . General medical examination . . . . . . . . . . XIOO Blood pressure test . . . . . . . . . . . . . . .. X320 Chest pain and related symptoms, not referable to body system . . . . . . . . . . . S050 Postoperative visit . . . . . . . . . . . . . . . . . T205 Hypertension . . . . . . . . . . . . . . . . . . .. D510 Backsymptoms . . . . . . . . . . . . . . . . .. S905 Diabatas mellitus . . . . . . . . . . . . . . . . .. D205 Cough . . . . . . . . . . . . . . . . . . . . . . . .. S440 Head cold, upper respiratory infection (coryza) . . . . . . . . . . . . . . . . . . . . . . S445 Vartigo-dizziness . . . . . . . . . . . . . . . . .. S225 Low backsymptoms . . . . . . . . . . . . . .. S910 Lag symptoms . . . . . . . . . . . . . . . . . .. S920 Vision dysfunctions . . . . . . . . . . . . . . . .S305 Shoulder symptoms . . . . . . . . . . . . . . .. S94O Heart examination . . . . . . . . . . . . . . . .. X235 Skin rash . . . . . . . . . . . . . . . . . . . . . .. S860 Footand toe symptoms . . . . . . . . . . . . .S935 Abdominal pain, cramps, spasms . . . . . . .S550 Headache, pain in head . . . . . . . . . . . . .. S210 Knee symptoms . . . . . . . . . . . . . . . . .. S925 Allother3 . . . . . . . . . . . . . . . . . . .. residual 65-74 years Allvisits by male patients . . . . . . . . . . . . . . . . General medical examination . . . . . . . . . .XIOO Blood pressure test . . . . . . . . . . . . . . .. X320 Postoperative visit . . . . . . . . . . . . . . . . .T205 Chest pain and related symptoms, not referable to body system . . . . . . . . . . . S050 Hypertension . . . . . . . . . . . . . . . . . . .. D510 687 670 646 629 619 613 32,675 60,826 3,098 2,671 2,265 2,179 2,119 1,955 1,184 1,132 916 895 887 861 857 844 807 798 784 769 759 745 34,302 46,623 2,268 1,973 1,928 1,470 1,141 1.3 1.2 1.2 1.2 1.1 1.1 59.8 100.0 5.1 4.4 3.7 3.6 3.5 3.2 1.9 1.9 1.5 1.5 1.5 1.4 1.4 1.4 1.3 1.3 1.3 1.3 1.2 1.2 56.4 100.0 4.9 4.2 4.1 3.2 2.4 65-74 years–Con. Vertigo-dizziness . . . . . . . . . . . . . . . . .. S225 Vision dysfunctions . . . . . . . . . . . . . . . .S305 Leg symptoms . . . . . . . . . . . . . . . . . .. S920 Backsymptoms . . . . . . . . . . . . . . . . .. S905 Diabates mellitus . . . . . . . . . . . . . . . . .. D205 Shortness of breath . . . . . . . . . . . . . . .. S415 Heart examination . . . . . . . . . . . . . . . .. X235 Cough . . . . . . . . . . . . . . . . . . . . . . . .. S440 Eyeexamination . . . . . . . . . . . . . . . . .. X230 Head cold, upper respiratory infection (coryza) . . . . . . . . . . . . . . . . . . . . . .S445 Abdominal pain, cramps, spasms . . . . . . . s550 Footand toesymptoms . . . . . . . . . . . . .S935 Ischemic heart disease . . . . . . . . . . . . . .D515 Headache, pain in head.. . . . . . . . . . . . .S210 Knee symptoms . . . . . . . . . . . . . . . . .. S925 Allother3 . . . . . . . . . . . . . . . . . . .. residual 75 years and over Allvisits by malepatients . . . . . . . . . . . . . . . . General medical examination . . . . . . . . . .XIOO Blood pressure teat . . . . . . . . . . . . . . .. X320 Vision dysfunctions . . . . . . . . . . . . . . . . s305 Chest pain and related symptoms (not referable to body system) . . . . . . . . . . . S050 Postoperative visit . . . . . . . . . . . . . . . .. T205 Shortness of breath . . . . . . . . . . . . . . .. S415 Heart examination . . . . . . . . . . . . . . . .. X235 Vertigo-dizziness . . . . . . . . . . . . . . . . . .S225 Cough . . . . . . . . . . . . . . . . . . . . . . . .. S440 Back symptoms . . . . . . . . . . . . . . . . .. S905 Hypertension . . . . . . . . . . . . . . . . . . .. D510 General weakness . . . . . . . . . . . . . . . .. S020 Leg symptoms . . . . . . . . . . . . . . . . . .. S920 Abdominal pain, cramps, spasms . . . . . . .S550 Diabates mellitus . . . . . . . . . . . . . . . . .. D205 Other urinary dysfunctions . . . . . . . . . . . S660 Skin lesion . . . . . . . . . . . . . . . . . . . . ..s865 Labored ordifficult breathing (dyspnea) .. S420 Arthritis . . . . . . . . . . . . . . . . . . . . . .. D900 Eye examination . . . . . . . . . . . . . . . . .. X230 AlIother3 . . . . . . . . . . . . . . . . . . .. residual 1,103 1,004 988 933 890 884 796 695 664 649 640 602 589 560 557 26,284 25,902 1,648 1,249 886 875 838 790 683 571 542 511 500 485 443 423 401 380 368 349 ’268 * 286 13,376 2.4 2.2 2.1 2.0 1.9 1.9 1.7 1.5 1.4 1.4 1.4 1.3 1.3 1.2 1.2 56.4 100.0 6.4 4.8 3.5 3.4 3.2 3.1 2.6 2.2 2.1 2.0 1.9 1.9 1.7 1.6 1.5 1.5 1.4 1.3 *1.1 *1.1 51.6 I see reference ‘1. 2N.o.s. = not otherwise specified; N. E. C.= notelsewhera classified. Slncludes blenk, illegible, and uncodable entries. 31 Table5. Number ofmostfrequent all-listed reasons forvisitl in rank order: United Statas,1977-78 Number Number Rank Reason for visit and of all-listed Rank Reason for visit and of all-listed R VC code2 reasons in R VC code2 reasons in thousands3 thousands3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 General medical examination . . . . . . . . . XIOO Symptoms referable to throat . . . . . . . . . S455 Cough . . . . . . . . . . . . . . . . . . . . . . .. S440 Prenatal examination, routine . . . . . . . . . X205 Fever . . . . . . . . . . . . . . . . . . . . . . . .. S010 Head cold, upper respiratory infection (coryza) . . . . . . . . . . . . . . . . . . . . . . S445 Postoperative visit . . . . . . . . . . . . . . . . T205 Backsymptoms . . . . . . . . . . . . . . . . .. S905 Headache, pain in head . . . . . . . .S210 Blood pressure test . . . . . . . . . . . . . . .. X320 Chast pain and relatad symptoms (not referable to body system) . . . . . . . . . . S050 Abdominal pain, cramps, spasms . . . . . . . s550 Skin rash . . . . . . . . . . . . . . . . . . . . ..s860 Earache, or ear infection . . . . . . . . . . S355 Hypertension . . . . . . . . . . . . . . . . . .. D510 Anxiety and nervousness . . . . . . . . . . . . S100 Vision dysfunctions . . . . . . . . . . . . . . . S305 Vertigo-dizziness . . . . . . . . . . . . . . . S225 Gynecological examination . . . . . . . . . . X225 Progress visit, N.0.S.4 . . . . . . . . . . . . . . T800 Nasal congestion . . . . . . . . . . . . . . . .. S400 Neck symptoms . . . . . . . . . . . . . . . . .. S900 Well baby examination . . . . . . . . . . . . . XI05 Leg symptoms . . . . . . . . . . . . . . . . . .. S920 Weight gain . . . . . . . . . . . . . . . . . . . .. S040 Knee symptoms . . . . . . . . . . . . . . . . .. S925 Allergy medication . . . . . . . . . . . . . . . .TIOO Depression . . . . . . . . . . . . . . . . . . . .. S110 Tirednass, exhaustion . . . . . . . . . . . . . . SO15 Low backsymptoms . . . . . . . . . . . . . .. S910 Eyeexamination . . . . . . . . . . . . . . . .. X230 Diabetes mellitus . . . . . . . . . . . . . . . .. D205 Shouldarsymptoms . . . . . . . . . . . . . . S940 Acne orpimples . . . . . . . . . . . . . . . . .. S830 Pap smear . . . . . . . . . . . . . . . . . . . . .. X365 Foot and toe symptoms . . . . . . . . . . . . S935 “None” or “no complaint” . . . . . . . . . U997 General weakness . . . . . . . . . . . . . . . .. S020 Shortness of breath . . . . . . . . . . . . . .. S415 Skin lesion . . . . . . . . . . . . . . . . . . . .. S865 Stomach pain, cramps, and spasms . . . . . S545 Nausea . . . . . . . . . . . . . . . . . . . . . . .. S525 Pain, site not referable to a specific body system . . . . . . . . . . . . . . . . . .. S055 Prophylactic inoculations . . . . . . . . . , . X400 Abnormal sensations of the eye . . . . . . . S320 Hand and finger symptoms . . . . . . . . . . S960 68,894 53,877 50,469 42,410 34,606 33,502 33,050 31,645 30,797 29,885 27,245 25,954 25,322 24,745 21,733 20,024 19,124 18,250 17,930 17,812 17,595 158750 15,293 14,899 14,704 14,554 14,385 13,898 13,612 13,530 13,320 12,538 11,994 11,365 11,157 11,062 10,672 10,306 10,211 9,557 9,167 9,166 8,811 8,799 8,413 8,401 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 Painful urination . . . . . . . . . . . . . . . .. S650 Pain and related symptoms, generalized, site unspacified . . . . . . . . . . . . . . . .. S060 Suture-insertio~ removal . . . . . . . . . . . . T555 AIlergy, N.O.S. . . . . . . . . . . . . . . . .. S090 Diarrhea . . . . . . . . . . . . . . . . . . . . . ..s595 Arthritis . . . . . . . . . . . . . . . . . . . . . .. D900 Fraquency and urgancy of urination . , . . S645 Skin irritations, N. E.C.4 . . . . . . . . . . . . S870 Other symptoms referable to the ears, N. E.c,4 . . . . . . . . . . . . . . . . . . . . .. S365 Vomiting . . . . . . . . . . . . . . . . . . . . .. S530 Inactions . . . . . . . . . . . . . . . . . . . . .. TIIO Physical examination required for employ meri t . . . . . . . . . . . . . . . . .. AIOO Arm symptoms . . . . . . . . . . . . . . . . .. S945 Haaring dysfunctions . . . . . . . . . . . . . . S345 Diet and nutritional counseling . . . . . . . . T600 Other vaginal symptoms . . . . . . . . . . . . S765 Disturbances of sensation . . . . . . . . . . . S220 Vaginal discharge . . . . . . . . . . . . . . . .. S760 Uterine and vaginal bleeding . . . . . . . . . . S755 Symptoms referable to anus-rectum . . . . . S605 Heart examination . . . . . . . . . . . . . . .. X235 Warts, N.0.S.4 . . . . . . . . . . . . . . . . . .. S850 Hip symptoms . . . . . . . . . . . . . . . . . ..s915 Labored or difficult breathing (dyspnea) . . S420 Physical examination required for school . . . . . . . . . . . . . . . . . . . . . .. AIIO Symptoms of unspecified joints . . . . . . . S970 Sinus problems . . . . . . . . . . . . . . . . .. S410 Ischemic heart disaase . . . . . . . . . . . . . .D515 Lump ormass of breast . . . . . . . . . . . .. S805 Postpartum examination . . . . . . . . . . . . X215 Wheezing . . . . . . . . . . . . . . . . . . . . .. S425 Ankle symptoms . . . . . . . . . . . . . . . .. S930 Other disaases of the skin . . . . . . . . . . . D825 Symptoms of fluid abnormalities . . . . . . S035 Abnormal pulsations and palpitations . . . S260 Ganeral ill feeling . . . . . . . . . . . . . . . .. S025 Pluggad feeling in ear . . . . . . . . . . . . . . S360 Flu . . . . . . . . . . . . . . . . . . . . . . . . .. S450 Sprains and strains: upper extremity . . . . J225 Menopausal symptoms . . . . . . . . . . . . . S750 Congestion in chest . . . . . . . . . . . . . .. S475 Family planning, N.0.S.4 . . . . . . . . . . . X500 Abnormal appearance of eyas . . . . . . . . . S330 Upper respiratory infections except tonsil litis . . . .. . . . . . . . . . . . . . . . .. D600 7,848 7,799 7,652 7,273 7,258 7,109 6,988 6,709 6,679 6,570 6,432 6,413 6,334 6,113 6,047 5,952 5,935 5,704 5,660 5,610 5,578 5,292 5,238 5,205 5,190 5,085 5,036 5,002 4,975 4,907 4,789 4,681 4,520 4,513 4,344 4,344 4,337 4,336 4,302 4,242 4,242 4,153 4,089 3,979 lNumber will not add to total visits because a reason may ba listed mora than once on one form. For example, S410, SinLISproblems, includes S410.1 (sinus headache) and S41 0.3 (sinus congestion). ‘See referance 1. 3An a“eraga a“nuaI number of mentions may ba obtained by dividing this numbar by two. 4N.o,s. = not otharwise specifiad; N.E. C. = not elsewhere classified. 32 Table 6. Number and percent of office visits, by selected Principal symptomatic reasons for visit and most frequent second-or third-listed reasons for visit in the Symptom Module: United States, 1977-78 Principal reason for visit, second- or third-listed reason for visit, and R VC code q Number Percentof visits in thou- Of visits sands Principal reason for visit, second- or third-listed raason for visit, and R VC code~ Number Percent of visits of in thou- visits sands Fever . . . . . . . . . . . . . . . . . . . . . . . .. S010 Cough . . . . . . . . . . . . . . . . . . . . . . .S440 Symptoms referable to throat . . . . . . .S455 Vomiting . . . . . . . . . . . . . . . . . . . .. S530 Headcold . . . . . . . . . . . . . . . . . . ..S445 Nasal congestion . . . . . . . . . . . . . . ..S400 Headache,pain inhead . . . . . . . . . ..S210 Chills . . . . . . . . . . . . . . . . . . . . . ..so05 Pain and related symptoms, generalized, siteunspecified . . . . . . . . . . . . . ..S060 Diarrhea . . . . . . . . . . . . . . . . . . . ..S595 General illfeeling . . . . . . . . . . . . . ..S025 Skin rash . . . . . . . . . . . . . . . . . . . ..S660 Earache . . . . . . . . . . . . . . . . . . . . ..S355 Tiradness,exhaustion. . . . . . . . . . . . . ..so15 Generalweakness . . . . . . . . . . . . . ..S020 Generalweakness . . . . . . . . . . . . . . . ..S020 Tiredness, exhaustion . . . . . . . . . . . .S015 Vertigo-dizzinass. . . . . . . . . . . . . . . .S225 Chest pain and related symptoms (not referable toa body system) . . . . . . . . . . S050 Shortness of breath . . . . . . . . . . . . .. S415 Cough . . . . . . . . . . . . . . . . . . . . . .. S440 Backsymptoms . . . . . . . . . . . . . . .. S905 Armsymptoms . . . . . . . . . . . . . . . .. S945 Vertigo-dizziness. . . . . . . . . . . . . . . .S225 Pain and related symptoms, generalized site unspecified . . . . . . . . . . . . . . . . .. S060 Fever . . . . . . . . . . . . . . . . . . . . . .. S010 Anxiety and nervousness . . . . . . . . . . . .S100 Depression . . . . . . . . . . . . . . . . . . .. S110 Disturbances ofsleap . . . . . . . . . . . . .S135 Depression . . . . . . . . . . . . . . . . . . . . .. S110 Anxiety and nervousness . . . . . . . . . . S100 Other symptoms or problems relating to psychological and mental disorders, N. E. C.2. . . . . . . . . . . . . .S165 Headache, pain in head . . . . . . . . . . . . .. S210 Vertigo-dizziness . . . . . . . . . . . . . . . . S225 Nasal congestion . . . . . . . . . . . . . . .. S400 Necksymptoms . . . . . . . . . . . . . . .. S900 Nausea . . . . . . . . . . . . . . . . . . . . .. S525 Fever . . . . . . . . . . . . . . . . . . . . . .. S010 Symptoms referable to throat . . . . . . .S455 Backsymptoms . . . . . . . . . . . . . . .. S905 Chest pain and related symptoms (not referable to body system) . . . . . . . . . S050 Cough . . . . . . . . . . . . . . . . . . . . . . .S440 Disturbances of sensation . . . . . . . . . . . .S220 Hand and finger symptoms . . . . . . . . . S960 Arm symptoms . . . . . . . . . . . . . . . .. S945 Vertigo-dizziness . . . . . . . . . . . . . . . . . . S225 Headache, pain in head . . . . . . . . . . .S210 General weakness . . . . . . . . . . . . . .. S020 Vision dysfunctions . . . . . . . . . . . . . . . .s305 Abnormal sensations oftha eye . . . . . . S320 Abnormal sensations of the eya . . . . . . . . S320 Vision dysfunctions . . . . . . . . . . . . . . S305 Discharge from eye . . . . . . . . . . . . ..s310 Abnormal appearance of eyes . . . . . . . . . S330 Abnormal sensations of the eye . . . . . . S320 See footnotes at end of table. 18,039 3,408 2,549 1,187 1,107 642 775 674 520 446 440 413 407 8,026 521 5,745 703 482 18,081 817 754 432 368 340 4,545 399 12,078 1,495 796 9,081 995 440 18,342 1,272 634 567 552 544 498 443 407 349 3,344 606 338 11,342 845 510 15,824 425 5,888 477 338 2,408 728 100.0 18.9 14.1 6.6 6.1 4.7 4.3 3.7 2.9 2.5 2.4 2.3 2.3 100.0 6.5 100.0 12.2 8.4 100.0 4.5 4.2 2.4 2.0 1.9 100.0 8.8 100.0 12.4 6.6 100.0 11.0 4,8 100.0 6.9 3.5 3.1 3.0 3,0 2.7 2.4 2.2 1.9 100.0 18.1 10.1 100.0 7.5 4.5 100.0 2.7 100.0 8.1 5.7 100.0 30.3 Earache . . . . . . . . . . . . . . . . . . . . . . .. S355 Fader . . . . . . . . . . . . . . . . . . . . . .. S010 Symptoms referable to throat . . . . . . . S455 Hearing dysfunctions . . . . . . . . . . . . .S345 Cough . . . . . . . . . . . . . . . . . . . . . .. S440 Headcold . . . . . . . . . . . . . . . . . . .. S445 Nasal congestion . . . . . . . . . . . . . . . . .. S400 Cough . . . . . . . . . . . . . . . . . . . . . .. S440 Sneezing . . . . . . . . . . . . . . . . . . . .. S435 Headache, pain in head . . . . . . . . . . .S210 Symptoms referable to throat . . . . . . .S455 Shortness of breath . . . . . . . . . . . . . . .. S415 Chest pain and related symptoms (not referable to body system) . . . . . . . . . S050 Cough . . . . . . . . . . . . . . . . . . . . . .. S440 Wheezing . . . . . . . . . . . . . . . . . . . .. S425 Lebored ordifficult braathing(dyspnea) . .S420 Cough . . . . . . . . . . . . . . . . . . . . . .. S440 Wheezing . . . . . . . . . . . . . . . . . . . . . .. S425 Cough . . . . . . . . . . . . . . . . . . . . . .. S440 Cough . . . . . . . . . . . . . . . . . . . . . . . .. S440 Fever . . . . . . . . . . . . . . . . . . . . . .. S010 Nasal congestion . . . . . . . . . . . . . . .. S400 Symptoms referable to throat . . . . . . . S455 Headcold . . . . . . . . . . . . . . . . . . .. S445 Chast pain and related symptoms (not referable to body system) . . . . . . . . . S050 Wheezing . . . . . . . . . . . . . . . . . . . .. S425 Congestion in chest . . . . . . . . . . . . . .S475 Shortness of breath . . . . . . . . . . . . . .S415 Earache . . . . . . . . . . . . . . . . . . . . .. S355 Vomiting . . . . . . . . . . . . . . . . . . . .. S530 Abnormal itiesof sputum or phlegm . . . S470 Headacha, pain in head , . . . . . . . . . . S210 Head cold, upper respiratory infection (coryza) . . . . . . . . . . . . . . . . . . . . .. S445 Cough . . . . . . . . . . . . . . . . . . . . . .. S440 Symptoms referable to throat . . . . . . . S455 Fever . . . . . . . . . . . . . . . . . . . . . .. S010 Nasal congestion . . . . . . . . . . . . . . .. S400 Earache . . . . . . . . . . . . . . . . . . . . .. S355 Symptoms referable to throat . . . . . . . . . S455 Fever . . . . . . . . . . . . . . . . . . . . . .. S010 Cough . . . . . . . . . . . . . . . . . . . . . .. S440 Earache . . . . . . . . . . . . . . . . . . . . .. S355 Headache, pain in head . . . . . . . . . . . S210 Nasel congestion . . . . . . . . . . . . . . .. S400 Headcold . . . . . . . . . . . . . . . . . . .. S445 Symptoms of lymph glands . . . . . . . . . S275 Pain and related symptoms, generalized, site unspecified . . . . . . . S060 Vomiting . . . . . . . . . . . . . . . . . . . . . .. S530 Diarrhea . . . . . . . . . . . . . . . . . . . ..s595 Fever . . . . . . . . . . . . . . . . . . . . . .. S010 Abdominal pain, cramps, spasms . . . . . . . S550 Nausea . . . . . . . . . . . . . . . . . . . . .. S525 Diarrhea . . . . . . . . . . . . . . . . . . . ..s595 Back symptoms . . . . . . . . . . . . . . .. S905 Vomiting . . . . . . . . . . . . . . . . . . . .. S530 Diarrhea . . . . . . . . . . . . . . . . . . . . . .. S595 Vomiting . . . . . . . . . . . . . . . . . . . .. S530 19,100 770 658 618 519 606 11,052 1,190 606 516 492 6.474 497 457 366 3,348 389 2,987 531 29,059 3,742 2,585 2,485 2,174 1,202 740 726 479 476 439 404 386 21,145 3,662 1,387 1,191 586 449 34,884 3,743 3,225 1,280 1,272 906 865 546 503 3,726 1,003 571 17,567 642 631 442 417 4,647 390 100.0 4.0 3.4 3.2 2.7 2.6 100.0 10.8 5.5 4.7 4.5 100.0 7.7 7.1 5.7 100.0 11.6 100.0 17.8 100.0 12.9 8.9 8.6 7.5 4.1 2.5 2.5 1.6 1.6 1.5 1.4 1.3 100.0 17.3 6.6 5.6 2.8 2.1 100.0 10.7 9.2 3.7 3.6 2.6 2.5 1.6 1.4 100.0 26.9 15.3 100.0 4.8 3.6 2.5 2.4 100.0 8.1 33 Table7. Number andpercent distribution of selected principal reasons forvisitl byproblem status; andreturn visit rate: United States, 1977-78–Con. Total New problem visits Return visits Return Rank Principal reason for visit and R VC code2 Number Percent Number Percent Number Parcent visit of visits distri- in thou- distri- in thou- distri- in thou- rate3 bution sands bution sands bution sands 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 95 96 97 98 99 100 101 102 103 104 105 106 107 108 109 110 111 112 113 114 115 116 117 118 119 120 121 122 123 124 125 Frequancy and urgency of urination . . . . . . . . S645 Blood pressure test . . . . . . . . . . . . . . . . . . . . . .. X320 Other diseaeasofthe skin . . . . . . . . . . . . . . . . .. D825 Other growths of skin . . . . . . . . . . . . . . . . . . . .. S855 Disturbances of sensation . . . . . . . . . . . . . . . . . . S2Z0 Abnormal appearance of eyes . . . . . . . . . . . . . . . S330 Plugged feeling in ear . . . . . . . . . . . . . . . . . . . .. S360 Other symptoms referable to the ears, N. E.C.4 . . . . S365 Other symptoms ofnoea . . . . . . . . . . . . . . . . . .. S405 Symptoms of skin moles . . . . . . . . . . . . . . . . . .. S845 Congestion incheet . . . . . . . . . . . . . . . . . . . . .. S475 Ankle symptoms . . . . . . . . . . . . . . . . . . . . . . .. S930 General weakness . . . . . . . . . . . . . . . . . . . . . . .. S020 Insurance examination . . . . . . . . . . . . . . . . . . .. A125 Other symptoms referable to aye, N. E.C.4 . . . . . . . S335 Contraceptive device . . . . . . . . . . . . . . . . . . . . .. X510 Foreign body: eye . . . . . . . . . . . . . . . . . . . . . .. J600 Symptoms of eyelids . . . . . . . . . . . . . . . . . . . .. S340 Discoloration or pigmentation . . . . . . . . . . . . . , . S835 Sinus problems . . . . . . . . . . . . . . . . . . . . . . . ..s410 Shortness of breath . . . . . . . . . . . . . . . . . . . . .. S415 Hip symptoms . . . . . . . . . . . . . . . . . . . . . . . . .. S915 Postpartum examination . . . . . . . . . . . , . . .X215 General ill feeling . . . . . . . . . . . . . . . . . . . . . . .. S025 Labored or difficult braathing (dyspnea) . . . . . . . . S420 Symptoms referable to mouth . . . . . . . . . . . . . . S510 Infections of skin, N.0.S.4 . . . . . . . . . . . . . . . . . S840 Accident, N.0.S.4 . . . . . . . . . . . . . . . . . . . . . .. J810 Symptoms of fluid abnormalities . . . . . . . . . . . . . S035 Elbow symptoms . . . . . . . . . . . . . . . . . . . . . . .. S950 Symptoms of lymph glands (or nodes) . . . . . . . . . . S275 Absence of menstruation (amenorrhea) . . . . . . . S730 Upper respiratory infections except tonsillitis . . . . , D600 Counseling, N.0.S.4 . . . . . . . . . . . . . . . . . . . . .. T605 Injury, type unspecified: foot and toe(s) . . . . . . . . J545 Wrist symptoms . . . . . . . . . . . . . . . . . . . . . . ...5955 Discharge from eye . . . . . . . . . . . . . . . . . . . . . .. S310 Hernia of abdominal cavity . . . . . . . . . . . . . . . . D660 Carbuncle, furuncle, boil, cellulitis, abscess, N. E. C.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D800 Premarital axarnination . . . . . . . . . . . . . . . . . . . .A135 Bites: insect . . . . . . . . . . . . . . . . . . . . . . . . . .. J755 Pain orsoreness of breast . . . . . . . . . . . . . . . . . .. S800 Injury, type unspecified: head, neck, and face . . . . . J505 Irregularity of menstrual interval . . . . . . . . . . . . . . S735 Disorders of voice . . . . . . . . . . . . . . . . . . . . . . .S480 Menstrual symptoms, other and unspecified . . . . . S745 Depression . . . . . . . . . . . . . . . . . . . . . . . . . . .. S110 Diet and nutritional counseling . . . . . . . . . . , . . , T600 Abnormal pulsations and palpitations . . . . . . . . . . S260 Abnormal ities of urine . . . . . . . . . . . . . . . . . . .. S640 Other symptoms referable to skin . . . . . . . . . . . . . S880 Symptoms of scrotum and testes . . . . . . . . . S715 Bites: animal, human . . . . . . . . . . . . . . . . . . . .. J76O Fitting glasses and contact lenses . . . . . . . . . . . . , T51 5 Contraceptive medication . . . . . . . . . . , . . , . . . . X505 Fainting (syncope) . . . . . . . . . . . . . . . . . . . . . .. S030 Injury, type unspecified: eye . . . . . . . . . . . . . . . J510 Allergy rN.0.S.4 . . . . . . . . . . . . . . . . . . . . . . .. S090 General symptoms of infants, N. E.C.4 . . . . . . . . S080 Injury, type unspecified: back . . . . . . . . . . . . . . . J515 Symptoms of the bladder . . . . . . . . . . . . . . . . .. S665 Motor vehicle accident, typa of injury unspecified . . J805 Progress visit, N.0.S.4 . . . . . . . . . . . . . . . . . . . .. T800 Wheezing . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S425 4,340 23,696 3,544 3,153 3,342 2,408 3,398 5,224 2,858 2,070 2,859 3,397 5,747 1,711 2,687 2,566 1,872 2,322 2,329 3,520 6,474 3,747 4,114 2,833 3,348 1,779 2,059 1,697 2,684 2,473 1,795 1,745 2,810 2,596 1,444 2,275 1,592 2,364 2,252 1,132 1,103 1,718 1,558 1,793 1,675 1,566 9,081 4,826 3,187 1,908 1,913 1,494 1,069 2,954 1,833 1,466 1,130 6,402 1,153 1,247 1,564 1,690 17,115 2,987 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 1,928 1,647 1,825 1,798 1,737 1,719 1,690 1,670 1,653 1,624 1,602 1,600 1,576 1,555 1,550 1,531 1,531 1,512 1,422 1,401 1,373 1,366 1,356 1,318 1,296 1,295 1,279 1,268 1,256 1,246 1,239 1,231 1,188 1,152 1,139 1,133 1,107 1,083 1,061 1,046 983 981 977 976 976 975 971 964 946 944 922 910 888 684 849 848 831 816 814 808 805 795 790 44.4 7.8 51.5 57.0 51.9 71.4 49.7 32.0 57.8 78.5 56.0 47.1 27.4 90.9 57.7 59.7 81.8 65.1 61.1 39.8 21.2 36.5 33.0 46.5 38.7 72.8 62.1 74.8 46.8 50.4 69.0 70.6 42.3 44.4 78.9 49.8 69.6 45.8 47.1 92.4 89.2 57.1 62.7 54.4 58.2 62.3 10.7 20.0 29.7 49.5 48.2 60.9 83.1 30.1 48.2 57.9 75.1 13.0 70.8 65.3 51.7 47.6 4.7 26.5 2,212 21,849 1,719 1,355 1,607 689 1,708 3,554 1,206 446 1,257 1,797 4,170 *152 1,137 1,034 341 810 906 2,118 5,101 2,381 2,758 1,516 2,052 484 779 428 1,428 1,227 556 513 1,622 1,444 ’305 1,141 485 1,280 1,191 *87 *120 737 582 817 700 591 8,111 3,862 2,241 964 991 584 *180 2,065 949 617 ’282 5,571 *337 433 756 885 16,320 2,197 55.6 92.2 48.5 43.0 48.1 28.6 50.3 68.0 42.2 21.6 44.0 52.9 72.6 *9.1 42.3 40.3 18.2 34.9 38.9 60.2 78.8 63.5 67.0 53.5 61.3 27,2 37.9 25.2 53.2 49.6 31.0 29.4 57.7 55.6 *21.1 50.2 30.5 54.2 52.9 *7.7 *10.9 42.9 37.3 45.6 41.8 37.7 89.3 80.0 70.3 50.5 51.8 39.1 *16.9 69.9 51.8 42.1 *24.9 87.0 *29.2 34.7 48.3 52.4 95.4 73.6 1.15 11.83 0.94 0,75 0.93 0.40 1.01 2.13 0,73 0.28 0.27 1,12 2.65 *0. I o 0.73 0.68 0.22 0.54 0.64 1.51 3.72 1,74 2.03 1.15 1.58 0.37 0.61 0.34 1.14 0.98 0.45 0.42 1.37 1.25 “0.27 1.01 0.44 1.18 1.12 ‘0.08 “0.12 0.75 0.60 0.84 0.72 0.61 8.35 4.01 2.37 1.02 1.07 0.64 *0.20 2.33 1.07 0.73 ‘0.33 6.70 ‘0.41 0.53 0.94 1.10 20.53 2.78 See footnotes at end of table. 36 Table 7. Number and percent distribution of selected principal reasons for visitq by problem status; and return visit rate: United States, 1977-78–Con. Total New problem visits Return visits Return Rank Principal reason for visit and R VC code2 Number Percent Number Percent Number Percent visit of visits distri- in thou- distri- in thou- distri- in thou- rate3 bution sands bution sands sends bution 126 127 128 129 130 131 132 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 151 152 153 154 155 156 157 158 159 160 161 162 163 164 165 166 167 Arthritis . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D900 Pelvic symptoms . . . . . . . . . . . . . . . . . . . . . . .. S775 Other symptoms referable todigastive system . . . . .S615 Incontinenceof urine (enuresis) . . . . . . . . . . . . ..S655 Sprainsandstrairws ankle . . . . . . . . . . . . . . . . ..J120 Burnsrall degrees: extremities . . . . . . . . . . . . . . . J715 Injury, type unspacified: ankle . . . . . . . . . . . . . ..J540 Viral diseases . . . . . . . . . . . . . . . . . . . . . . . . . ..DO15 Hemorrhoids . . . . . . . . . . . . . . . . . . . . . . . . . ..D545 Irregularityof menstrual flow.. . . . . . . . . . . . . . .S740 Urinary tract infection, N.0.S.4 . . . . . . . . . . . . ..S675 Injections . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIIO Constipation . . . . . . . . . . . . . . . . . . . . . . . . . ..S590 Tumor ormass,siteunspecified . . . . . . . . . . . . ..S065 Preoperative visit for specified and unspecified types of surgery . . . . . . . . . . . . . . . . . . . . . .. T200 Lacerations and cuts Iower extremity . . . . . . . . . . J220 Other urinary dysfunctions . . . . . . . . . . . . . . . . .S660 Injury, typeunspecified: knee . . . . . . . . . . . . . . . J535 Lacerations andcutx facial area . . . . . . . . . . . . . . J210 Discharge from ear . . . . . . . . . . . . . . . . . . . . . .. S350 Difficulty inswallowing (dysphasia) . . . . . . . . . . .S520 Symptoms of penis . . . . . . . . . . . . . . . . . . . . . .. S700 Lacerations and cuts head and neck area . . . . . . . . J205 For cytology findings . . . . . . . . . . . . . . . . . . . .. R300 Symptoms of unspecified joints . . . . . . . . . . . . . .S970 Chills . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S005 Minor surgery . . . . . . . . . . . . . . . . . . . . . . . . .. T520 Vulvardisorders . . . . . . . . . . . . . . . . . . . . . . . .. S770 Forother andunspecified test rasults. . . . . . . . . . .R700 General or unspecified infection . . . . . . . . . . . . . .S085 Symptoms referabla to hair and scalp . . . . . . . . . . . S890 Driver’s license examination . . . . . . . . . . . . . . . . . A120 Tonsil litis . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D605 Heartburn and indigestion (dyspapsia) . . . . . . . . . . S535 Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . .. D205 Musculoskelatal deformities . . . . . . . . . . . . . . . . . S975 Menopausal symptoms . . . . . . . . . . . . . . . . . . .. S750 Weight less . . . . . . . . . . . . . . . . . . . . . . . . . . .. S045 Disturbances ofsleap . . . . . . . . . . . . . . . . . . . .. S135 Other reason for visit required by party other than the patient or the health care provider . . . . . . . . . A140 Convulsions . . . . . . . . . . . . . . . . . . . . . . . . . .. S205 Symptoms referable to nails . . . . . . . . . . . . . . . . . S885 5,259 1,762 1,998 1,681 1,156 1,638 1,037 2,486 1,478 1,282 1,787 5,861 1,101 1,244 2,156 1,006 2,154 1,145 1,086 1,573 1,234 1,279 776 1,273 3,543 857 1,153 995 2,574 1,161 1,310 923 972 1,254 8;981 1,158 2,842 1,225 1,526 980 1,770 1,082 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 787 782 780 780 779 777 774 770 758 755 745 744 734 732 727 725 694 688 684 670 648 625 622 619 617 613 586 584 583 580 576 573 566 565 564 563 562 555 547 540 527 15.0 44.4 39.1 46.4 67.4 47.4 74.6 31.0 51.3 58.9 41.7 12.7 66.7 58.9 33.7 72.1 32.2 60.1 62.9 42.6 53.4 50.7 80.5 48.9 17.5 72.0 53.2 58.9 22.7 50.2 44.3 62.4 59.0 45.1 6.3 48.7 19.8 45.9 36.4 55.8 30.5 48.7 4,471 980 1,218 902 377 862 ●264 1,717 721 526 1,041 5,117 367 512 1,429 ’280 1,460 457 403 902 575 631 *151 651 2,925 * 240 540 409 1,991 578 730 347 399 688 8,415 594 2,279 663 971 433 1,230 555 85.0 55.6 61.0 53.6 32.6 52.6 *25.4 69.0 48.8 41.1 58.3 87.3 33.3 41.1 66.3 ●27.9 67.8 39.9 37.1 57.4 46.6 49.3 *19.5 51.2 82.5 * 28.0 46.8 41.1 77.3 49.8 55.7 37.6 41.1 54.9 93.7 51.3 80.2 54.1 63.6 44.2 69.5 51.3 5.68 1.25 1.56 1.16 0.48 1.11 *0.34 2.23 0.95 0.70 1.40 6.88 0.50 0.70 1.97 “0.39 2.10 0.66 0.59 1.35 0.87 0.97 “0.24 1.05 4.73 “0.39 0.88 0.70 3.41 0.99 1.26 0.60 0.70 1.22 14.89 1.05 4.05 1.18 1.75 0.79 2.28 1.05 1 Ranked by frequency of new problem visits. Zsee reference I . 3,4 rata Ie.SSthan 1.Qo indicates that new problem ViSitS exceeded return Visits. 4N.o.S. = not otherwise specified; N.E.C. = not elsewhere classified. 37 Table 8. Average annual rate of office visits per 1,000 population, by location of physician’s practice and principal reason for visit in the Symptom Module: United States, 1977-78 Principal reason for visit and R VC codeq Geographic region Area A II /oca- North- North Metro- Non- tions east Central South West politan2 metro- politan General symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S001-S099 Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S010 Tiredness,exhaustion . . . . . . . . . . . . . . . . . . . . . . . . .,, . . ..soI5 Weightgain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S040 Chest pain and related symptoms (not referable to bodysystem) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S050 Pain, site notreferable toaspecific body system . . . . . . . . . . . . . S055 Pain andrelated symptoms, general ized, site unspecified . . . . . S060 Allergy, N.0.S.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S090 Another general symptoms . . . . . . S005, S020-S035, S045,S065-S085, S095 Symptoms referable topsy chological and mental disorders . . . . . S100S199 Anxiety and nervousness.. . . . . . . . . . . . . . . . . . . . . . . . . . ..S100 Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S110 Another symptoms referable to psychological and mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S105.S115-S165 Symptoms referable tothe nervous system (excluding sense organs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S200-S259 Headache,pain inhead . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S210 Disturbancesof sensation.. . . . . . . . . . . . . . . . . . . . . . . . . . ..s2z0 Vertigo-dizziness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S225 Another symptoms referable tothenewous system (excluding sense organs) . . . . . . . . . . . . . . . . . . .S200-S205,S215, S230-S240 Symptoms refereble to the cardiovascular and lymphatic systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S260-S299 Abnormal pulsations and palpitations . . . . . . . . . . . . . . . . . . .S260 All other symptoms referable to the cardiovascular and Lymphatic systems . . . . . . . . . . . . . . . . . . . . . . . . . . . .S265-S280 Symptoms referable totheeyes andears . . . . . . . . . . . . . . . . . S300-S399 Vision dysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S305 Abnormal sensationsoftheeye . . . . . . . . . . . . . . . . . . . . . . . ..S320 Another symptoms referable to the eyes . . . . S310-S315, S325-S340 Hearingdysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S345 Earache, orearinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S355 All other symptoms referable tothe ears . . . . . . . .S350,S360-S365 Symptoms referable to the respiratory system . . . . . . . . . . . . . S400-S499 Nasal congestion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S400 Shortness ofbreath . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S415 Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S440 Head cold, upper respiratory infection (coryza) . . . . . . . . . . .S445 Symptoms referable tothroat. . . . . . . . . . . . . . . . . . . . . . . . ..S455 All other symptoms ofthe respiratory system . . . . . . . . . .S405-S410, S420-S435,S450, S460-S485 Symptoms referable to the digestive system . . . . . . . . . . S500-S639 Nausea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S525 Vomiting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S530 Stomach pain,cramps, andspasms . . . . . . . . . . . . . . . . . . . . . ..S545 Abdominal pain,cramps,spasms . . . . . . . . . . . . . . . . . . . . . . ..S550 Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S595 Another symptoms referable tothe digestive system . . . . . .S500-S520, S535-S540, S565-S590, S600-S61 5 See footnotes at end of table. 222.2 42.5 18.9 29.5 42.6 14.9 10.7 15.1 48.0 72.9 28.5 21.4 23.0 87.9 43.2 7.9 26.7 10.0 16.5 7.5 9.0 156.1 37.3 13.9 24.6 11.3 45.0 24.0 297.5 26.1 15.3 68.5 49.9 82.3 55.5 130.1 10.5 8.8 15.1 41.4 11.4 42.8 223.3 37.7 22.7 29.4 48.0 15.0 10.4 15.8 44.2 105.3 38.4 29.5 37’.4 93.9 47.1 7.8 28.1 10.8 16.6 7.9 8.7 168.0 45.5 16.8 26.8 12.5 43.7 22.7 311.7 34.1 16.5 78.2 48.0 80.3 54.5 128.6 8.1 6.1 14.4 43.0 11.6 45.4 Visit rate per 1,000 population 196.2 37.6 26.1 14.6 38.4 12.6 11.7 15.4 39.9 49.6 20.0 16.6 13.0 80.1 38.6 7.6 23.5 10.4 18.1 7.8 10.2 135.1 30.6 12.3 19.3 8.5 42.1 22.3 284.2 19.2 9.7 66.5 48.9 88.7 51.1 122.5 9.8 6.8 16.1 37.8 10.0 42.0 226.3 53.7 9.7 22.9 46.2 16.9 10.3 12.5 54.1 62.1 27.1 17.8 17.2 85.3 40.6 7.9 27.8 9.0 16.3 7.4 8.9 140,6 29.9 9.3 18.8 12.2 44.4 26.0 283.3 22.1 17.9 60.0 51.4 75.3 56.5 129.5 12.5 12.4 16.1 39.2 11.4 38.0 254.9 36.0 20,2 64.8 35.8 14.5 10.5 18.7 54.2 87.2 31.3 25.1 30.8 97.4 50.5 8.3 28.2 10.4 14.7 6.7 8.0 203.0 50.9 21.2 40.8 12.3 52.8 24.9 328.0 33.5 17.3 75.3 51.2 88.5 62.1 145.6 11.0 8.8 12.8 49.3 13.6 50.1 240.4 43.4 21.8 39.3 45.3 14.6 11.7 13.6 50.7 93.9 35.1 28.7 30.1 95.9 46.5 9.3 28.3 11.8 18,2 9.2 8.9 169.6 45.1 14.7 28.7 12.0 44.0 25.1 313.2 30.9 16.6 73.7 48.6 83.5 59.8 136.7 9.3 8.2 14.4 46.0 12.6 46.2 183.3 40.9 12.7 8.2 36.9 15.5 8.5 18.4 42.1 27.4 14.1 5.5 7.8 70.8 36.3 4.8 23.5 6.1 13.1 3.8 9.2 127.3 20.6 15.8 12.1 9.6 47.4 21.9 264.1 15.6 12.4 57.5 52.6 79.8 46.3 116.1 13.1 10.1 16.7 31.6 9.0 35.6 38 TabIe 10. Average annual rate ofoffice visits perl,OOO population, bylocation ofphysician's practice andprincipal reason forvisit in the Diagnostic, Screening, and Prewntive Module andthe Treatment Module: United States, 1977-78 Geographic region Area Ali Principal reason for visit and R VC codel /oca- North- North Metro- Non- tions east Central South West politan2 metro- politan Diagnostic, Screening, and Preventive Module General examinations . . . . . . . . . . . . . . . . . . . . . . . . . . . ..xIoo-x199 General medical examination . . . . . . . . . . . . . . . . . . . . . . . . ..XIOO Well babyexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..XI05 Speciai examinations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X200-X299 Pregnancy,unconfirmed . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X200 Prenatal examination, routina . . . . . . . . . . . . . . . . . . . . . . . . ..X205 Postpartum examination . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X215 Gynecological examination . . . . . . . . . . . . . . . . . . . . . . . . . ..X225 Eyeexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X230 Heartexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X235 All other special examinations . . . . . . . . . . . . . . . . . . . . X220,X240 Diegnostictests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .x300-x399 Glucoselevel determination. . . . . . . . . . . . . . . . . . . . . . . . . ..x310 Blood pressure test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X320 Pap Smear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X365 All other diegnostictests . . . . . . .X300-X305, X3 15,X325-X360,X370 Other screening and preventive procedures . . . . . . . . . . . . . . .X400-X499 Prophylacticinoculations . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X400 Family planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .x500-x599 Treatment Modu Ie Medications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIOO-T199 Allergy medication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIOO Injections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIIO Medication, other end unspecified kinds . . . . . . . . . . . . . . . . . . .TI15 Preoperative and postoperative care . . . . . . . . . . . . . . . . . . ..T200-T299 Preoperative visit for specified and unspecified type of surgary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T200 Postoperativevisit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T205 Specifictypesoftherapy . . . . . . . . . . . . . . . . . . . . . . . . . ..T400-T499 Psychotherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T410 All other specific typesoftherapy . . . . . . . . . ..T400-T405,T415-T425 Spacific therapeuticprocadures . . . . . . . . . . . . . . . . . . . . . . .T500-T599 Fittingglassasandcontact lenses . . . . . . . . . . . . . . . . . . . . . . ..T515 Suture-insertion, removal . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T555 All othar specific therapeutic procedures . ..T5OO-T51O.T52O-T55O, T560 Medical counseling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T600-T699 Dietand nutritional counseling . . . . . . . . . . . . . . . . . . . . . . . ..T600 Counsaling,N.0.S.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T605 Socielproblam counseling . . . . . . . . . . . . . . . . . . . . . . . . ..T700-T799 172.0 139.4 32.4 186.6 7.7 95.3 9.7 31.3 28.2 11.0 3.5 97.9 5.7 55.9 18.o 18.4 20.9 19.2 21.7 51.6 30.6 13.8 7.1 75.8 5.1 69.9 11.8 7.4 4.5 36.4 7.0 14.4 15,1 17.5 11.4 6.1 11.5 210.0 176.4 33.4 182.4 8.1 80.1 8.0 35.1 32.0 15.2 3.8 99.9 4.5 67.8 11.9 15.7 15.7 13.8 23.0 62.3 50.5 7.0 4.7 62.6 3.5 59.2 14.1 11.9 2.2 29.1 7.0 10.3 11.8 11.8 7.7 4.0 19.6 Visit rate per 1,000 population 171.5 136.0 34.7 178.6 5.6 98.9 9.1 24.4 23.8 13.6 3.4 114.4 5.7 68.5 22.9 17.4 16.1 14.8 18.3 51.5 24.5 20.2 6.8 64.9 3.0 61.9 9.5 3.8 5.7 37.1 6.6 17.8 12.7 18.1 10.6 7.4 7.5 156.9 134.7 22.2 184.6 7.8 94.4 10.8 33.6 27.6 7.3 3.1 78.0 7.2 36.5 12.7 21.6 16.7 15.6 18.0 48.7 28.1 14.9 5.8 78.4 6.0 72.4 10.0 7.2 2.8 38.0 6.5 14.5 17.0 15.3 9.8 5.5 8.9 152.8 106.1 46.7 209.6 10.1 111.8 10.6 32.7 31.2 8.8 4.1 107.5 4.3 57.2 28.3 17.6 43.0 40.1 32.3 43.4 19.0 11.0 13.3 101.1 8.7 92.5 15.9 7.4 8.5 42.3 8.4 14.2 19.6 28.4 20.4 8.1 11.7 190.8 154.6 35.9 204.1 7.4 97.5 10.1 39.4 34.4 11.2 4.2 100.8 5.0 58.5 18.9 18.5 22.8 21.0 26,1 55.0 33.6 12.7 8.6 88.5 6.5 82.0 14.6 10.5 4.1 38.4 7.8 13.6 17.0 19.5 13.3 6.2 15.8 131.8 106.8 24.9 149.3 8.3 90.7 9.0 13.8 14.7 10.8 2.0 91.7 7.1 50.3 16.1 18.2 16.8 15.4 12.4 44.4 24.2 16.2 3.9 46.1 2.1 43.9 5.8 0.6 5.2 32.3 5.1 16.1 11.1 13.2 7.2 6.0 2.0 Ismrefere”ce 1. 2L~caticjn within the standard metropolitan statistical areas (SMSA’S). 3Rateaareba~ed on an ~varageof ~~timates of the civilian n~nin~titutionalized population of the (Jnited Stetes for July 1, 1977 and July l,1978, furnished bythe U.S. Bureau of the Census (saeappandix l). ‘4N.O.S. = not otherwise specified. 41 Table 11, Average annual rate of of ficevlslts per 1,000 female population, by age of patient and principal reason forvisit in the Symptom Module: United States, 1977-78 Pr;nc{palreason forvkitand RVCcodel Age All Under 15-24 25-44 45-64 65 years ages 15 years years years years and over Allvisits by female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . General symptoms,,,,,,. . . . . . . . . . . . . . . . . . . . . . . . . ..s001-S099 Fever, ,,, ,,, . . . . . . . . . . . . . . . . . . . . . . . . . ,. .,. ,,, ,,, ,S010 T!redness,exhaustlon . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . ..S015 Welghtgain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s040 Chest pain andrelated symptoms (not referable to body system) . .S050 Pain, site notreferable toaspeciflc body system . S055 Pain and related symptoms, generalized, site unspecified .S060 Allergy, N.0.S.3 . . . . . . . . . . . . . . . . . . . . . S090 Another general symptoms . . SO05, S020:S035, S045; S065’.SO85; S095 Symptoms referable topsy’chological and mental disorders . S1OO-S199 Anxiety andnewousness. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S100 Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S110 Another symptoms referable topsy chological and mental disorders . . .S105, S115-S165 Symptoms referable tothenervous sytem(excluding sense organs) . . . . . . S200-S259 Headache,pain inhead . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S210 Disturbancesofsensation . . . . . . . . . . . . . . . . . . . . . . . . ,,. ,,. ..S220 Vertigo-dizziness . . . . . . . . . . . . . . . . . . . . . . . . . . . ,,, .,, ,.. ,.. ..S225 Another symptoms referable tothe nervous system (excluding sense organs), . . . . . . . . . . . . . . . . . . . . . . . . . . . ,.S200-205, S215,S230-S240 Symptoms referable tothecardiovascu larandlymphatlc systems . . . . . . S260-S299 Abnormal pulsations and palpitations . . . . . . . . . . . . . .S260 All other symptoms referable tothecardiovascu lar and lymphatic systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S265-S280 Symptoms referableto the eyes andears . . . . . . . . . . . . S300-S399 Visiondysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S305 Abnormal senaationsoftheeye . . . . . . . . . . . . . . . . . . . . ,, ., . . . . . ..S320 All other symptoms referableto the eyes. . S310-S315, S325-S34O Hearingdysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S345 Eareche,orearinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S355 All other symptoms referable to the ears . . . . .S350,S360-S365 Symptoms referable totherespiratoW system . . . . . . . . . . . . . . S400-S499 Nasalconges?ion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S400 Shortnessofbreath . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S415 Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . ..S440 Head cold, upper reaplratory lrsfection (coryza) . . . . . . . . .S445 Symptoms,referabletothroat . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S455 Another symptoms referable totherespiratory aystem . . . .S405-S410, S420-S435, S450, S460-S485 Symptoms referable tothedigestive system . . . . . . . S500-S639 Nausea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S525 Vomiting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S530 Stomach pain,cramps, andspasms . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S545 Abdominal pain,cramps, spasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S550 Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S595 All other symptoms referable to the digestive system . . . . . . .S500-S520, S535-S540, S585-S590, S600-S6 15 Symptoms referable tothegenitourinary system . . . . . . . . . S640-S829 Frequency and urgency ofurination . . . . . . . . . . . . . . . . . . . . . . . . . . ..S645 Painful urination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S650 Absenceofmenstruation (amenorrhea) . . . . . . . . . . . . ..S730 Irregularity ofmenstrual interval . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S735 Irregularity ofmenstrual flow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S740 Menstrual symptoms,otherand unspecified . . . . . . . . . . . . . .S745 Menopausal symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S750 Uterineandvaginal bleeding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S755 Vaginal discharge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S760 Othervaginal symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S765 Pelvic symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S775 Pain or soreness ofbraast. , . . . . . . . . . . . . . . . . . . . ., . . . . . . . . . . ..s800 Lump ormassof breast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S805 Another symptoms referable tothegenitourinary system . . . . . . . . . .S640, S655-S680, S770, S79C+795, S8 10-S825 See footnotes at end of table. 3,166,8 260,5 40.7 25.9 48.5 41.2 17.5 13.2 16.0 57.5 87,8 36.3 27.4 24.1 109.2 55.4 9.5 33.8 10.6 18.9 8.9 10.0 167.7 43.8 16.5 26.8 11.6 45.0 24.0 316.5 27.1 14.5 71.9 54.5 91.6 56.9 56.5 14.4 9.9 17.7 56.7 10.7 47.0 .Z10.7 12.0 18.4 8.0 8.2 5.8 7.1 13.0 19,1 18.0 20.4 7.7 7.4 18.2 47.3 Visit rate per l,OOOfemale population2 2,055.5 199.2 137.7 *3.7 *3. O *4.2 * 2.5 * 2.2 17.8 28.0 12.0 * 2.0 * 2.2 7.8 22.4 15.8 * 0.2 *2.1 * 4.2 9.4 * 0.5 8.9 197.2 15.3 * 5.8 24.1 11.2 104.2 36.6 417.8 28.2 * 0.9 122.6 69.9 146.3 50.1 107.2 * 5.5 28.4 15.3 19.0 15.5 23.6 46.6 *6.4 10.0 * 0.4 ●1.7 +1.0 * 0.4 . . . * 0.9 * 2.4 * 4.6 * 2.7 * 3.1 13.2 2<787.1 156.8 15,3 12.3 36,4 17.9 15.4 8.4 12.7 38.4 50.2 19.3 14.0 16.9 61.0 40.8 * 2.4 9.0 8.7 * 7.8 *1.4 * 6.4 107.2 27.2 10.4 20.7 * 7.9 31.0 10.0 283.7 19.2 *2.1 49.1 54.9 120.0 38.5 126.8 17.6 * 5.3 16.7 56.7 * 5.3 25.2 256.1 8.9 20.5 22.0 14.5 *4. O 16.5 * 0.5 25.0 26.8 34.5 12.4 * 3.3 13.5 53.8 3,442.4 266.7 11.0 27.2 93.5 35.2 18.0 15.0 20.6 46.2 156,1 59.1 53.0 44.0 107.0 67.0 10.4 20.9 8.7 13.2 * 5.7 7.4 125.0 26.0 16.6 24.3 8.3 34.3 15.4 278.2 35.1 7.3 48.5 50.1 83.3 54.0 165.3 16.3 * 5.2 19.6 74.3 8.5 41.4 310.3 12.3 21.8 13.2 13.7 13.5 13.7 8.3 27.7 37.0 37.5 12.5 12.7 28.5 58.0 3,729.4 337.3 11.8 44.9 70.1 67.0 29.2 20.1 17.0 77.3 123.6 57.4 38.8 27.4 171.3 82.0 18.7 56.7 13.9 29.2 17.7 11.6 183.9 65.7 24.2 31.0 13.0 20.3 29.8 298.0 29.2 23.0 70.1 48.5 52.6 74.6 189.4 14.8 *3.3 19.3 67.4 12.2 72.3 251.6 16.6 18.4 *1.6 7.5 ‘6.5 *2.O 45.7 29.0 10.3 10.5 8.8 11.3 26.9 56.5 4,298.8 390.5 *11.1 53.4 17.7 115.5 27.9 26.1 *6.1 132.9 78.6 41.5 20.3 16.9 246.2 81.8 20.0 120.3 24.1 49,0 28.6 20.4 270.4 124.3 39.6 32.8 22.6 20.9 30.2 292.3 16.8 60.6 65.7 44.7 30.3 74.3 220.6 21.7 * 4.0 17.1 71.8 * 12.3 93.7 164.8 19.1 24.0 0.2 *1O.7 * 9.3 + 5.3 * 8.9 ●3.3 *4.8 16.4 63.0 42 Table 11. Average annual rate of office visits per 1,000 female population, by age of patient and principal reason for visit in the ‘Symptom Module: United States, 1977-78–Con. Principal reason for visit and R VC code 1 Age All Under 15-24 2544 45-64 65 ~ears ages 15 years years years years and over Symptoms referable to the skin, nails, and hair . . . . . . . . . . . . . . . . S830-S899 Acne orpimplas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S830 Warts,N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S850 Skin rash...........,.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S860 Skin lesion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S865 Skin irritations, N.E.C.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S870 Another symptoms referable totheskin, nails, and hair . . . . . . .S835-S845, S855, S875-S895 Symptoms referable tothemusculoskeletal system . . . . . . . . . . . . . . . S900-S999 Necksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S900 Backsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S905 Lowbacksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S910 Hipsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S915 Leg symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S920 Knee symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S925 Footand toesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S935 Shouldersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S940 Arm symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S945 Hand andfingersymptoms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S880 Another symptoms referable tothemuwuloskeletal system . . . . . . . . . . . .S930, S950-S955, S88F#3980 Visit rateper l,OOOfemale population2 166.9 139.2 30.8 10.1 9.6 11.4 50.9 77.9 18.3 9.2 12.1 8. I 45.1 22.4 284.1 77.0 25.8 6.3 52.4 6.0 22.0 ●3.9 10.0 *1.3 27.0 “ 4.4 23.5 7.2 19.6 11.7 21.8 * 2.5 12.1 ●3.1 15.7 8.7 34.3 15.8 216.0 92.4 18.1 56.0 ● 5.3 8.7 35.5 151.1 25.4 36.9 11.4 10.9 16.8 10.8 ● 7.8 * 6.1 ● 7.7 17.3 161.7 39.7 7.3 40.3 14.4 11.3 48.7 253.7 31.5 59.7 30.3 * 5.3 22.7 14.2 16.2 20.0 9.7 17.5 26.7 154.0 *4.9 ●6.4 37.1 26.2 16.3 63.1 447.9 36.2 91.7 35.0 17.5 46.6 35.2 31.0 45.8 23.8 25.5 59.7 178.2 *1.2 ●3.6 38.8 50.8 19.4 64.4 511.5 33.0 81.1 32.5 38.9 70.2 65.1 36.2 42.2 23.6 20.4 68.3 lSee referance 1. 2Rat@~are ba~ad ~“ an average of e~ti~ata~of thecivilia” nonin~titutional ized population of the United States for July 1, 1977 and July 1, 1978, furnished bythe U.S. Bureau of the Census (sae appendix l). %.0.S. = not otherwise specified; N.E.C. = not elsewhere classified. 43 Table 14, Average annual rate of of f!cevlsits per 1,000 male population, by age of pat!ent andprlnclpal reason for visit lnthe Symptom Module: Untted States, 1977-78 Age Pr/nc/pa/ reason forvts/t and RVCcodel All Under 75-24 25-44 45-64 65 years ages 15 years years years years and over Allvlslts bymalepatlents , . .,, , ., ..,.,.,. ,, .,, ,., ,,, ,,, ,., ,., General symptoms..,,, ..,., .,, ,,, ... ,,,.. ,,, .,, ,,, .5001.sOgg Fever, .,,.,.,, ,,, ,,, ,,,,,. ,,, ,, .,,,,, .,, ,,, ,,,,,, ,,,,,, sOf~ Tired”ess,exhaustlon, ,,,. ,,,,, ,,,,. ,,, .,,,,,, ,,,, .,,, .sOl~ Welghtgai” .,..,. ,.,,.,. ,,,,,. ,, ,. ,,,, .,, ,,,s040 Chest pain and related symptoms (not referableto body system) S050 Pam, site not referable to a spec!fic body system ..., .,,,., .,.,,. .,,, S055 Pain andrelated symptoms, generalized, slteunspeclfled S060 Allergy, N.0.S.3 . ., .,,...,. , ..,.,,...,.,,.,.,,,.. S090 All othergeneral symptoms ..,. . . . . . . . . . . . . . . . . . .S020-S035; S045; S065-S085, S095 Symptoms referable topsy cholog!cal and mental disorders s 1 00-s 199 Anxietyand nervousness . . . . . . . . . . . .,,,,, ,,,,,,;”;;;;;I;;;,, ,, Sloo Depression ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,, ,,, ,,, ,,, ,s110 Another symptoms referable topsy chological andmentaldlsorders ,S105, S115-S165 Symptoms referable tothenervous system (excluding sense organs) ., S200-S259 Headache,pain m head,,... . . . . . . . . . . . . . . . . . . . . . ., ., . . . . . . ..S210 Dlsturbancesofsensatlo” . . . . . ., ..,.,,,..,.,..,,,,.. ,,, ,,, ,,,,,,, .,s220 Vertrgo-dizziness . . . . ...,.,.,,,,. ... ,,,,,. ,,, ,,. ,,s225 Another symptoms referable tothe nervous system (excluding sense organs) .S200-S205, S215, S230-S240 Symptoms referable tothecardlovascular and lymphat!csystems . . . . . . . . . . . S260.S299 Abnormal pulsationsand palpitations . . . . . . . . . . . . . . . . . . . . . .,, ,., ,,, ,,. ..S260 Another symptoms referable tothecardiovascu larand lymphatic systems . S265-S280 Symptomsreferabletotheeyesand ears . . . . . . . . . . . . . . . . . . . . . . . . ,,s300.s399 Vlslondysfunct!om . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,,, ,,, ,. .,, ,,, ,,. ,s305 Abnormal sensationsoftheeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..,S320 All other symptoms referableto the eyes ,. ., ,. ,. ,S310.S315, S325.S34O Hearmgdysfunct]ons ...,.,. . . . . . . . . . . . . . . . . . . . . . . ,,, ,,, ,.. ,,, ,,s345 Earache,orearinfectlon .,.,.. . . . . . . .,.,..,,,....,,,,,,,,. ,., ,,,s355 All otheraymptoms referabletothe ears . . . . . . . . . . . . . . . . . . . . . . . .S350,S360.S365 Symptoms referable totherespiratory system . . . ., . . . . . . . S400-S499 Nasal congestion . .,.,...., . . . . . . . . . . . . . . . . . . . . . . .,, ,, .,, ,,, ... ,,. ,s4oo Shortnesaof breath ..,....,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s415 Cough ..,.,.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S440 Head cold, upper respiratory infection (coryza) . . . . . . . .;;;;; ~~;;;;S445 Symptomsreferabletothroat.. . . . . . . . . . . . . . . . . . . . . . . . ... ., . . . . . . . . . ..S455 Another symptoms referable tothe respiratory system . . .S405-S410, S420-S435, S450, S460-S485 Symptoms referable tothedigestwe system .,. ,. ,. . . . . S500-S639 Stomachpain,cramps,andspasms . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . ..S545 Abdominal pain,cramps,spasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s55o Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., .,, ,,, ,.,s595 Another symptoms referable tothedigestwe system ., . .S500-S540, S565-S590, S600-S615 Symptoms referable to thagenitourinary system .,.., .,.., . . . . . . . . . . . . S640-S829 Symptoms referable totheskin,nalls, andhalr . . . . . . . . . . . . . . . . . . . . . . . . . . .. S830.S8gg Acneorpimples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S830 Warts,N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Skin rash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......,;;;;;;;:;;;;; S850 SB60 Skin lmion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s865 Skin irritations, N.E.C.3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S870 Another symptoms referable totheskin, nails, andhalr . .S835-S845, S865, S87!3-S895 Symptoms referable tothemusculoskeletal system . . . . . . . . . . . . S900-S999 Necksymptoms, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S900 Backsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S805 Lowbacksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S910 Hip symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., .,, ,,, .,, .,, ,,, ,s915 Leg symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S920 Kneesymptoms, ..,...... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S925 Anklesymptoms ...,..... . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . ..s93o Footandtoesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S935 Shouldersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . ..S940 Armsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..sg45 Elbowsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,, ,,, .sg50 Handandfingersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S960 Another aymptoms referable tothemusculoskeletal aystem , .S955, S965.S980 2,250,5 181.6 44.6 11.5 9.1 44.3 12,1 8.0 14,0 37.9 57.1 20.1 15.0 22.0 65.1 30.3 6.2 19.3 9.4 14.0 6.0 8.0 144,0 30.4 11,1 22.3 10.9 45.1 24.2 277.7 25.0 16.1 65.0 45.0 72.4 54.1 102.0 12.4 25,1 12.2 52,3 62.5 134.4 17.0 11.7 43.5 16.8 8.9 36.5 249,4 19,9 53.9 23.5 7,6 22.3 27.6 8.3 20.8 19.2 7.9 7.9 13.8 16.7 Visit rate per l,000m,31e populatmn2 2,128.3 211.5 138.7 ●2.1 +1,3 ●6.1 ● 2.4 ● 2.9 26.3 31.7 18.1 ●1,4 “1,1 15.6 29.1 19.4 ● . ● 2.8 ‘6.9 8.2 “ 0.4 ●7.8 221.6 13.7 ●3.9 31.8 14.3 113.8 44.0 416.0 27.9 +1.0 141.5 78.0 117.3 50.4 85.6 9.3 12.4 ‘ 22.6 41.3 23.4 119.7 9.4 11.0 64.8 9.2 5.5 19.9 83.6 5.4 2.8 ● 0.9 ● 3.0 ●6.7 14.0 4.1 16.2 ●3.5 ● 4.9 2.6 5.7 13.8 1,544,9 76.0 17.6 6.7 2.6 14.3 10.3 5.4 6.4 12.6 37.4 12.2 8.4 16.8 35.7 21.7 ●2.2 4.3 7.6 *7.4 ●2.3 5.1 79.9 17.9 15,1 7.8 * 5.6 24.8 8.7 203.1 30.1 ● 3.4 27.6 21.9 94.2 25.8 58.8 10.7 15.5 3.6 29,0 41,4 170.3 64.1 19.0 39.4 ● 5.2 5.7 36.7 186.1 10.7 39.0 12.7 4.3 13.7 35.7 9.3 13.5 ●1 2.2 ● 5.3 3.7 ●15.8 10.3 1,890.5 151.3 11.9 11.7 18.2 43.8 13,9 9,5 14.3 28.0 96.6 35.3 27.3 34.0 65.8 39.7 8.7 10.4 7.0 4.6 ●1.1 3.5 90.4 21.3 11.9 16.4 8.5 21.4 10.9 196.3 23.6 6.2 35.5 33.8 57.1 40.0 92,5 14,9 24.2 9.6 43,8 61.0 104.2 7.1 11.5 30.8 11.7 9.1 34.0 271.8 27.0 74.2 32.8 ●3.6 16.2 26.1 11.0 12.0 20.5 7.0 10.5 14.5 16.4 2,799.5 215.7 11.2 20.2 12,5 84.2 18.8 11.9 9.0 48.0 77.9 28.1 25.0 24,8 92.1 36,3 10.4 33.8 11.6 27.2 15.7 11.5 130.4 42.9 11.5 22.0 11.6 18.1 24.4 243.3 18,8 26.7 42.1 39.2 38.6 78.0 128.1 9.8 36.8 12.1 69.4 80.4 140.6 ●1.5 ●6.8 42.3 29.6 9.8 50.7 406,3 37,3 94.8 46.6 12.7 33.4 32,5 8.0 33.9 36.1 ‘13.4 13.8 21.7 22,1 3,912.7 332.9 ●7.1 27.7 lf.o 126.5 22.7 15.2 ●7.7 114.9 47.4 27.3 10.0 10.1 166.2 38.4 15.0 90.4 22.5 42.3 22.2 20.1 248.3 102.6 19.9 43.7 18.3 24.6 39.2 361.5 23.7 90.3 66.7 47.0 21.4 112.3 208.3 22.8 57.3 ●9.1 119.1 181.5 174.8 ●3.1 “ 10.0 32.7 48.4 22.3 58.3 433.3 20.4 77.9 31.4 28.1 77.2 42.9 10.6 45.2 37.1 11.8 10.5 12.7 27.4 lSee referenca 1. 2Rates are bared o“ an average of astirnates of the cw,lian noninstmjtionalized populatmn of the United States for July 1, 1977 and July 1, 1978, furnished by the U.S. Bureau of the Census (saa appendix l). 3N,0,s, = “~t~tharwisa $pecifiad; N. E. C.= notelwwhere classified. 46 Table 15. Average annual rate ofoffice visits perl,~O male population, by~eof patient andprincipal reason forvisit inthe Disaasa, injuries and Adverse Effects, Test Resulfi, and Administrative Modules: United States, 1977-78 Principal reason for visit and R VC code q Age All Under 15-24 25-44 45-64 65 years ages 15 years years years years and over .Allvisits by male patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Disease Module Infective and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . . .DOOI-D099 Viraldiseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DO15 Another infective and parasitic diseases . . . . . . . . . . . . . . . . .DO05-D035 Neoplasm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DIOO-D199 Malignantneoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DIoo.D135 Endocrine, nutritional, andrnatabolic diseases . . . . . . . . . . . . . . .D200-D249 Diabates mallitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D205 Another endwrine, nutritional, andmetabolic diseasas . D200, D210-D215 Diseases of the blood and blood-forming organs . . . . . . . . . . . . . .D250-D299 Mentaldisorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D300-D349 Disaasasofthe nervoussyetem . . . . . . . . . . . . . . . . . . . . . . . ..D350-D399 Diseasasoftheeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D400-D449 Diseasasoftheear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D450-D499 Diseasesof the circulatory system . . . . . . . . . . . . . . . . . . . . . ..D500-D599 Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D510 Ischemicheartdisease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D515 All other diseasesof thecirculatory system . . . . .. D500-D505, D520-D550 Disaasas ofthe respiratory system . . . . . . . . . . . . . . . . . . . . . . .D600-D849 Diseasesofthedigestiveeystem . . . . . . . . . . . . . . . . . . . . . . ..D650-D699 Herniaofabdominal cavity.. . . . . . . . . . . . . . . . . . . . . . . . . . ..D660 All other diseases ofthedigeative system . . . . . . .D650-D655, D665-D675 Diseasesof thegenitourinary system . . . . . . . . . . . . . . . . . . . . .D700-D799 Diaaasasof the skin and subcutaneous tissue . . . . . . . . . . . . . . . .D800-D899 Diwases of themusculoskeletal syswmand connective tissue . . . . .D900-D949 Injuries and Adverse Effects Modu Ie lnjuryby typeand/or location . . . . . . . . . . . . . . . . . . . . . . . . ..JOO1-J799 injury, N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..J90C-J999 Teat Results Module Test results module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. RI OO-R700 Administrative Module 2,250.5 11,6 5.5 6.1 12.3 11.2 23.2 18.2 4.9 2.4 4.0 3.7 11.7 5.2 54.7 32.9 9.6 12.2 27.4 15.4 8.5 6.9 9.5 19.2 12.3 132.1 10.8 10.0 59.0 Visit rate par 1,000 male popu lation2 2,128.3 16.8 * 6.3 10.4 * 0.5 *0.5 ●3.8 +1.9 *1.9 *1.1 “0.6 * 2.7 *6.2 16.2 “*2.1 2.1 45.5 8.1 *6.1 * 2.0 * 2.7 13.1 *1.1 121.6 9.1 ●4.1 49.5 1,544.9 15.3 9.2 *6.1 *1.6 ●1.1 * 5.0 * 2.6 * 2.4 * 0.2 * 3.0 * 2.7 ● 2,4 * 0.6 ● 7.9 * 4.0 * 0.8 ●3.1 14.1 8.7 * 5.2 ● 3.4 ● 3.8 17.4 * 4.3 194.1 15.3 * 3.6 104.2 1,890.5 9.9 * 2.6 7.2 6.5 * 4.8 14.1 9.0 *5.1 *0.7 * 6.2 * 2.6 *5.5 *2.1 40.0 23.3 3.7 *13.O 19.0 11.1 *4.1 *7.1 7.9 20.7 7.8 136.6 12.8 9.4 62.3 2,799.5 * 4.6 *3.2 *1.4 25.1 22.5 52.2 42.5 9.6 * 2.7 * 5.8 ●5.9 18.0 *1.6 131.8 89.1 21.3 21.4 25.1 28.6 14.4 14.2 19.4 24.4 31.4 108.7 8.8 18.0 44.3Administrative module . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. AIo0-AI4o lSee reference 1. 2Rate~arebe~ed on anavarageof estimates of the civilian noninstitutional ized population of the United Stataa for July 1, 1977 and JLsIYI,1978, furnished bythe U.S. Bureau of the Census (seaappendix l). 3N.O.S. = not otherwisa specified. 3,912.7 *1 0.1 *8.6 ‘1.6 56.7 56.0 77.5 69.6 * 7.9 ++14.8 *5.1 * 7.3 50.9 +1.3 171.4 88.6 46.4 36.5 34.7 32.8 21.7 *11.1 23.0 24.0 31.6 71.1 * 5.5 24.0 * 15.0 47 Table 16. Average annual rate ofoffice visits perl,OOO male population, byageof patiant andprincipal raasonfor visit in the Diagnostic, Screening, and Preventive Module, andthe Treatment Module: United Statesr 1977-78 Age Principal reason for visit and R VC code 1 All Under 15-24 2544 45-64 65 years ages 15 years years years years and over Allvisits bymaie patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diagnostic, Screening, and Preventive Module General examinations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..XIOO-X199 Genaral madical examination . . . . . . . . . . . . . . . . . . . . . . . . . . ..XIOO Well baby examination ..., . . . . . . . . . . . . . . . . . . . . . . . . . . ..XI05 SPecial examinations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..x20r3.x2gg Eyeexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..x230 Heartexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..x235 Diagnoatictests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .x300.x399 Glucose level determination. . . . . . . . . . . . . . . . . . . . . . . . . . . ..X310 Bloodpreasuretest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X32(j Another diagnostic tests . . . . . . . . . . . . . X300-X305,X315,X325-X370 Other screening andprevantive procedures . . . . . . . . . . . . . . . .X400-X499 Prophylactic inoculations.. . . . . . . . . . . . . . . . . . . . . . . . . . . ..x400 Family planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .x500-x599 Treatment Modu Ie Medications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIoGT199 Allergy medication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIOO Inactions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIIO Medication, other andunspecifiad kinds . . . . . . . . . . . . . , . . . . . . .TI15 Preoperative and postoperative care . . . . . . . . . . . . . . . . . . . . . .T200-T205 Specifictypesof therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T40CPT499 Specific therapeutic procedures . . . . . . . . . . . . . . . . . . . . . . .T500-T599 Fittingglassesand contactlenses . . . . . . . . . . . . . . . . . . . . . . . ..T515 Suture-inaertion, removal . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T555 Allothar specific therapeutic procedures . . . T500-T510, T520-T550, T560 Medical counseling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T6OO-T699 Social problemcounseling . . . . . . . . . . . . . . . . . . . . . . . . . . ..T700-T799 2,250.5 153.0 118.5 34.3 38.0 21.9 14.0 70.1 5.7 48.5 16.0 19.9 18.8 6.1 47.7 33.1 8.5 6.1 60.2 9.9 37.4 5.2 17.5 14.7 9.4 10.9 Visit rate per 1,000 male population 2,128.3 328.8 193.4 135.3 16.6 13.6 *1.6 11.2 * 0.6 * 0.4 *10.2 39.4 37,5 85.2 71.0 12.1 *2.1 28.0 *1.9 36.2 *1.4 21.4 13.4 3.6 * 5.4 1,644.9 38.1 38.1 18.1 17.1 *1.O 9.9 * 0.4 * 5.2 *4.3 9.1 7.9 *1.2 33.1 26.7 *4.9 *1.6 37.5 * 5.6 38.5 *8.5 16.2 13.9 * 5.2 *8.5 1,890.5 68.5 58.3 17.8 15.7 *1.6 45.2 * 3.7 30.1 11.3 13.2 11.7 20.0 35.7 24.9 * 3.7 7,0 46.8 17.9 29.0 *3.4 13.5 12.1 12.4 21.8 2,799.5 137.7 137.6 61.4 31.9 28.5 161.3 12,8 117.5 31.0 13.6 13.6 * 2.8 31.1 11.6 9.3 10.1 95.3 13.8 38.2 *6.8 16.3 15.1 17.0 *I 0.5 3,912.7 211.3 211.3 145.8 51.3 79.8 231.2 20.9 173.9 36.5 21.6 21.4 45.1 *12.1 18.0 *I 5.0 159.2 ++10.0 61.1 *10.3 23.7 27.1 * 8.8 * 0.3 lSea reference 1. 2Rate~are based on an average of e~imatesof the civilian noninstitutionalized population of the Unitad States for July 1, 1%’7 and JuW 1, 1978, furnishadbythe U.S. Bureau of the Census (see appandix l). 48 Table IS. Num&rand percent distribution ofoffice visits mAebyfemale patients byageof patient, according toprincipal reason forvisit in the Disease, injuries and Adverse Effects, Test Results, and Administrative Modules United States, 1977-78 Principal reason for visit and R VC code ~ Number Age of visits in All Under 15-24 25-44 45-64 65years thousands ages 15 years years years years and over Percent distribution Allvisits by female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Disease Module Infective and parasitic diseases . . . . . . . . . . . . . . . . . . . . . DOOI-D099 Viral diseaees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Do15 Another infective and parasitic diseases . . . .D005-DO10, D02C-D035 Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DIoo-D199 Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . ..DIcIo-D135 Benign neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . ..D140-D145 Endocrine, nutritional, and metabolic diseases . . . . . . . . . . .D200-D249 Diwasesofthethyroidgland . . . . . . . . . . . . . . . . . . . . . . ..D200 Dia!-wtesmellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D205 Ail other endocrine, nutritional, and metabolic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D210-D215 Diseases of the blood and blood-forming organs . . . . . . . . . .D250-D299 Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D300-D349 Diseasesof thenervoussystem . . . . . . . . . . . . . . . . . . . ..D350-D399 Diseasesoftheeye . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D400-D449 Diseasesoftheear . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D450-D499 Diseases of thecirculatory system . . . . . . . . . . . . . . . . . . .D500-D599 Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D510 Iechemic heartdisease . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D515 All other diseasasof thecirculatory system . . . . . . . . . . D500-D505, D520-D550 Diseases of the respiratory system . . . . ., . . . . . . . . . . . ..D600.D649 Dieeasesofthe digestive system . . . . . . . . . . . . . . . . . . . . .D650-D699 Diseasesofthe ganitourinary syetem . . . . . . . . . . . . . . . ..D700-D799 Diseases of theskin and subcutaneous tissue . . . . . . . . . . . .D800.D899 Diseases of the musculoskaletal system and connective tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D900-D949 Injuries and Adversa Effacts Module lnjuryby type and/or location . . . . . . . . . . . . . . . . . . . . . .JOO1-J799 injury, N.0.S.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..J800-J899 Test Results Module Teetresults modula . . . . . . . . . . . . . . . . . . . . . . . . . . . .. RI OO-R700 Administrative Module Administrative module . . . . . . . . . . . . . . . . . . . . . . . . .. A1OO-A14O 694,431 2,506 1,366 1,140 4,467 3,398 1,089 7,296 1,342 5,255 699 917 607 1,241 3,830 1,174 13,335 9,249 1,247 2,839 6,167 2,397 3,732 4,192 4,910 16,883 2,156 4,193 6,957 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 14.7 33.8 38.6 28.0 *1.6 *0.6 ●4.8 ●2.5 ●3.1 ●1.6 *7.5 *10.4 ●0.8 *8.1 10.4 82.3 *1.3 *0.5 *4.7 25.1 *11.7 *1.6 17.4 *6.8 23.7 ‘@I2.0 *4.3 28.8 16.2 27.5 32.0 22.2 ●4.1 *1.3 *13.3 ●3.1 *6.7 *1.6 *7.7 *7.1 ●17.0 *12.7 *3.1 ‘0.9 ●1.8 *0.8 ‘0.5 *5.8 11.3 ●7.7 20.2 15.7 *3.1 15.9 22.4 14.5 39.4 28.5 20.5 *1 0.0 33.0 18.8 14.2 33.3 17.0 38.7 9.8 *30. I ●16.1 *44.5 35.2 *6.5 *5.7 12.5 9.5 *5.2 25.3 25.3 17.7 41.6 28.2 13.5 25.0 27.2 38.0 21.3 24.2 *9.8 *7.9 *12.1 46.7 50.0 36.1 40.1 37.0 41.1 *38.3 *33.2 ●27.8 28.1 25.4 *7.1 43.2 47.4 29.0 35.6 25.5 35.1 23.5 29.8 35.5 22.6 22.8 24.4 8.4 16.3 *8.5 *11.5 *4.8 28.8 33.9 *12.5 37.3 *14.6 45.9 *16.5 *33.2 *9.8 *16.O 54.5 *4.1 41.2 41.9 65.2 28.6 12.9 27.8 13.2 9.0 41.1 12.8 15.7 18.8 *2.3 lSeeraference 1. 2N.o.s. = not otherwise specified. 51 Table 19. Number andpercent dEtributionof office visits made by female patients byageof patient, according to principal reason for visit in the Diagnostic, Screeningr and Preventive Module and the Treatment Module: United Stetesr 1977-78 Number Age principal reason forvisit andt?vccode~ of visits in All Under 15-24 25-44 45-64 65years thousends ages 15 years years years years and over Percent distribution Allvisits by female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diagnostic, Screening, and Preventive Module General examinations . . . . . . . . . . . . . . . . . . . . . . . . . ..XIOO-X199 General medical examination . . . . . . . . . . . . . . . . . . . . . . ..XIOO Well baby examination . . . . . . . . . . . . . . . . . . . . . . . . . . ..xI05 SPecial eXaminations . . . . . . . . . . . . . . . . . . . . . . . . . . ..x200.x29g Pregnancy,unconfirmed . . . . . . . . . . . . . . . . . . . . . . . . .,.X200 Prenatal examination, routine . . . . . . . . . . . . . . . . . . . . .X205 Postpartum examination . . . . . . . . . . . . . . . . . . . . . . . . . ..X215 Gynecological examination . . . . . . . . . . . . . . . . . . . . . . . ..X225 Eyeexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X230 Heartexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X235 All other special examinations . . . . . . . . . , . . . . . X220,X241) Diagnostictests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .x300-x399 Glucose level determination . . . . . . . . . . . . . . . . . . . . . . . ..x310 Blood pressuretest ...,... . . . . . . . . . . . . . . . . . . . . . . ..X320 Pap smear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X365 All other diagnostic tests . . . .X300-X305, X315,X325-X360, X370 Other screening and preventive procedures . . . . . . . . . . . .X400-X499 Prophylactic inoculations . . . . . . . . . . . . . . . . . . . . . . . . ..X40C) Family planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .x500.x599 Treatment Module Medications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIOO.TIg9 Allergy medication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIOO Injections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIIO Medication, other and unspecified kinds . . . . . . . . . . . . . . ..TI’f5 Preoperative and postoperative care . . . . . . . . . . . . . . . .T200.T299 Preoperative visit for specified and unspecified types of surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T200 Postoperativevisit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T205 Specifictypesoftherapy . . . . . . . . . . . . . . . . . . . . . . . ..T400-T499 Psychotherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T410 Another specific types of therapy . . . . . . . .T400-T405,T 415-T425 Specific therapeutic procedures . . . . . . . . . . . . . . . . . . . .T500-T599 Fitting glasses andcontactlenws . . . . . . . . . . . . . . . . . . . . ..T515 Suture-insertion, removal.. . . . . . . . . . . . . . . . . . . . . . ..+.T555 Another specific therapeutic procedures . . , . . . . . . , . .T500-T510, T520-T550, T560 Medical counseling . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T60&T699 Dietand nutritional counseling . . . . . . . . . . . . . . . . . . . . . ..T600 Counseling, N.0.S.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T605 Social problem counseling . . . . . . . . . . . . . . . . . . . . .T700-T799 694,431 41,699 34,881 6,711 71,384 3,254 40,394 4,114 13,262 7,467 1,819 1,075 27,175 1,236 13,783 7,631 4,524 4,785 4,318 7,972 12,134 6,230 4,127 1,776 19,529 1,406 18,122 2,988 1,717 1,271 7,809 1,896 2,515 3,397 5,503 4,016 1,487 2,647 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 14.7 41.2 30.0 100.0 1.9 ‘0.8 “0.5 *3.6 ●0.I 12.2 *3.5 3.1 *4.4 *1.O *0.7 13.1 42.2 43.2 *1.5 19.2 31.3 7.2 *4.9 6.9 *6.2 6.9 *1.4 ‘0.9 ‘2.0 17.8 *4.7 27.7 17.9 *6.1 *4.7 *9.9 *7.2 16.2 7.7 9.1 . . . 37.0 49.5 47.2 43.1 19.7 16.0 *11.7 8.6 *1.9 “0.7 21.5 12.8 10.9 10.2 45.5 11.0 14.4 *8.O *6.2 12.8 * 22.8 12.1 *6.3 *10.O *1.2 14.2 28.4 *13.3 *7.O 18,2 18.9 *16.O 15.1 28.5 17.9 21.2 . . . 46.6 45.9 51.8 52.6 50.9 20.4 $+4.1 *29.9 23.1 *4.8 8.1 50.6 27.4 16.8 15.0 50.9 28.7 33.0 22.7 27.7 34.6 39.9 34.2 42.0 53.7 *26.3 27.8 26.3 26.2 29.8 48.7 54.8 32.1 57.7 24.2 19.1 22.8 . . . 9.4 *3.8 “0.4 *0.3 25.1 31.5 21.4 32.9 34.5 43.7 44.6 23.3 20.1 17.4 18,0 *1.3 28.3 16.3 43.3 35.5 30.4 “20.5 31.2 34.9 31.7 39.1 24.3 22.5 24.0 25.6 19.8 17.3 26.5 17.7 16.3 14.2 17.0 . . . 5.2 *0.2 ‘0.5 4.3 20.0 74.5 *2I .9 30.8 45.2 45.6 *4.1 26.6 12.7 13.6 *0.8 12.7 ●5.1 18.8 25.7 15.2 *1 0.6 15.6 15.5 3.6 31.5 15.9 18.1 *8.9 19,7 7.3 *4.3 *15.5 *2.4 lSee reference 1. 2N.o.S. = not otherwise specified. 52 Table 20. Npmberand percent distribution ofoffice visits made bymalepatients bv age of patient, =cording toprincipal reason forvisit inthe Symptom Module: United States, 1977-78 Number Age Principal reason for visit and R VC code 1 of visits in All Under 15-24 25-44 45-64 65 years thousands ages 15 years years years years and over Allvisits bymale,patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . General symptorrp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S001-S099 Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S010 Tiredness,exhaustion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s015 Weightgain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S040 Chest pain andrelated symptoms (not referable to&dy system) . . . . . . . . . . . . . .S050 Pain,site notreferable toaspecific body system . . . . . . . . . . . . . . . . . . . . . . . ..s055 Painand relatad symptoms, general izad, site unspecified . . , . . . . . . . . . . . . . . . . . S080 Allergy, N.0.S.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S090 All othergeneral symptoms . . . . . . . . . . . . . . S005, S020-S035, S045, S085-S085, S085 Symptoms referable topsy chological andmental disorders . . . . . . . . . . . . . . . S1OO-S199 Anxiety andnervoumess . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S100 Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S110 Another symptoms referable topsy chological andmental disorders . . . .S105, S115-S165 Symptoms referable tothenemous system (excluding sense organs) . . . . . . . . . . S200-S259 Headache,pain in head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S210 Disturbancasofsensation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s220 Vertigc-dizziness . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S225 All other symptoms referable to the newous system (excluding sense organs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S200-S205.S215,S230-S240 Systems referable tothecardiovascular and lymphatic systems . . . . . . . . . . . . . S260-S299 Abnormal pulsationsandpalpitations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S260 Allothersymptoms referable tothecardiova=ular andlymphatic Wstems . . . . S265-S280 Symptomsreferabletotheeyes andears . . . . . . . . . . . . . . . . . . . . . . . . . . .. S300-S399 Visiondysfunctions .,..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S305 Abnormal sensationsoftheeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S320 Another symptoms referable to the eyes . . . . . . . . . . . . . . . . . . S310-S315, S325-S34O Hearingdysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S345 Earache,orearinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S355 All otheraymptomsreferableto the ears . . . . . . . . . . . . . . . . . . . . .S350,S360-S365 Symptomsreferablatothe respiratory system . . . . . . . . . . . . . . . . . . . . . . . . . S400-S499 Nasalcongestion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S400 Shortnessofbreath . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S415 Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S440 Haadcold, upperrespiratory infection (coryza) . . . . . . . . . . . . . . . . . . . . . . . . ..S445 Symptomsreferabletothroat . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S455 Another symptoms referable totherespiratory systam. . . . . . . . . . . . . . . .S405-S410, S420-S435, S450, S460-S485 Symptoms referableto the digestive system . . . . . . . . . . . . . . . . . . . . . . . . . . S500-S639 Stomachpain,cramps,andspasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S545 Abdominalpein,cramps,spasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S550 Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s595 All othersymptoms referableto the digestive system . . . . . . . . . . . . . . . . . .S500-S540, S565-S590,S60C%615 Symptoms referable tothegenimurinary system . . . . . . . . . . . . . . . . . . . . . . S640-S829 Symptoms referable totheskin, nails,andhair . . . . . . . . . . . . . . . . . . . . . . . . S830-S899 Acneorpimples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S830 Warts, N.0.S.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S850 Skin rash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s880 Skin lesion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s965 Skin irritations, N.E.C.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S870 Allothersymptoms referable totheskin, nails, and hair . . . . . . . . . . . . . . . .S835-S645, S855, S875.S895 Symptoms referable tothemusculoskeletal system . . . . . . . . . . . . . . . . . . . . . S900-S999 Necksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S900 Backsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S905 Lowbacksymptoms .,..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S910 Hipsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S915 Legsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S920 Kneesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S925 Anklesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S930 Footandtoesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S935 Shouldersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S940 Armsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S945 Elbowsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S950 Handandfingersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S960 Another symptoms referable tothemu=uloskeletal system . . . . . . . . .S955, S965-S980 460,119 37,130 9,109 2,348 1,870 9,049 2,467 1,642 2,893 7,753 11,682 4,117 3,088 4.498 13,319 6,194 1,264 3,937 1,924 2,888 1,227 1,641 29,445 6,225 2,271 4,552 2,237 9,219 4,941 58,761 5,102 3,292 13,290 9,208 14,805 11,085 20,346 2,525 5,126 2,496 10,698 12,788 27.477 3,480 2,389 8,901 3,432 1,816 7,459 50,982 4,060 11,010 4,811 1,561 4,560 5,653 1,695 4,243 3,933 1,610 1,608 2,822 3,416 Percent distribution 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100,0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 24.0 29.5 78.9 ‘4.7 ●3.7 ●3.5 ‘5.0 ●9.2 47.1 21.2 8.0 *1.8 *1.8 18.0 11.3 16.2 ●3.7 18.5 14.8 ●1.8 “24.6 39.0 11.4 “9,0 36.3 33.2 64.0 46.2 38.0 28.3 ●1.6 55.2 43.9 41.1 23.6 21.3 19.1 12.5 46.9 20.0 9.5 22.6 14.0 23.8 37.8 14.0 +15.7 13.8 8.5 +6.8 “1.3 ●1.O ●9.9 7.7 12.8 ●12.7 19.8 ●4.6 ●15.7 ●8.5 ●1 0.5 21.0 13.0 8.0 7.5 “11.1 ‘5.4 6.2 16.1 ●12.8 ●8.6 6.3 12.4 11.5 ‘10.7 14.5 10.4 13.6 “6.8 ●4.2 15.3 ●1O.O *7.1 ‘12.2 10.6 11.2 25.8 ●6.7 “9.8 10.5 *6.9 13.9 22.9 ‘4.0 8.1 9.3 24.7 9.1 11.0 16.4 11.7 ●5.7 10.5 12.6 24.1 71.6 30.9 17.2 “5.9 “12.3 19.2 14.2 10.2 13.8 10.3 ●1O.7 11.6 24.5 21.4 12.3 12.0 ● 12.8 “9.0 21.8 11.7 22.1 21.9 7.0 26.8 52.4 26.1 30.4 31.2 26.6 19.5 44.5 46.2 47.9 40.7 26.6 34.5 37.2 14.2 19.7 “8.7 ●4.8 *11.6 16.5 18.5 28.1 19.4 20.5 12.5 11.9 18.6 24.9 ‘10.1 14.4 19.8 20.8 19.5 23.9 37.7 25.4 20.7 22.1 25.7 20.4 11.0 25.9 18.6 18.4 27.1 24.6 28.7 35.8 36.3 36.7 “12.5 19.2 24.9 34.9 15.3 28.1 23.6 35.0 27.7 25.8 25.1 24.0 5.1 35.4 27.6 38.4 31.4 29.8 12.8 25.6 27.5 28.2 33.5 22.7 28.5 24.2 34.1 35.4 24.9 39.1 52.7 28.9 18.3 28.4 20.8 19.9 21.3 8.1 20.4 17.7 15.2 33.4 13.1 17.6 10.8 29.1 25.4 16,1 29.6 20.0 26.8 25.9 21.1 “1.8 “11.7 19.6 35.6 22.2 28,0 32.9 37.8 36.5 40.0 33.6 30.2 23.7 ● 19.4 32.9 37.9 34.3 35.5 31.7 26.7 15.8 16.6 “1.4 21.9 “10.9 25.9 17.1 ●17.1 +5.0 27.5 7.5 12.3 ●6.1 “4.2 23.1 11.5 ’21.9 42.5 21.7 27.4 33.6 22.7 15.6 30.5 16.3 17.8 15.2 5.0 14.7 11.8 8.6 50.8 9.3 9.5 2.7 18.8 18.5 16.8 20.7 ‘6.8 20.6 26.3 11.8 “1.7 “7.7 6.8 26.2 22.7 14.5 15.8 9.3 13.1 12.1 33.4 31.4 14.1 ●11.6 19.7 17.5 ‘13.6 ●12.1 ●8.3 14.9 lseerefarence ,. 2N.o. s.= nototherwise specified; N.E. C. = not elsewhere classified. 53 Table 23. Numbarand percent distrlbutionof office visits made by female patients bylocatlonof physician’s practice, according to principal reason for visit in the Symptom Module: United States, 1977-78 Number Geographic region Area All Principal reason forvisitand RVCcode7 0 f visits loca- in North- North Metro- Non- thousands tions east Cerr tral South West p01itan2 metrO- Lzolitan Allvislts by female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . General symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..sooI.s099 Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..so1o Tiredness,exhaustion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..so15 Weightgain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,., ,,s040 Chest pain and related symptoms (not referable to body system) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S050 Pain, site notreferable toaspecific body system . . . . . . . . . . . .S055 pain andralated symptoms, general lzed, site unspecified . . . . . . . . S060 Allergy, N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S090 Another general symptoms . . S005, S020-S035, S045, S065-S085, S095 Symptoms referable to psychological and mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S100-S199 Anxiety andnervousness . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S100 Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S110 All other symptoms referable to psychological and mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S105. S115-S165 Symptoms referable tothenewoussystem (excluding sense organs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S200-S259 Headache,pain inhead . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S210 Disturbancesofsansation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . s220 Vemigo-dizziness . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . ..s225 All other symptoms referable to the nervous system (excluding sanseorgans) . . . . . . . . . . . . . . . . . . . .S200-S205, S215, S230-S240 Symptoms referable to the cardiovascu Iar and Iymphadc systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S260-S299 Abnormal pulsations and palpitations . . . . . . . . . . . . . . . . . . S260 All other symptoms referable to the cardiovascular and Iymphaticsystems . . . . . . . . . . . . . . . . . . . . . . . . . . . .S265-S280 Symptoms referable totheeyesand ears . . . . . . . . . . . S300-S399 Visiondyafunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S305 Abnormal sensationsoftheeye . . . . . . . . . . . . . . . . . . . . . . . ..S320 Another symptoms referable to the eyes . . . . . S310-S315, S325-S340 Hearingdysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S345 Earache,orear infection . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S355 Another symptoms referable to the ears . . . . . . . . . . .S350, S360-S365 Symptoms referable totherespiratory system . . . . . . . . . . . . . S40C-S499 Nasal congestion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S400 Shortnessof breath . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S415 Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S440 Headcold, upper respiratory infection (coryza) . . . . . . . . . . . . . .S445 Symptomsreferabletothroat. . . . . . . . . . . . . . . . . . . . . . ,., .S455 Another symptoms referable tothe respiratory system . . . . .S405-S410, S420-S435, S450, S460-S485 Symptoms referable tothedi@stive system . . . . . . . . . . . . . . . S500-S639 Nausea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S525 Vomiting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S530 Stomach pain,cramps,andspasms . . . . . . . . . . . . . . . . . . . . . ..S545 Abdominal pain,cramps,spasms . . . . . . . . . . . . . . . . . . . . . . ..S550 Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s595 Another symptoms referable tothe digestive system . . . . . .S500-S520, S535-S540, S565-S590, S600-S61 5 Symptomsreferableto thegenitourinary system. . . . . . . . . S640-S829 Frequency andurgency ofurination . . . . . . . . . , . . . . . . . . .S645 painfulurination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S650 Absence ofmenstruation (amenorrhea) . . . . . . . . . . . . . . . . . . ..S730 Irregularity of menstrual intewal . . . . . . . . . . . . . . . . . . . S735 Irregularit yofmenstrualflow. . . . . . . . . . . . . . . . . . . . . . . . ..S740 Menstrual symptoms, other and unspecified . . . . . . . . . . . . . . . . . S745 Menopausal symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S750 Uterineandvaginal bleeding . . . . . . . . . . . . . . . . . . . . . . . . . ..S755 Vaginal discharge......,.. . . . . . . . . . . . . . . . . . . . . . . . ..S760 Otherveginal symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S765 Pelvicsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S775 Pain orsorenessof breaat. . . . . . . . . . . . . . . . . . . . . . . . . . . ..S800 Lumpormassofbreast, . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S805 All other symptoms referable to the genitourinary system . . . . . . . . . . . S640, S655-S660, S770, S790-S795, S810-S825 Percent distribution 694,431 57,110 8,930 5,678 10,625 9,032 3,835 2,903 3,509 12,598 19,260 7,962 6,014 5,285 23,956 12,148 2,080 7,405 2,323 4,150 1,960 2,190 36,763 9,599 3,617 5,879 2,535 9,881 5,253 69.397 5,950 3,182 15,769 11,939 20,079 12,477 34,324 3,162 2,178 3,882 12,441 2,350 10,310 46,199 2,635 4,043 1.745 1.793 1,282 1,566 2,842 4,186 3,939 4,481 1,693 1,627 3,983 10.375 100.0 100.0 100.0 100.0 100.0 100.0 100,0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100,0 100.0 100.0 100.0 100,0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 23.6 22.3 17.4 29.5 22.3 24.1 23.0 23.1 23.4 20.4 32.5 31.0 31.2 36.1 24.9 25.1 25.1 24.9 23.1 25.4 26.0 24.8 25.6 27,0 27.7 25.6 27.7 24.3 23.3 24.4 29.6 26.7 26.3 23.3 22.6 22.9 21.9 17.4 16.1 23.6 22.8 22.0 22.9 21.4 26.0 17.9 39.4 20.9 28.3 24.6 15.2 20.8 21.8 18.2 22.2 ●16.O 19.1 22.0 25.0 23.4 28.2 34.8 12.5 23.5 21.3 30.1 31.0 20.9 18.6 18.0 22.6 15.1 24.5 24.9 25.7 22.3 29.1 29.1 26.9 31.1 22.7 22.7 24.0 20.5 15.9 24.2 24.5 25.1 18.4 16.9 26.4 25.2 28.0 24.2 25.2 27.4 18.5 23.0 23.9 23.2 28.7 24.4 24.8 26.3 15.1 23.4 +17.4 +19.0 24.6 27.2 27.3 29.1 42.1 28.0 27.4 21.0 30.7 32.8 38.5 17.0 25.7 37.6 38.3 29.2 29.0 38.5 28.1 30.6 27.0 25.6 30.2 28.2 33.6 32.5 30.5 31,9 31.6 32.2 29.2 26.1 19.6 25.4 37.1 32.1 36.4 30.6 31.3 35.3 27.6 32.1 29.4 33.2 32.3 37.4 47.4 34.4 31.9 32.7 27.3 32.2 29.3 35.2 24.7 37.4 30.5 40.4 34.0 30.0 33.0 26.5 31.0 37.0 34.7 32.0 20.8 21.6 15.8 18.8 39.5 14.8 17,4 17.5 16,6 20.2 20.8 20.4 19.3 23,2 20,4 21.8 15.5 20.4 17.3 13.6 15.5 11.9 22.5 24.2 28.8 28.5 19.3 19.4 15.8 19.9 20.7 21.2 19.8 19.4 19,9 19.8 20.6 17,8 18.o 19.1 21.4 22.0 21.2 22.1 19.9 20.6 20.8 18,4 *23.8 ‘16.0 26.2 22.0 17.9 26.1 22.8 19.1 18.9 25.0 75.6 75.1 68.8 78.4 90.9 76.0 67.1 73.0 60.7 71.1 87.5 84.0 91.2 88.6 75.6 74.0 81.3 74.8 81.8 79.3 84.7 74.4 76.1 83.4 71.7 83,2 72.5 69.1 72.5 73.0 79.2 75.4 75.1 70.0 70.0 74.6 72.4 59.6 62.5 68.0 76.4 75,3 74.6 75.4 78.1 72.8 84.6 75.8 73.4 65.9 76.0 73.1 79.1 75.2 75.6 60.5 71.5 79.2 24.4 24.9 31.2 21.6 9.1 24.0 32.9 27.0 39.3 28.9 12.5 16.0 8.8 11.4 24.4 26.0 18.7 25.2 18.2 20,7 +15.3 25.6 23.9 16.6 28,3 16.8 27.5 30.9 27.5 27.0 20.8 24.6 24.9 30.0 30.0 25.5 27.6 40.4 37.5 32.0 23.6 24.7 25.4 24.6 21.9 27.2 “1 5.4 24.2 26.6 34.1 24.0 26,9 20.9 24.8 24.4 39.5 28.5 20.8 See footnotes at end of tabla. 56 Table 23. Num&rand percent distribution ofoffice visits made by female patients by location of physician’s practice, according to principal reason forvisit in the Symptom Module: United States, 1977-78-Con. Number Geographic region Area of visirs All Principal reason for visit and R VC code 1 loca- in Norrh- North Merro- Non- thousands rions east Central Sourh West me trO- politan2 poliran Percent distribution Symptoms referable to the skin, nails, and hair . . . . . . . . . . . . . S830-S899 Acneorpimples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S830 Warts, N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S850 Skin rash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..ss60 Skin lesion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S865 Skrni’rritations, N.E.C,3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S870 All other symptoms referable to the skin, nails, and hair . . . . . . . . . . . . . . . . . . . . . . . . . S835-S845, S855, S875-S895 Symptomsreferable tothemuaculoskeletal system . . . . . . . . . . s900-S999 Necksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S900 Backsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s905 Lowbacksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s91o Hipsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S915 Legsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S920 Kneesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S925 Footandtoesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S935 Shouldersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S940 Armsymptoms . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . ..S945 Handandfingarsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . ..S960 All other symptoms referable to the musculoskeletal system . . . . . . . . . . . . . . . . . . . . . . ..S930.S950-S955.S965-S980 36,591 6,759 2,102 11,152 4,023 2,654 9,900 57,934 5,654 11,497 4,833 2,186 5,916 5,156 4,306 4,773 2,651 3,440 7,522 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100,0 22.9 22.0 21.7 24.3 22.3 20.9 22.8 23.8 26.9 23.0 24.3 19.2 25.0 24.7 20.8 25.3 27.5 21.2 23.2 26.4 24.5 28.4 30.3 21.1 23.7 22.2 25.6 23.3 26.6 22.7 24.7 23.3 25.6 26.4 25.1 23.3 27.9 29.8 29.7 29.0 27.5 27.0 37.2 28.7 30.7 30.7 29.5 32.7 34.0 30.2 31.3 29.1 31.1 26.5 30.1 30.5 29.8 22.1 24.5 22.4 18.3 19.4 26.8 24.3 19.8 20.3 17.8 19.1 25.9 20.5 20.6 21.7 23.1 19.1 20.4 17.2 78.4 21.6 89.8 10.2 77.2 22.8 76.2 23.8 71.0 29.0 76.1 24.0 76.9 23.1 77.3 22.7 80.2 19.8 77.4 22.6 83.6 16.4 81.8 18.2 76.0 24.0 77.8 22.2 70.6 29.4 77.4 22.6 70.8 29.2 73.1 26.9 78.2 21.8 1seerafe,anoe 1, 2Location within theatandard metropOlilan statistical areas (SMSA’s). 3N. o.s, = not otherwise specified; N. E.C. =’ notelaawhere classified. 57 Table 24. Number and percent distributmnof of flcewsltsmadeby female patients by location of physician’s practice, according to principal reason forvisit in the Disease, injuries and Adverse Effects, Test Results, and Administrative Modules: United States, 1977-78 Number Geographic region Area All %incipalreason forvisit and RVCcodel 0 f visits 10ca- in North- North Merro- Non- rhousands rions east Central South West p01itan2 metro- politan Percent distribution Allvisits by female patients . . . . . . . . . . . . . . . . . . . . . . . . . Disease Module Infective andparasitic diseasas . . . . . . . . . .DOO1-D099 Viraldiaaases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DO15 Another infective and parasitic diseases . . . .DO05-D010, DO2O-DO35 Neoplasm . . . . . . . . . . . . . . . . . ..D1OO-D199 Malignantneoplasms . . . . . . . . . ..DIOO-D135 Benign neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DI4D14545 Endocrine, nutritional, andmetabollc diseases. . . . . . . .D200-D249 Diseasesofthethyroldgland . . . . . ..D200 Diabetesmellitus . . . . . . . . . . . , . . . . . ..D2o5 All other endocrine, nutritional, and metabolic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,D21O-D2I5 Disaasas ofthablood and blood- forming organs . . . . . .D250-D299 Mentaldisorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D300-D349 Disaasasofthenewoussystem . . . . . . . . . . .D350-D399 Diwasesoftheeye . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D400-D449 Dkeasasoftheear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D45O-D499 Diaeasas of thecirculatory system . . . . . ..D500-D599 Hypertension ., . . . . . . . . . . . . . ,.. ,D51O Ischemicheartdisease .,..,.. . . . . ..D515 Another diseases of theclrculatory system . .D500-D505, D520-D550 Diseasas oftha respiratory system . . . . ..D600-D649 Disaases ofthedigestive system . . . . . . . .D650-D699 Diseasesof thagenitourinary system . . . . . . . . . .D700-D799 Diseases of theskin andsubcutaneous tissue . . . . . . . . . .D800-D899 Diseases of the muacu Ioskel etal system and connective tissua . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D90GD949 lnjuriasand Adversa Effacts Module lnjurybytypeand/orlocation . . . .JOOI-J799 injury, N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .J800-J899 Test Results Module Test resultsmodule . . . . . . . . . . . . . ..RIOO-R700 Administrative Module Admmistrative module . . . . . . . . . . . . . . . . . . . . . . . . .,.AIOO-A140 694,431 2,506 1,366 1,140 4,467 3,398 1,089 7,296 1,342 5,255 699 917 607 1,241 3,830 1,174 13,335 9,249 1,247 2,839 6,167 2,397 3,732 4,192 4,910 16,883 2,156 4,193 6,957 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 23.6 17.7 ‘12.2 *24.3 20.5 19.4 24.0 21.9 ●23.9 22.8 ‘11.9 ●24.7 *44.8 ‘15.3 28.0 *27.1 32.2 34.5 29.3 25.8 26.2 20.1 21.4 22.3 15.5 17.6 18.8 13.9 25.0 25.0 25.8 32.6 *1 7.6 23.0 26.4 13.2 25.3 29.8 25.5 +15.3 *3I .2 “10.1 *26.6 26.6 ‘12.5 22.6 22.1 19.7 25.5 23.6 21.6 17.6 23.6 25.2 29.7 21.9 23.0 34.8 30.7 35.1 32.5 38.1 32.8 30.2 40.9 26.8 *23.6 28.2 *22.1 ‘29.9 +17.0 42.0 25.4 35.6 29.3 28.7 41.9 25.4 31.9 39.2 46.0 25.7 41.1 31.8 33.4 30.7 25.7 20.8 21.5 22.7 +20.1 23.5 24.0 22.0 25.9 ‘22.7 23.5 50.7 *14.3 “28.2 *16.1 20.0 24.8 16.0 14,6 ‘9.1 23.3 18.3 19.1 15.0 28.4 18.2 20.8 25.9 32.4 14.6 75.6 76.9 82.7 69.9 74.0 75.9 68.0 79.8 80.5 78.6 88.0 74.0 90.8 66.7 82.3 82.6 73.9 75.0 78.2 68.2 74.9 66.1 86.5 80.7 68.8 70.6 78.5 69.1 67.5 24.4 23,1 *I 7.3 30.1 26.0 24.2 32.1 20.2 ‘19.5 21.5 *1 2.0 26.0 9.2 33.3 17.8 * 17.4 26.2 25.0 *21 .8 31.8 25.1 33.9 13.5 19.3 31.2 29.4 21.5 30,9 32.5 lSee reference 1. 2Location within the standard matropolltan statistical areas (S. M. S. A.’s) 3N.o.S. = nototherwme specifiaci. 58 Table 27. Number andpercent distribution of office visits made by male patients bylocation ofphysician's practice, according toprincipal reason forvisit in the Disease, injuries and Advene Effects, Test Results, and Administrative Modules: United States, 1977-78 Number Geographicregion Area 0 f visits All Principalreasonfor visitand R VC codeq 10ca-in North- North Metro- Non- thousands tions Central southeast West p01itan2 metro- politan Percent distribution Allvisits by malepatients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Disease Module Infective and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . ..DOOI-D099 Viraldiseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DO15 Another infective and parasitic diseases . . . . . . . . . . . . . . .DO05-D035 Neoplasm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D1OO-D199 Malignantneoplasms ..,.... . . . . . . . . . . . . . . . . . . . ..D1OO-D135 Endocrine, nutritional, and metabolic diseases . . . . . . . . . . . . .D200-D249 Diabetesmellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D205 All other endocrine, nutritional, and metabolic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D2OO.S21O-D215 Diseasas of the blood and blood-forming organs . . . . . . . . . . . .D250-D299 Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D3200-D349 Diseasesofthe nervouseystem . . . . . . . . . . . . . . . . . . . . ..D350-D399 Diseasasoftheeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D400-D449 Diseasasoftheear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D450.D499 Disaases ofthecirculatory system . . . . . . . . . . . . . . . . . . . ..D500-D599 Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D51O Ischemicheartdisease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D515 Allotherdisaasesof thecirculatory system . . . .D50C-D505, D520-D550 Diseases of the respiratory system . . . . . . . . . . . . . . . . . . . ..D600-D649 Diseasesof thedigeative system . . . . . . . . . . . . . . . . . . . . . ..D650-D699 Herniaofabdominal cavity.. . . . . . . . . . . . . . . . . . . . . . . . . ..D660 Allothe rdisease so fthedigestiv esystem . . . . . .D650-D655, D665-D675 Disaawsofthegenitourinary system . . . . . . . . . . . . . . . . . . . .D700-D799 Disaasesof theskin and subcutaneous tissue . . . . . . . . . . . . . .D800D899 Diseases of the musculoskeletal system and connective tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D900-D949 Injuries and Adverse Effects Module lrrjurybytypeand/orlocation . . . . . . . . . . . . . . . . . . . . . . ..JOO1-J799 lnjury,N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..J900-J999 Test Results Modu Ie Tastresultsmodule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..R1OWR7OO Administrative Module Administrativemodule . . . . . . . . . . . . . . . . . . . . . . . . . . . ..A1OO-AI4O 460,119 2,372 1,120 1,251 2,526 2,292 4,736 3,726 1,010 492 818 766 2,396 ?,066 11,178 6,724 1,969 2,485 5,604 3,144 1,734 1,409 1,942 3,921 2,523 27,002 2,217 2,044 12,072 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 23.4 23.5 ●28.7 18.9 22.5 21.2 24.0 24.7 ●21.7 ●17.9 *38.6 “40.6 37.3 ●21 .8 26.5 25.8 28.8 26.8 27.5 26.4 24.5 28.7 ●16.8 18.7 ‘1 2.4 15.0 19.4 11.3 21.1 25.6 26.0 ●23.5 28.1 24.4 25.0 29.7 30.0 ●28.5 *22.9 *18.1 * 15.8 16.1 ●24.6 22.4 21.4 28.8 20.1 27.2 19.2 17.5 ●2I .4 * 12.5 30.3 23.0 30.4 21.6 27.5 33.1 31.0 19.9 29.7 20.8 ●27.6 *20.1 31.5 21.4 26.3’ 26.9 25.4 28.4 23.4 22.9 24.9 20.4 ●17.7 ●32.1 *33.8 ‘25.4 ●I 7.3 ‘26.0 ‘24.2 +19.3 31.1 21.5 ●23.6 ● 30.0 29.7 21.3 28.5 24.3 29.3 *13.1 33.4 19.8 25.4 19.9 33.8 20.6 36.6 21.5 30.4 ‘19.5 46.2 24.4 33.8 17.2 43.4 21.3 34.9 19.7 38.9 20.2 29.0 32.2 27.6 16.3 74.0 79.8 80.5 79.2 80.4 79.2 79.1 78.7 80.8 86.0 91.8 84.4 79.6 71.6 76.4 79.7 73.3 69.9 74.2 73.2 71.0 75.8 90.1 76.4 65.6 64.6 71.2 73.0 68.0 26.0 20.2 ●19.5 ●20.8 19.6 20.8 20.9 21.3 ●19.2 *14.O ●8.2 ● 15.6 20.4 ●28.4 23.6 20.3 26.7 30.2 25.8 26.8 29.0 24.2 *9.9 23.7 34.5 35.4 28.9 27.1 32.0 1seeref ~ra”ce 1, Z1-mation within the standard metropolitan statistical areas (S. M. S.4h’S). 3N.o.s. = not otherwise spacifiad. 61 Table 28, Numbarand percent distribution of office visits made bymale patients by Iocationof physician's practice, according toprincipal reason for visit in the Diagnostic, Screening, and Preventive Module and the Treatment Module: United States. 1977-78 Principal reason for visit and R VC codefl Number Geographic region Area of visits All loca- in North- North Metro- Non- thousands tions Central South West metro-east p01itan2 politan Percent distribution Allvisits by male patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diagnostic, Screening, and Preventive Module Generalexaminations . . . . . . . . . . . . . . . . . . . . . ... . . . ..xx199xI99 General medicalexamination . . . . . . . . . . . . . . . . . . . . . . . . ..XIOO Well babyexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X105 Specialexaminations . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..x200-x2gg Eyeexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X230 Heartexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X235 Diagnostictests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X300-X399 Glucoseleveldetermination . . . . . . . . . . . . . . . . . . . . . . . . . ..X310 Bloodpressuretest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X320 All other diagnostic tests . . . . . . . . . X300-X305,X315,X325-X370 Other screening and preventive procedures . . . . . . . . . . . . . . .X400-X499 Prophylacticinoculations.. . . . . . . . . . . . . . . . . . . . . . . . . . ..X400 Familyplanning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X500-X599 Treatment Module Medications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .TIOO-T199 Allergymedication . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,., ,.TIOO injections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., . . . . . ..TIIO Medication, other andunspacified kinds . . . . . . . . . . , . . . . . .TI15 Preoperative andpoatoperative care . . . . . . . , . . . . , . . .T200-T205 8pecifictypasoftherapy . . . . . . . . . . . . . . . . . . . . . . . . . ,.T400-T499 Specific therapeutic procedures . . . . . . . . . . . . . . . . . . . . . ..T500-T599 Fittingglassesand contactlenses . . . . . . . . . . . . . . . . . . . . . . ..T515 Suture-insertion, removal.. . . . . . . . . . . . . . . . . . . . . . . . . . ..T555 Another specific therapeutic procedures . . T5OO-T51O,T52O-T55O, T560 Medicalcounsaling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T600-T699 Social problemcounseling . . . . . . . . . . . . . . . . . . . . . . . . ..T700T799 460,119 31,269 24,234 7,015 7,762 4,485 2,864 14,335 1,161 9,913 3,261 4,069 3,833 1,240 9,742 6,761 1,734 1,248 12,301 2,032 7,644 1,057 3,580 3,007 1,919 2,222 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 23.4 26.1 27.4 21.6 25.0 25.3 26.3 26.4 *16.2 28.2 24.7 17.6 16.5 ● 24.8 34.1 40.7 +19.1 *19.4 20.4 29.6 15.4 *23.7 14.7 13.2 18.4 38.4 25.6 27.0 26.1 30.1 31.1 25.2 41.6 29.8 30.7 32.7 20.9 20.5 20.8 28.1 24.3 20.3 37.1 28.3 23.9 19.6 29.8 ●2I .6 35.0 26.4 25.2 17.7 31.0 19.9 30.9 16.1 32.8 13.8 24.2 24.2 27.2 16.7 31.4 18.1 19.6 12.5 27.2 16.5 42.1 *11.O ‘2? .2 17.9 40.3 14.1 24.2 37.7 24.5 38.3 “20.0 ‘27.0 27.8 13.8 28.5 10.6 31.6 *1 2.2 ‘18.9 33.4 32.7 23.0 31.4 19.5 37.2 17.7 34.5 ●20.I 36.0 14.3 39.6 20.8 29.6 26.8 25.7 18.2 74.0 75.4 75.4 75.1 77.7 84.6 66.2 71.3 60.9 72.7 70.8 76.0 75.3 77.6 76.1 77.5 63.5 85.5 80.2 91.2 69.3 83.8 69.2 76.3 65.1 94.8 26.0 24.6 24.6 24.9 22.3 15.4 33.8 28.7 39.7 27.3 29.2 24.0 24.7 ‘22.4 23.9 22.5 36.5 ‘14.5 . 19.8 “8.9 30.7 ‘16.2 40.9 23.7 34.9 ‘5.2 lSaa reference 1. ‘2L~cati~” with i“ tha standard ~etr~p~litan ~teti~tical are~~ (S MS A,$J. * e 62 Table 29. Num&rand percent ofoffice visits made by female patienG, byselected physician s@cialties andprincipal reason forvisit inthe Sym~om Module: United States, 1977-78 Principal reason for visit and R VC code 1 Physician specialty Numbar of visits General in Obstetrics and Internal pediatrics General thousands family and medicine surgery practice gynecology Percent of visits2 Allvisits by female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . General symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s001-s099 Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... ...........so1o Tiredness,exhaustion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s015 Weightgain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s040 Cheat pain and related symptoms (not referable to body system) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S050 Pain,site notrefarable toaspecific body system . . . . . . . . . . . . . . . . . . . . . S055 Painand related symptoms,genaralized, sitaunspecified . . . . . . . . . . . . . . ..S060 Allergy,N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S090 All otherganaral symptoms . . . . . . . . . . S005, S020-S035, S045, S065-S085, S095 Symptoms referable topsychological and mental disorders . . . . . . . . . . . . . S1OO-S199 Anxietyandnervousness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S100 Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S110 Al I other symptoms referable to p~chological and mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S105.SII5..SI65 Symptoms referable tothe nervous system (excluding sensa organs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S200-S259 Headache,pain inhead . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S210 Disturbancasofsansation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s220 Vertigo-dizziness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s225 Allothar symptoms referable tothe nervous system (excluding sense organs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S200-S205, S215, S230S240 Symptoms referable to the cardiovascular and lymphatic systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S260-S299 Abnormal pulsationsandpalpitations . . . . . . . . . . . . . . . . . . . . . . . . . . ..S260 Al I other symptoms referable to tha cardiovascular and Iymphatic systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S265-S280 Symptomsrefarable totheeyesandears . . . . . . . . . . . . . . . . . . . . . . . . . S300.S399 Visiondysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S305 Abnormal sansationsofthaeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S320 Ailother symptoms referable tothe eyes . . . . . . . . . . . . . .S310-S315, S325-S340 Heeringdysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S345 Earswhe,orearinfaction, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S355 All othersymptomsreferablato theears . . . . . . . . . . . . . . . . ..S350.S360-S365 Symptoms referableto therespiratory system . . . . . . . . . . . . . . . . . . . .. S400-S499 Nasalcongestion , . . . . . . . . . . . . . ...1... . . . . . . . . . . . . . . . . . . . . . S400 Shortnessofbreath . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S415 Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S440 Headcold, upper respiratory infection (coryza) . . . . . . . . . . . . . . . . . . . . . . S445 Symptomsreferebletothroet.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S455 All othersymptoms referableto the respiratoryaystam . . . . . . . . . . . . .S405-S410, S421Y3435, S450, S460-S485 Symptoms referable tothe digestive system . . . . . . . . . . . . . . . . . . . . . . . S500-S839 Nausea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S525 Vomiting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S530 Stomachpain,cramps,andspasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S545 Abdominal pain,cramps,spasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S550 Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s595 All othersymptoms referablato the digestive system . . . . . . . . . . . . . .S500-S520, S53SS540, S565-S590, S600-S61 5 Symptoms raferableto thegenitourinary system . . . . . . . . . . . . . . . . . . . S640-S829 Frequencyandurgancy ofurination . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S645 Painfulurination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S650 Absenceofmenstruation (amenorrhea) . . . . . . . . . . . . . . . . . . . . . . . . . ..S730 Irregularityofmenstrual interval . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S735 Irregularityofmenstrualflow.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S740 Menstrual symptoms,otherand unspecified . . . . . . . . . . . . . . . . . . . . . . . .S745 Menopausal symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s750 Uterineandvaginal blaading. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S755 Vaginal discharge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S760 Othervaginal symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S765 Pelvicsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S775 painorsorenassof breast... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S800 Lumpormassofbreast . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S805 Allotharsymptoms referable tothegenitourinary system . . . . . . . . . . . . . ..S640. S655-S680, S770, S790-S795, S81 0-S825 See footnotes at and of table. 694,431 57,110 8,930 5,678 10,625 9,032 3,835 2,903 3,509 12,598 419,260 7,962 6,014 5,285 523,956 12,148 2,080 7,405 2,323 4,150 1,960 2,190 6%,763 9,599 3,617 5,879 2,535 9,881 5,253 769,397 5,950 3,182 15,769 11 #939 20,079 12,477 34,324 3,162 2,178 3,SS2 12,441 2,350 10,310 %,1 99 2,635 4,043 1,745 1,793 1,282 1,566 2,642 4,196 3,939 4,481 1,693 1,627 3,983 10,375 37.3 49.1 41.4 54.3 51.8 48.6 49.9 49.4 51.6 49.1 26.6 44.2 12.5 16.2 49.6 51.4 35.9 54.1 37.9 38.3 24.7 50.4 19.8 +3.0 16.6 16.9 21.1 37.7 21.3 54.0 29.0 44.8 56.7 62.1 59.5 48.6 47.1 56.3 49.0 60.1 40.5 47.7 43.7 32.9 33.2 48.0 23.1 27.8 +20.2 37.3 51.6 28.8 32.1 34.5 29.4 36.8 19.8 31.4 11.1 15.7 4.0 28.1 6.5 32.1 13.1 12.5 6.7 18.4 10.2 14.1 7.3 7.7 18.6 15.4 25.4 23.8 *1 2.3 34.8 49.6 21.5 3.1 +1.1 ●2.1 ‘2.6 ●4.4 5.5 ●3.1 11.6 4.8 33.8 11.9 12.6 9.5 11.2 17.9 13.4 ●6.6 18.7 19.5 23.4 18.1 6.1 “8.0 ●8.2 +4.1 “4.8 ●1.9 ‘4.9 ‘9.3 ●5.3 ● 5.6 ●5.4 ●3.5 ●1O.1 ‘4.6 6.2 7.9 10.4 48.8 ●1.1 ‘0.7 “0.8 ●1.5 ●1.4 14.3 5.9 ●1.2 ‘0.2 ‘0.6 *3.6 2.1 3.4 “0.6 ‘0.7 ●1.3 ●5.1 ●0.7 ●9.O 13.3 ●2.5 6.2 ‘6.5 32.3 20.6 16.7 14.9 +1.4 24.0 15.5 17.9 11.6 8.7 ●3.2 38.6 10.1 3.7 18.0 7.5 2.2 5.1 +7.3 ‘0.4 ‘ 0.4 ●2.4 ●1.7 ● 3.6 *1.5 ●1.8 ‘ 2.0 5.7 4.7 ●3.2 ‘4.9 ●3.1 4.1 ●5.2 ●9.9 5.0 5.8 1.8 ‘3.4 ● 0.6 “0.7 3.7 3.6 ●6.2 “4.0 ●1.1 ●4.2 ●1.8 ‘6.3 1.0 ●0.1 “0.6 +0.5 ●1.7 ●1.8 ●1.3 2.8 +1.0 +2.1 “2.0 3.7 3.7 ●2.6 11.2 ‘4.2 ‘4.7 “5.6 16.5 ●4.8 11.9 9.6 ●2.3 ‘3.0 ●2.3 ●4.5 ● 5.8 “0.6 ●8.1 ●4.7 +3.7 ●3.4 ‘5.9 29.0 57,7 4.3 14.8 8.2 ●0.7 ●3.1 25.0 “0.8 10.5 ●8.3 8.6 2.2 ●2.8 ●1.4 ●2.2 2.0 ‘ 2.3 ●1.8 ‘2.0 +1.7 ●1.9 ●1.5 “0.1 ‘0.1 “0.2 +0.2 ‘0.1 ‘0.7 ‘ 0.6 ●1.6 ‘0.8 ‘0.7 6.9 ‘8.4 90.2 ●2.8 13.2 “0.7 ●3.3 37.7 8.2 11.2 68.5 61.0 71.7 53.8 28.1 61.1 55.7 51.1 54.3 ● 20.7 10.3 30.5 .. 63 Table 31. Number and percent of of ficevisits made by female patients, byselected physician specialties andprincipal reason forvisit in the Diagnostic, Screening, and Preventive Module andthe Treatment Module: United States, 1977-78 Principal reason forvisitand RVCcodel Physician specialty Number of visits General Obstetrics in and Internal Pediatrics General thousands and family medicine surgery practice g,~necology Allvisits by female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diagnostic, Screening, and Preventive Module General examinations . . . . . . . . . . . . . . . . . . . . . . . . . . ..XIOO-X199 General medical examination . . . . . . . . . . . . . . . . . . . . . . . . . ..X1OO Well baby examination . . . . . . . . . . . . . . . . . . . . . . . . . . ..X105 Speciel examinations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X200-X299 Pregnancy,unconfirmed . . . . . . . . . . . . . . . . . . . . . . . . . . ..X200 Prenatal examination, routine . . . . . . . . . . . . . . . . . . . . . . . . . ..X205 Postpartumexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X215 Gynecological examination . . . . . . . . . . . . . . . . . . . . . . . . . . ..X225 Eyeexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X230 Heartexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X235 All other special examinations . . . . . . . . X220,X240 Diagnostictests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X300-X399 Glucose level determination.. . . . . . . . . . . . . . . . . . . . . . . . . ..X310 Blood pressure test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X320 Papsmear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X365 Another diagnostic tests . . . . . . X300-X305,X315, X325-X360,X370 Other screening and preventive procedures . . . . . . . .X400-X499 Prophylactic inoculations . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X400 Family planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .X500-X599 Treatment Modu Ie Medications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIoo-TI99 Allergy medication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIOO Injections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIIO Medication, other and unspecified kinds . . . . . . . . . . . . . . . . . . . .TI15 Preoperative and postoperative cara . . . . . . . . . . . . . . . . . . . .T200-T299 Preoperative visit for specifiad and unspecified typas of surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T200 Postoperativevisit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T205 Specifictypesoftherapy . . . . . . . . . . . . . . . . . . . . . . . . . . ..T400-T499 Psychotherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T410 Another specific types of therapy . . . . . . . . . . . .T400-T405, T415-T425 Specifictherapeutic procedures . . . . . . . . . . . . . . . . ..T500-T599 Fittingglassesandcontact lenses . . . . . . . . . . . . . . . . . . . . . . . ..T515 Suture-insertion, removal . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T555 Allothar spacific therapeutic procedures . . T500-T510, T520-T550, T560 Medical counseling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T600-T699 Dietand nutritional counseling . . . . . . . . . . . . . . . . . . . . . . . . ..T600 Counseling, N.0.S.7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T605 Social problemcounseling . . . . . . . . . . . . . . . . . . . . . . . . . ..T700-T799 684,431 41,699 34,881 6,711 71,384 3,254 40,394 4,?14 13,262 37,467 1,819 1,075 27,175 1,236 13,783 7,631 4,524 4,785 4,318 7,972 12,134 6,230 4,127 1,776 419,529 1,406 18,122 52,988 1,717 1,271 67,8(J9 1,896 2,515 3,397 5,503 4,016 1,487 823647 Percent of visits2 37.3 31.8 32.5 28.7 20.0 34.4 24.0 24.0 9.9 1.4 44.6 ‘1 8.7 56.2 67.6 59.6 58.9 37.9 45.1 43.6 25.1 42.3 27.6 62.1 47.7 10.3 ‘1 2,4 10.2 19.3 *3.9 40.0 22.9 ●1.6 35.4 25.4 57.2 68.0 28.1 *5.6 11.1 12.8 15.3 ●0. I 1.5 *1.5 *0. I * 0.9 ‘0.2 37.8 *12.5 20.0 22.2 29.6 6.3 13.0 9.1 8.3 *1.4 9.4 *5.3 14.1 *12.8 1.8 *14.3 ‘0.8 12.4 29.1 *4.O *2.5 *7.3 8.5 “7.4 *11.5 *2.9 7.9 33.8 26.7 71.1 “0.4 +0.7 ●0.2 “0.8 *1.O 1.7 *1.6 *0.2 ‘0.4 8.2 16.0 16.1 ++0.1 16.3 29.7 *2.5 *1.6 ‘0.4 *4.1 ●0. I ●1.2 *2.8 6.5 15.6 ●3.3 ●3.5 ●2.1 *7.5 ‘2.0 5.7 2.5 3.0 1.2 ‘3.0 +0.4 *0. I *1.2 “3.8 33.9 3.9 *5.3 3.9 *3.3 4.4 ‘3.5 *3.6 *0.8 2.8 *1.7 ++4.3 “3.5 26.3 *3.1 28.1 *5.9 *3.O *9.9 12.9 22.9 12.6 *3.5 *2.6 ●6.O ‘0.2 14.8 13.6 16.2 66.1 60.3 75.2 75.9 87.0 * 17.9 10.6 *1.1 30.3 9.2 *0.8 “0.2 71.7 5.5 *1.2 12.0 *5.4 27.0 33.5 26.5 7.7 ‘8.7 11.1 11.4 10.3 *14.2 +0.9 lSee raference 1. 2Perce”t will “ot add to 100. O because all specialties are not shown. 3[”clude~6,g81,815 visits to0phthalm0109iStS (93.5 percent). 4]”clu~es l,24g,008 “isit~to O~hthalmOlOgi~ts (6.4 ~ar~ent), 1,163,721 vi~it~to orthopedic surgeo”s (6.0 perce”t) a“d ‘S,086,936 visits tootolwyngologists (5.6 percent). 51nclude$ 1,597,734 visits to psychiatrists (53.5 Percent). 61”cludes 1,996,263 visits to ophthalmologists (25.6 Percent). 7N,~,$3.= “otother~i~e classified. 81nclucjes 2,302,846 visits to psychiatrists (87.0 Percent). 66 Table 32. Number andpercent ofoffice visits made bymalepatients, byselected physician specialties andprincipal reasons forvisit in the Symptom Module: United States, 1977-78 Physician specialty Number Principal reason for visit and R VC code 1 of visits General in and Internal Pediatrics General thousands family medicine surgery practice Percent of visits2 Allvisits by male patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . General symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S001-S099 Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S010 Tiradnea%exhaustion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..so15 Weightgain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S040 Chest pain andrelated symptoms (notreferable to body system) . . . . . . . . .S050 Pain, site not referable toaspecific body system . . . . . . . . . . . . . . . . . . . .S055 Pain andrelated Wmptoms, generalized, site unspecified . . . . . . . . . . . . . . S060 Allergy, N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S090 Another general symptoms . . . . . . . . S005,S020-S035, S045,S065-S085, S095 Symptoms referable topsychological and mental disorders . . . . . . . . . . . S100-S199 Anxiety andnervousness. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S100 Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S110 All other symptoms referable to psychological and mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S105.S115-S165 Symptoms referable tothe nervous system (excluding sense organs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S200-S259 Headache,pain inhead . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S210 Disturbancesofsensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S220 Vertigo-dizziness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S225 Another symptoms referable tothe nervous system (excluding sense organs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S200-S205. S215,S230-S240 Symptoms referable tothecardiovascular and lymphatic systems . . . . . . . S260-S249 Abnormal pulsations and palpitations . . . . . . . . . . . . . . . . . . . . . . . . . ..S260 All other symptoms referable to the cardiovascular and lymphatic systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S265-S280 Symptoms referable totheeyesand ears . . . . . . . . . . . . . . . . . . . . . . . S300-S399 Vision dysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S305 Abnormal sensationsoftheeye. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S320 All other symptoms referableto the eyes. . . . . . . . . . . . .S310-S315, S325-S340 Hearingdysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S345 Earache,orearinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S355 All other symptoms referable totheears . . . . . . . . . . . . . . . ..S350,S360-S365 Symptoms referable totherespiratory system . . . . . . . . . . . . . . . . . . . S400-S499 Nasal congestion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S400 Shortnessofbreath . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S415 Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S440 Headcold, upper respiratory infection (coryza) . . . . . . . . . . . . . . . . . . . .S445 Symptoms referableto throat. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S455 Another aymptoms referable tothe respiratory system. . . . . . . . . . . .S405-S410, S450,S460-S485 Symptoms referable tothedigestive system . . . . . . . . . . . . . . . . . . . . . S500-S639 Stomach pain,cramps, andspasms . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S545 Abdominal pain,cramps,spasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S550 Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s595 All other symptoms referableto the digestive system . . . . . . . . . . . . .S500-S540, S565S590,S600-S615 See footnotes at end of table. 460,119 37,130 9,109 2,348 1,870 9,049 2,467 1,642 2,893 7,753 411,682 4,117 3,068 4,497 513,319 6,194 1,264 3,937 1,924 2,868 1,227 1,641 629,445 6,225 2,271 4,552 2,237 9,219 4,841 756,761 5,102 3.292 13,290 9,206 14,805 11,065 20,846 2,525 5,126 2,496 10,698 38.1 45.2 40.3 58.5 53.0 47.4 38.8 46.1 56.3 40.3 21.1 35.4 13.7 13.0 46.1 53.1 31.5 51.1 23.4 45.4 35.5 52.9 21.4 *3.6 19.7 13.4 15.7 35.7 27.8 49.9 28.1 39.0 47.0 64.9 57.3 44.3 47.0 68.1 45.3 40.0 44.5 12.2 17.4 4.1 29.4 * 14.6 30.8 15.3 ● 18.6 *4. 1 20.5 8.0 11.9 ●3.8 7.4 15.6 14.2 ‘20.9 18.4 ‘10.6 24.1 40.2 12.1 2.7 “0.6 ●2.4 *4.1 *6.8 ‘2.0 ●3.5 10.5 5.8 30.9 10.6 6.6 9.0 11.8 18.1 ●12.5 23.6 20.1 16.3 13.0 18.3 52.6 *1.1 *1.4 *5.6 ●3.6 15.4 15.7 *2.5 ‘0.3 *6.2 5.3 7.9 *1.7 ●8.1 *11.2 *1.4 *18.6 18.7 *1.O 14.5 ●8.O 37.9 23.5 22.1 17.9 2.9 36.0 20.4 22.3 14.0 11.6 ●6.8 *5.6 30.5 11.1 6.4 4.9 ●1.8 *2.O 1.9 5.3 14.7 *13.4 *1.8 5.8 *1.8 *1.9 *2.9 4.6 *2.4 ‘8.0 *6.7 *5.2 *2.5 *2.O *2.8 *1.1 *0.3 *3.O 0.5 2.9 *0.7 *1.6 2.9 *1.9 *5.4, *2.O ●3.5 3.1 *3.O 11.9 7.8 15.2 3.8 13.2 67 Table 32. Number and percent of office visits made bymalepatients, byselected physician specialties andprincipal reasons forvisit in the Symptom Module: United States, 1977 -78–Con. Principal reason for visit and R VC code 1 Physician specialty Number of visits General in and Internal Pediatrics General thousands family medicine surgery practice Symptoms referable to the genitourinary system . . . . . . . . . . . . . . . . S640-S829 Symptoms referable to the skin, nails, and hair . . . . . . . . . . . . . . . . . S830-S899 Acne or pimples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S830 Werts, N.0.S.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S850 Skin rash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s860 Skin lesion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S865 Skin irritations, N.E.C.3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S870 All other symptoms referable to the skin, nails, and hair . . . . . . . . . . .S835-S845, S855, S875-S895 Symptoms referable to the musculoskeletal system . . . . . . . . . . S900-S999 Necksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S900 Backsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S905 Lowback symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S910 Hip symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S915 Leg symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S920 Knee symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S925 Anklesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S930 Footand toesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S935 Shouldersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S940 Arm symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S945 Elbowsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S950 Hand andfinger symptoms.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S960 Another Wmptoms referable tothemuwuloskeletal system . . . . . . . . .“. . .S955, S965-S980 812,788 927,477 3,480 2,389 8,901 3,432 1,816 7,459 1050,982 4,060 11,010 4,811 1,561 48560 5,653 1,695 4,243 3,933 1,610 1,608 2,822 3,416 Percent of visits2 33.1 8.7 32.3 4.5 10.1 41.0 *0.8 39.2 6.5 26.1 “8.0 39.7 *5.5 32.8 *3.4 42.7 10.4 48.7 10.8 44.2 9,7 50.2 7.8 47.8 *7.4 45.8 13.7 29.4 8.7 32.6 “4.4 45.1 12.6 47.4 13.8 45.3 *9.5 50.8 ‘6.8 34.2 *6.5 33.5 17.9 5.4 4.2 9.0 8.9 *1.7 0.6 *2.4 *8.6 19.2 *2.6 *6.5 18.8 *3.3 *4.O 5.1 16.9 2.0 6.9 *5.2 *6.4 *0. I 7.3 ‘0.4 *5.7 *3.6 *1.7 ‘ 2.5 9.8 *2.3 3.4 *2.7 *7.6 ‘2.6 ‘6.2 *0.6 6.0 *5.O *9.4 *3.1 *7.9 *2.2 16.8 *2.5 *4.5 lSee reference 1. 2Percents will not add to 100. Obecause all specialties are not shown. 3N.c).S. = not otherwise specified; N. E. C.= notelsewhere claeeified. 41ncludas 7,118,g05 visits to psychiatrists (60.9 percent). 51nclude~q,0~~,gg2 “i~itstO neurO1Ogj~ts (8.0 perce”t) a“d 602,657 Visits to Otolaryngologists (4.5 percent). 61"clude~l 0,721,038vi~it~ tOOphthalmologists (36,4 perce"t) and4,976, 88 Ovisita tootolarynologists (16.9 percent). 7 l“cludes 3,731,373 visits to otolaryngologists (6.6 percent). 81ncludes 5,468,828 visits to urological surgeons (42.8 percent). 91ncludes 10,775,768 visits to dermatologists (39.2 Percent). lol”clude~ 14,546,232 visits toorthopedic surgeons (28.5 Percent). 68 Table 35. Numbarand percent distribution of office visits made by female patients byprior visit smtusand seriousness of condition, according to principal reason forvisit inthe Symptom Module: United States, 1977-78 Prior visit status Seriousness of condition Number Principal reason for visit and R VC codel of viiik Total Old Old in New Serious patient, patient, or very Slightly Not thousands patient new old serious serious serious problem problem Percent distribution Allvisits by female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . General symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . ..sooI-s099 Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..SOlo Timdness,exhaustion . . . . . . . . . . . . . . . . . . . . . . . . . . ..so15 Weightgain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s040 Chest pain and related symptoms (not referable to body system) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S050 Pain, site notreferable toaspacific body system . . . . . . . . . .S055 Pain andre[ated symptoms, general ized, site unspecified . . . . .SC+30 Allergy,N.0.S.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S090 All othergeneral symptoms . . . . . . . . . . . . . . ..S005.S020S035. S045, S065-S085, S095 Symptoms referable to psychological and mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s100-s199 Anxietyandnervousness . . . . . . . . . . . . . . . . . . . . . . . . ..S100 Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S110 All other symptoms referable to psychological and mental disorders . . . . . . . . . . . . . . . . . . . . . . S105,S115-SI65 Symptoms referable tothenewmtssystem (excluding sense organs) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S200-S259 Headache,pain inhead . . . . . . . . . . . . . . . . . . . . . . . . . ..S210 Disturbancasofsensation. . . . . . . . . . . . . . . . . . . . . . . . ..s220 Vertigo-dizziness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S225 All other symptoms referable to the nervous system (excluding sense organs) . . . . . . . . . . . . . . . . .S200-S205, S215, S230-S240 Symptoms referable to the cardiovascular and lymphatic systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S260-S299 Abnormal pulsations and palpitations . . . . . . . . . . . . . . . . ..S260 Another symptoms referable tothe cardiovascular and lymphatic systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S265-S280 Symptoms referable totheeyes andears . . . . . . . . . . . . . . S30’&S399 Visiondysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S305 Abnormal sensationsoftheeye . . . . . . . . . . . . . . . . . . . . . .S320 Allothar symptoms referable to the eyes . . . S310-S315, S325-S340 Hearingdysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S345 Earache,orearinfection . . . . . . . . . . . . . . . . . . . . . . . . ..S355 Another symptoms referable to the ears . . . . . . . .S350, S360-S365 Symptoms referable totherespiratory system . . . . . . . . . . S400-S499 Nasal congestion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S400 Shortnessof breath . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S415 Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S440 Headcold, upper respiratory infection (coryza) . . . . . . . . . . .S445 Symptomsreferabletothroat. . . . . . . . . . . . . . . . . . . . . . .S455 All other symptoms referable to the respiratory system . . . . . . . . . . . . .S405-S41 O, S420.S435, S450, S460-S485 Symptoms referable tothedigestive system . . . . . . . . . . . . S500-S639 Nausea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S525 Vomiting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S530 Stomach pain,cramps, andspasms . . . . . . . . . . . . . . . . . . . .S545 Abdominal pain,cramps, spasms . . . . . . . . . . . . . . . . . . . ..s550 Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s595 All other symptoms referable to the digestive system . . . . . . . . . S500-S520, S535-S540, S565-S590, S600-S61 5 Sea fcmtnotas at and of table. 694,431 57,110 8,930 5,678 10,625 9,032 3,835 2,903 3,509 12,598 19,260 7,962 6,014 5,285 23,956 12,148 2,080 7,405 2,323 4,150 1,960 2,190 36,763 9,599 3,617 5,879 2,535 9,881 5,253 69,397 5,950 3,182 15,769 11,939 20,079 12,477 34,324 3,162 2,178 3,882 12,441 2,350 10,310 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100,0 100.0 100.0 100.0 100.0 100.0 100.0 14.3 12.5 13.7 6.9 70.7 12.1 19.5 17.6 ●7.3 14.1 7.9 8.1 ● 5.5 10.4 17.2 19.1 23.2 12.7 16.4 13.6 +14.6 *I 2.7 25.7 32.4 28.5 29.3 30.4 18.1 19.4 14.6 13.3 +3.7 13.0 16.6 16.7 15.0 17.8 14.4 19.2 14.2 19.8 *9.4 19.4 24.5 29.2 58.6 24.6 6.4 31.8 43.3 28.6 ●7.2 29.6 11.1 14.9 7.1 10.0 23.9 24.6 24.0 26.9 10.9 24.0 13.3 33.6 26.6 8.4 31.2 33.0 23.4 42.4 21.0 42.4 21.9 17.2 46.5 50.0 50.8 32.7 40.7 48.2 50.8 44.7 35.8 55.3 37.3 61.3 58.4 27.7 68.6 82.9 56.1 37.3 53.9 85.5 56.3 81.0 77.0 87.4 79.7 58.9 56.3 52.8 60.4 72.8 62.4 72.1 53.7 47.8 59.2 40.3 37.7 46.2 39.5 59.6 43.0 64.8 79.1 40.5 33.4 32.5 52.4 41.5 37.5 30.0 41.1 44.3 35.2 43.4 16.7 23.6 10.4 18.3 26.1 36.8 19.0 22.9 12.3 28.4 48.8 34.2 61.4 56.5 20.1 12.9 25.4 25.7 34.9 29.5 38.3 21.7 15.1 25.3 21.5 11.7 11.2 9.5 8.2 10.2 ●5.2 65.5 6.9 2.9 5.1 17.6 18.3 17.1 ●11.9 16.2 19.8 19.0 18.9 30.4 35.3 42.6 39.2 24.3 33.1 40.9 41.8 30.0 37.4 31.0 34.2 30.3 26.9 35.9 35.6 27.5 39.2 34.0 41.9 40.1 43.6 34.1 21.0 37.2 33.3 43.4 41.7 38.1 36.2 40.9 23.9 38.9 31.2 35.8 39.3 40.1 42.5 51.0 38.4 41.6 34.9 37.2 52.9 41.2 47.0 42.5 49.6 30.2 40.1 35.3 57.7 34.3 20.2 31.7 8.4 16.6 44.1 51.4 47.2 35.1 31.1 28.6 21.6 34.7 50.8 53.7 47.3 55.0 45.3 48.8 53.7 53.6 53.8 10.5 54.2 65.9 59.1 43.1 41.6 40.5 37.2 45.4 38.6 46.1 44.0 71 Table 35. Num&rand percent distribution ofoffice visits made by female patients byprior visit status andseriousness ofcondition, according to principal reason forvisit inthe Symptom Module: United States, 1977-78-Con. Prior visit status Seriousness of condition Number principal reason forvisit.and F71/Ccodel of visits Total Old Old in New Serious patient, patient, Slightly Not thousands or vary patient new old serious serious serious problem problem Percent distribution Symptoms referable tothegenitourinary aystem . . . . . . S640-S829 Frequancy and urgancy of urination . . . . . . . . . . . . S645 painftd urination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S650 Absence of menstruation (amenorrhea) . . . . . . . . . . . . S730 Irregularity of menstrual interval . . . . . . . . . . . . . . S735 Irregularity of menstrual flow... . . . . . . . . . . . . . . . . . . .. S740 Menstrual symptoms, other and unspecified . . . . . . . S745 Menopausal symptoms, . . . . . . . . . . . . . . . . . . . . . . . . . ..s75o Uterine andvaginal bleeding . . . . . . . . . . . . . . . . . . . . . . .. S755 Vaginal discharge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S760 Other vaginal symptoms . . . . . . . . . . . . . . . . . . . . . . . . . .. S765 Pelvicsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S775 Painorsorenessofbreast . . . . . . . . . . . . . . . . . . . . . . . . ..S800 Lumpormassofbreast . . . . . . . . . . . . . . . . . . . . . . . . . ..S805 Another symptoms referable tothegenitourinary system . . . .S640, S655-S680, S770, S790-S795, S81 0-S825 Symptoms referableto the skin, nails,andhair . . . . . . . . . S830-S899 Acneorpimples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S630 Warts,N.0.S.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S850 Skin rash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s860 Skinlesion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S865 Skin irritations, N.E.C.2 . . . . . . . . . . . . . . . . . . . . . . . . . ..S870 All other symptoms referable to the skin, nails, and hair . . . . . . . . . . . . . . . . . . . . . . S835-S845, S855, S875-S895 Symptoms referable tothemuaculoskeletal system . . . . . . . S900-S999 Necksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S900 8ackaymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S905 Lowbacksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . .s910 Hips+rmpto ma . . . . . . . . . . . . . . . . . . . . .. . . . . . . ,,.s915 Legsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S920 Kneesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S925 Footandtoesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . .S935 Shouldersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S940 Armsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S945 Handandfingersymptoms . . . . . . . . . . . . . . . . . . . . . . . . .S960 All other symptoms referable to the musculoskeletal system . . . . . . . . . . . . . . . . . . . . . S930, S950-S955, S965-S980 46,199 2,635 4,043 1,745 1,793 1,282 1,566 2,842 4,186 3,939 4,481 1,693 1,627 3,983 10,375 36,591 6,759 2,102 11,152 4,023 2,654 9,900 57,934 5,654 11,497 4,833 2,186 5,916 5,156 4,306 4,773 2,651 3,440 7,522 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 19.6 22.3 12.6 26.0 25.0 ●19.4 27.4 ●6.5 18.7 17.4 22.0 *I 7.4 * 14.4 28.2 20.2 23.7 16.3 17.7 23.8 20.9 27.3 30.0 16.6 18.0 15.4 16.0 15.7 13.9 20.5 16.8 18.0 15.4 23.9 13.8 34.0 27.8 45.5 44.6 29.4 39.6 34.9 13.3 42.3 43.5 42.2 28.1 40.8 30.5 25.6 32.0 * 4.6 34.7 44.7 31.8 37.4 34.3 27.2 28.8 26.9 27.1 17.2 30.4 18.3 33.2 30.7 37.8 29.2 22.6 46.4 49.9 42.0 29.4 45.6 41.1 37.7 80.2 39.0 39.2 35.8 54.4 44.9 41.3 54.2 44.4 79.2 47.6 31.4 47.3 35.3 35.8 58.2 53.2 57.7 56.9 67.0 55.8 61.2 50.0 51.3 46.9 47.0 63.6 12.3 *1 0.4 9.7 *5.7 *5.7 *14.3 ●5.6 ●4.6 22.9 ●4.4 *4.2 *17.3 ●12.2 26.7 14.8 8.1 *4.4 ‘4.0 5.5 18.0 *10. I 9.7 16.1 13.0 16.8 9.6 25.4 20.6 21.8 13.3 13.8 *11.5 *9.7 19.0 37.1 39.7 50.9 26.8 26.3 47.9 35.6 31.7 37.2 26.7 34.9 47.5 28.6 32.4 41.1 27.7 25.6 21.8 26.4 34.6 29.3 28.5 39.8 39.7 38.9 38.8 41.4 48.6 41.5 36.9 39.5 38.7 36.2 37.3 50.7 49.9 39.4 67.4 67.9 37.8 58.9 63.7 39.9 69.0 61.0 35.2 59.2 40.9 44.7 64.3 70.1 74.2 68.1 47.4 60.6 61.8 44.1 47.3 44.3 51.6 33.2 30.8 36.7 49.8 46.7 49.8 54.1 43.8 lSearaference 1. 2N.o.s. = not otherwise specified; N. E. C.= notelsawhere classified. 72 Table 36. Number andparcent distributimsof office visits made by female patients bypriorvisit Satusand seriousnessof condition, according to principal reason forvisit in the Disease, injuries and Adverse Effects, Test Results, and Administrative Module~ Unitad States, 1977-78 Principal reason for visit and R VC codel Prior visit status Seriousness of condition Number—. of Wsits TOG4 Old Old in New Serious patient, patient, or very Slightly Not thousands patient new old serious serious serious problem problem Percent distribution Allvisits by female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Disease Module Infective and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . . .DOO1-D099 Viral diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DO15 Another infective and parasitic diseases . . . . . . . .DO05-D010, DO2O-DO35 Neoplasm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DIOO-D199 Malignantneoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DIoD-D135 Benignneoplesms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D140.D145 Endocrine, nutritional and metabolic diseases . . . . . . . . . . . . . . .D200-D249 Diseasesofthethyroidgland . . . . . . . . . . . . . . . . . . . . . . . . . . ..D200 Diabetesmellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D205 All other endocrine, nutritional and metabolic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .D210-D215 Dieaases of the blood and blood-forming organs . . . . . . . . . . . . . .D250.D299 Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D300-D349 Disaasesofthenervoussystem . . . . . . . . . . . . . . . . . . . . . ..D350-D399 Diseasesoftheeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D400-D449 Diseasasoftheear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D450-D499 Diseasas of the circulatory system . . . . . . . . . . . . . . . . . . . . . . .D500-D599 Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D51O Ischemicheartdisaase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D515 All otherdisaasasofthecirculatow system. . . . .D500-D505, D52D-D550 Diseasesof the respiratory system . . . . . . . . . . . . . . . . . . . . . . .D600.D649 Dieeasesofthe digestive system . . . . . . . . . . . . . . . . . . . . . . ..D650-D688 Diseases of thegenitourinary aystam . . . . . . . . . . . . . . . . . . . . .D71X-D799 Dieeases of theskin and subcutaneous tissue . . . . . . . . . . . . .D800-D899 Diseases of the muscu Ioskeletal system and connective tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D900-D849 Injuries and Adverse Effects Module lnjurybytypeand/orlocation . . . . . . . . . . . . . . . . . . . . . . . . ..JO01J799 lnjury,N.0.S.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .J800-J899 Test Results Module Test resultsmodule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..RIOO-R700 Administrative Module Administrativemodule . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..AIoo.A140 694,431 2,508 1,366 1,140 4,467 3,398 1,069 7,286 1,342 5,255 699 917 607 1,241 3,830 1,174 13,335 9,249 1,247 2,839 6,167 2,397 3,732 4,192 4,910 16,883 2,156 4,193 6,957 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 14.3 ● 12.8 ‘ 7.4 ●19.2 9.9 ●8.1 ●1 5.7 6.4 ●14.1 ‘4.0 “9.7 “3.0 ‘1.9 ●6.8 10.2 ++2.1 7.3 6.2 ‘0.8 13.5 9.1 16.1 13.1 21.3 10.2 21.2 18.1 11.8 30.8 24.5 24.6 ●21 .6 ●28.3 ●7.4 ●2.2 ●23.9 ‘3.2 ‘4.7 ●1.9 *1 0.0 *6.8 “3.5 ●1 3.5 ‘ 7.9 ‘20.8 7.3 5.5 *1.4 16.0 19.0 ●12.9 16.7 22.1 12.0 38.0 39.2 21.9 41.6 61.3 62.6 71.1 52.5 82.7 89.7 60.4 90.4 81.1 94.2 80.2 90.2 94.6 79.7 82.0 77.2 85.4 88.3 97.8 70.6 71.9 71.1 78.3 56.6 17.8 40.8 42.7 66.3 27.6 16.7 15.4 ‘1 6.7 ‘12.6 60.2 74.0 ●16.2 43.0 30.7 47.2 ●34.5 ●29.7 75.2 35.0 28.1 ●3.6 32.3 26.9 52.8 40.6 20.7 28.4 12.4 11.4 25.9 16.2 19.5 26.4 ●2.3 30.4 24.8 25.6 ●23.8 22.5 16.3 42.1 33.9 29.4 35.2 ‘32.9 48.2 ●19.2 39.5 23.7 45.8 43.6 48.3 32.7 32.9 38.7 41.9 35.1 32.4 42.2 37.0 41.5 33.0 5.1 52.9 59.9 56.8 63.6 17.3 9.6 41.8 23.1 39.9 17.6 ●32.6 ●22.2 ● 5.7 25.5 48.2 50.6 24.2 24.8 14.5 26.5 40.6 29.7 52.6 56.2 31.9 46.9 39.0 40.7 92.7 lSea reference. 2N.0.s, = nOt ~ther~i$e $pacifiad. 73 Tabla 38. Number andpercent distribution ofoffice visits made bymalepatients byprior visit status andseriousness ofcondition, according to principal reason forvisit inthe Symptom MOdule: United States, 1977 -78–Con, Principal reason forvisit and RVCcodel Prior visit status Seriousness of mxrdition Number 0 f visf ts Total Old Old New Serious in patiant, patient, or very Slightly Not thousands patient new old serious serious serious problem oroblem Symptoms referable to the skin, nails, and hair . . . . S830.S899 Acne or pimples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S830 Warts, N,0.S,2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S850 Skin rash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S860 Skin lesion.....,.. . . . . . . . . . . . . . . . . . . . . . . . . ..s865 Skin irritations, N.E.C.2 . . . . . . . . . . . . . . . . . . . . . . . . . ..S870 All other symptoms referable to the skin, nails, and hair . . . . . . . . . . . . . . . . . . S835-S845, S855, S875-S895 Symptoms referable tothemuscu loskeletal system . . . S900-S999 Necksymptoms, .,..,.., . . . . . . . . . . . . . . . . . . . . . ..S900 Sacksymptoms ..,...... . . . . . . . . . . . . . . . . . . . ..S905 Lowback symptoms ..,... . . . . . . . . . . . . . . . . . . . . . ..S910 Hipsymptoms, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S915 Legsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S920 Kneesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,..S925 Anklesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S930 Footandtoe symptoms . . . . . . . . . . . . . . . . . . . . . . . . ,..s935 Shouldersymptoms . . . . . . . . . . . . . . . . . . . , . . . . . . ..S940 Armsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,. .S945 Elbowsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S950 Handandfingersymptoms, . . . . . . . . . . . . . . . . . . . . . . ..S960 All other symptoms referable to the musculoskeletal system . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S955. S965-S980 Percent distribution 27,477 3,480 2,389 8,901 3,432 1,816 7,459 50,982 4,060 11,010 4,811 1,561 4,560 5,653 1,695 4,243 3,933 1,610 1,608 2,822 3,416 100.0 21.5 100.0 14.4 100.0 18.7 100.0 20.6 100.0 21.7 100.0 28.0 100.0 25.1 100.0 19.2 100.0 16.2 100.0 17.5 100.0 18.8 100.0 +19.7 100.0 15.7 100.0 26.2 100.0 *16.4 100.0 18.0 100.0 19.0 100.0 25.6 100.0 *14.5 100.0 21.0 100.0 22,2 34.7 43.8 ●8.3 77.3 23.8 57.5 49.5 30.0 31.7 46.7 33.8 38.2 34.4 40.5 24.8 56.1 36.0 47.9 20.5 62.1 15.9 65.4 ~21 .7 58.6 27.7 56.6 18.7 55.1 25.7 57.9 34.5 47.5 29.1 51.9 31.7 42.6 30.3 55.3 27.6 51.5 19.9 58.0 10.1 ‘7.6 ‘7.1 7.7 21.9 *9.9 9.6 19.4 16.3 20.1 14.9 22.1 36.8 20.6 *18.2 17.5 13.0 ‘20.9 ‘4.7 13.1 22.2 25.8 22.3 18.4 24.5 31.5 30.3 27.7 41.3 40.2 44.6 44.4 46.5 34.7 49.5 41.8 35.4 38.P 35.7 34.6 41.1 36.3 64.1 70.1 74,5 67.8 46.6 59.8 62.8 39.3 43.5 35.4 40.6 31.4 28.5 29.9 40.1 47.7 48.3 43.5 60.7 45.8 41.5 lSee reference 1. 2N. o.s. = nototherwisa specified; N. E.C. = notelsawhere classlfiad. 76 Table 39. Numbarand percent di$tributionof of ficevisits made bymalepatients byprior visit stitusand seriousness ofcontition, xcording to principal reason forvisit inthe Disease, injuries and Adverae Effetia, Test Results, and Administrative Modul~: United States, 1977-78 Principal reason for visit and R VC code 1 Prior visit status Seriousness of condition Number of visits Total Old Old in New Serious patient, patient, or very Slightly Not thousands patient new old serious serious serious problem problem Percent distribution Allvisits by malepatients, ...,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Disease Modu Ie Infective and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . . .DOOI.D099 Viral diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..Do15 All other infective andparasiticdiseases . . . . . . . . . . . . . . . ..DO05-D035 Neoplasm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DIoc-D199 Malignantneoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . ..DIo0.D135 Endocrine, nutritional, and metabolic diseases . . . . . . . . . . . . . . .D20D-D249 Diabetesmellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D205 All other endocrine, nutritional, and metabolic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D200. D21O-D215 Diseases of the blood and blood-forming organs . . . . . . . . . . . . . .D25r)-D299 Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D300-D349 Diseasesofthenervoussystem . . . . . . . . . . . . . . . . . . . . . . . ..D350-D399 Diseasesoftheeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D400-D499 Disaasesoftheear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D450-D4gg Disaasesofthecirculatory syetem . . . . . . . . . . . . . . . . . . . . . ..D500-D599 Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D51O Ischemicheartdisaase . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D515 Allotherdisaasasof thecirculatory syatem . . . . . .D500-D505, D520-D550 Disaasasofthe reapiratorycyatem . . . . . . . . . . . . . . . . . . . . . . .D600-D649 Diaaasesofthedigestivesystem . . . . . . . . . . . . . . . . . . . . . . ..D650-D688 Herniaofabdominalcavity . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D660 Another diseases of thedigastiveeyetem . . . . . . .D600-D655, D665-D675 Diseasesofthe genitourinary system . . . . . . . . . . . . . . . . . . . . .D700.D799 Diaaasesofthe skin andsubcutaneous tissue . . . . . . . . . . . . . . ..D800-D899 Diseases of the muacu Ioskeletal system and connective tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..D900-D949 Injuries and Adverse Effects Modu Ie lnjurybytypaand/orlocation . . . . . . . . . . . . . . . . . . . . . . . . ..JO01J799 lnjury,N.0.S.2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..J90D-J999 Teat R&ults Module Testresultsmodule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..R1OO-R7OO Administrative Module Administrativemodule . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..AIw-A140 460,119 2,372 1,120 1,251 2,526 2,292 4,736 3,726 1,010 492 818 766 2,396 1,066 11,178 6,724 1,969 2,465 5,604 3,144 1,734 1,409 1,942 3,921 2,523 27,002 2,217 2,044 12,072 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 16.4 17.8 ●1O.1 ‘ 24.8 ●9.6 *6.4 ●4.3 ‘4.2 ●4.6 ●8.6 ● 12.8 ● 18.0 ● 12.5 ‘7.4 11.5 11.4 ●1.4 19.9 10.6 22.2 36.4 ‘4.8 ●12.8 19.4 ●6.5 25.0 21.2 ●8.4 43.1 24.9 25.5 ● 23.4 27.4 +3.3 . ●3.3 +4.1 ● 2.7 ●9.2 ‘6.2 ●2.3 ●2.1 +4.1 “ 10.9 6.0 “4.0 ●3.2 13.8 16.8 ●9.2 ●1 0.2 ‘8.0 “6.8 22.8 ●9.2 32.9 36.1 18.8 37.9 56.7 56.7 66.6 47.8 87.0 90.3 91.6 93.0 86.3 65.2 84.9 80.0 83.4 81.7 82.5 64.6 95.5 66.4 72.6 68.6 53.4 87.2 60.4 57.9 64.3 42.1 42.7 72.9 19.1 21.0 22.9 ●22.5 ●23.4 71.4 76.1 41.6 43.5 34.4 ●54.5 67.9 ●43.9 “34.0 ●1O.1 42.1 33.6 75.4 38.8 23.3 28.6 ‘16.9 42.9 ●12.7 12.8 23.0 16.1 23.1 32.1 ●2.7 32.9 33.0 36.4 29.9 18.5 15.2 38.9 39.6 36.6 ●23.4 +19.1 *40.O 23.3 40.5 38.3 46.1 17.3 33.9 43.0 32.7 36.2 28.5 26.9 32.1 40.5 36.7 37.9 37.7 5.7 46.1 44.1 41.2 46.8 *10.I ●8.7 19.5 16.9 ‘29.0 ●22.1 ●13.O ● 16.2 42.7 49.4 19.6 20.3 ●7.3 27.3 33.7 38.7 46.9 28.6 60.4 55.1 36.5 47.3 39.0 30.2 91.6 77 Table 40. Numbarand percent distributioncJf office visits made bymalepateints bypriorvisit s@tusand wriasness ofcondition, ~cording to principal reason forvisit inthe Diwnmic. Screening. and PreventNe Module andthe Treatment Module United States. 1977-78 principal reason forvisitand l?vccode~ Prior visit status Seriousness of condition Number of visits Total Old Old in New Serious patient, patient or very Slightly Not thousands patient new old serious serious serious DrOb/em nroblem Allvisits bymalepatie”ts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diagnostic, Screening, and Preventive Module Generalexaminations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..x1oo-xI99 General medicalexamination . . . . . . . . . . . . . . . . . . . . . . . . . . ..X1OO Well babyexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . x105 Spacialexaminations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..xzoo.x2g9 Eyeexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X230 Heartexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..X235 Diagnosticteets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .x300.x399 Glucosalevel determination.. . . . . . . . . . . . . . . . . . . . . . . . . . ..X31O Bloodpressureteat .,...... . . . . . . . . . . . . . . . . . . . . . ., . . ..X32O All other diagnostic teats . . . . . . . . . . . X300-X305,X315, X325-X370 Other screening and preventive procedures . . . . . . . . . . . . . . . . .X400-X499 Prophylactic inoculations . . . . . . . . . . . . . . . . . . . . . . . . . . ... .X400 Familyplanning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .x500-x599 Treatment Modu Ie Medications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIOO-T199 Allergymedication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIOO Inactions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..TIIO Medication, otharand unspecified kinds. . . . . . . . . , . . . . . . . .T115 Preoperative andpostoperative cara . . . . . . . . . . . . . . . . . . .T200-T205 SPacifictypesoftherapy . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T400-T499 Specifictherapeuticprocedurss . . . . . . . . . . . . . . . . . . . . . . . .T500-T599 Fittingglassasandcontactlenass . . . . . . . . . . . . . . . . . . . . . . . ..T515 Suturs-insartion,removal . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..T555 Another spscific therapeutic procedures . . .T500-T510, T520-T550, T560 Medicaicounsaling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . T800-T699 Socialproblemcounseling . . . . . . . . . . . . . . . . . . . . . ... . . ..T7T7gg7gg 460,119 31,269 24,234 7,015 7.762 4,485 2,864 14,335 1,161 9,913 3,261 4,089 3,833 1,240 9,742 6,761 1,734 1,248 12,301 2,032 7,644 1,057 3,580 3,007 1,919 2,222 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0 16.4 11.7 11.3 13.0 14.5 23.0 ●2.4 4.8 ‘2.0 4.8 ●5.5 ● 5.8 ●3.7 49.1 +1.0 +0.3 ●2.8 ‘2.0 3.9 “1.6 12.3 ● 20.2 10.5 11.6 22.0 “11.2 24.9 18.4 17.6 21.2 6.1 8.3 ●3.1 6.4 ●7.2 4.2 12.7 36.2 34.7 “24.9 4.2 ‘2.4 +11.9 ●2.8 4.3 ●1.9 18.7 *11.7 28.6 ●9.3 *14.7 ‘6.0 58.7 69.9 71.1 65.7 79.4 68.8 94.5 8s.9 90.8 91.0 81.8 58.0 61.6 ‘26.0 94.9 97.3 85.3 95.2 91.6 88.6 69.1 68.1 60.9 79.1 63.3 82.8 21.0 10.2 12.8 “1.1 30.6 10.8 60.4 26.8 31.8 24.9 30.8 9.4 9.1 ●0.3 12.6 7.2 20.9 30.5 33.3 69.7 17.8 ‘2.0 10.4 32.3 26.7 67.2 32.9 13.5 16.6 ‘2.8 22.8 16.5 32.0 45.7 55.0 50.1 28.9 9.5 9.2 *3.3 29.8 26.9 27.4 48.5 28.0 23.1 24.6 *1 4.4 24.2 28.8 31.7 24.3 46.1 76.3 70.6 96.2 46.6 72.7 *7.6 27.6 ‘13.1 25.0 40.4 81.0 81.7 96.4 57.7 66.0 51.7 *20.9 38.7 ●7.2 57.3 83.6 65.4 39.0 41.6 ● 8.5 lSeareferanca 1. 76 Table 43. Numbar and percent of office visits made by female patients, by diagnostic service ordered or provided and principal reason for visit in the Symptom Module: United States, 1977-78 Number Diagnostic service Principal reason for visit and R W c~de~ 0 f visits Limitedin General Pap Clinical Blood Other thousands None exam/ exam/ tast lab X-ray EKG pressure diagnostic history history test chack servicas2 Percent of visits3 Allvisits by female patiems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . General symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . ..sooI-sw9 Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..so1o Tiredness, exhaustion . . . . . . . . . . . . . . . . . . . . . . . . . . ..s015 Weight gain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..soAIo Chest pain and related symptoms (not referable to body system) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S050 Pain, site not referabla to a spacific body system . . . . . . . . . . . S055 Pain and related symptoms, generalized, site unspecified . . . . . S060 Allergy, N.0.S.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S090 All other 9eneral symptoms. . . . . . . . . . . . . . . . .S005. S020-S035, S045, SC65-S085, S095 Symptoms referable to psychological and mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s100-s199 Anxiety andnetvousness . . . . . . . . . . . . . . . . . . . . . . . . . .S100 Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S110 All other symptoms referable to psychological and mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . .. S105. S115-S165 Symptoms referable to the newous system (excluding sense organs ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S200-S259 Headache, pain inhead . . . . . . . . . . . . . . . . . . . . . . . . . .. S210 Disturbances of sensation . . . . . . . . . . . . . . . . . . . . . . . . ..s220 Vertigo-dizziness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S225 All other symptoms referable to the newous system (excluding sense organs) . . . . . . . . . . . . . . . . . S200-S205, S215, S230-S240 Symptoms referable to the cardiovascular and lymphatic systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .S260-S299 Abnormal pulsations and palpitations . . . . . . . . . . . . . . . . . S260 All other symptoms raferable to the cardiovascular and lymphatic systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S26%S260 Symptoms refarable to the eyes and ears . . . . . . . . . . . . . . S300-S399 Vision dwfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S305 Abnormal sensations of theeye . . . . . . . . . . . . . . . . . . . . .. S320 All other symptoms referable to the eyes . . . . S310-S315, S325-S340 Hearing dysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S345 Earache, orear infection . . . . . . . . . . . . . . . . . . . . . . . . .. S355 All other symptoms referable to the ears . . . . . . . . S350, S360-S365 Symptoms referable to the respiratory system . . . . . . . . . . S400-S499 Nasal congestion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S400 Shortness of br’eath . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S415 Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S440 Head cold, upper raspirato~ infection (coryza) . . . . . . . . . . . S445 Symptoms referable tothroat . . . . . . . . . . . . . . . . . . . . . .. S455 All other symptoms referable to the respirator system . . . . . ...< ,.. . S405S41 O, S420-S435, S450, S460-S485 Symptoms referable to the digestiva system . . . . . . . . . . . . S50GS639 Nausea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S525 Vomiting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S530 Stomach pain, cramps, and spasms . . . . . . . . . . . . . . . . . . S545 Abdominal pain, cramps, spasms . . . . . . . . . . . . . . . . . . . . . s550 Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S595 All other symptoms referabla to the digestive system . . . . . . . . . S500-S520, S535-S540, S565-S590, S600-S61 5 Symptoms referable to the genitourinary system . . . . . . . . . S640-S629 Frequency and urgency of urination . . . . . . . . . . . . . . . . . . . S645 Painful Urination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S650 Absence of menstruation (amenorrhea) . . . . . . . . . . . . . . . . . S730 Irregularity of menstrual interval . . . . . . . . . . . . . . . . . . . . . S735 Irregularity ofmen.strual flow.... . . . . . . . . . . . . . . . . . .. S740 Mmstrual symptoms, other and unspecified . . . . . . . . . . . . . . S745 Menopausal symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . .. S750 Uterine andvaginal bleeding . . . . . . . . . . . . . . . . . . . . . . .. S755 Vaginal diecharge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S760 Other vaginal symptoms . . . . . . . . . . . . . . . . . . . . . . . . . .. S765 Pelvic eymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S775 Pain orsoraness of breast . . . . . . . . . . . . . . . . . . . . . . . . .. S800 Lump ormassof breast . . . . . . . . . . . . . . . . . . . . . . . . . .. S805 All other symptoms raferable to the genitourinary system . . . .S640, S655S680, S770, S790-S795, S81O-S825 694,431 57,110 8,930 5,678 10,625 9,032 3,835 2,903 3,509 12,598 19,260 7,962 6,014 5,285 23,956 12,148 2,080 7,405 2,323 4,150 1,980 2,190 36,763 9,599 3,617 5,879 2,535 9,881 5,253 69,397 5,950 3,182 15,769 11 #939 20,079 12,477 34,324 3,162 2,178 3,882 12,441 2,350 10,310 46,199 2,635 4,043 1,745 1,793 1,282 1,566 2,642 4,196 3,939 4,481 1,693 1,627 3,983 10,375 10.0 10.0 “1.9 9.7 t 7.9 “1.7 “2.6 ‘4.8 59.3 5.0 46.4 31.0 66.3 54.2 6.4 6.3 ‘1 2.0 “1.6 17.3 ●4.5 ●4.2 “4.7 3.1 ●1.6 ‘1.1 ‘3.9 “3.8 3.6 “5.1 6.5 24.9 1.6 2.9 5.6 3.7 8.9 3.6 ●3.1 ‘3.0 +2.0 3.1 ●6.2 4.6 4.7 “3.4 ● 2.9 “ 2.7 “2.0 ‘6.0 ●2.5 21.1 ●3.2 “ 0.5 ●3.6 ● 3.5 *3.3 ●5.5 4.9 59.2 54.8 61.9 56.9 35.8 63.6 62.4 69.0 26.1 61.9 33.0 44.0 20.2 31.1 60.4 62.3 55.0 61.7 51.3 64.0 57.4 69.9 73.1 57.9 81.1 73.2 78.1 79.4 81.0 70.9 60.1 65.7 71.5 70.3 76.0 68.6 62.8 62.1 61.8 70.9 60.9 62.4 62.5 60.2 %.1 58.3 57.4 53.5 55.2 50.3 41.1 57.7 68.6 68.9 60.0 75.4 69.7 59.2 21.9 23.2 33.0 22.0 13.6 25.9 27.5 24.4 ‘7.1 25.6 12.2 18.0 6.2 10.2 24.9 22.9 24.5 27.5 26.7 23.8 27.9 20.2 14.9 18.9 9.4 11.2 18.4 15.9 12.1 18.0 10.7 24.1 20.5 20.7 16.1 17.5 25.9 24.5 30.5 22.8 28.4 27.1 23.3 25.5 19.2 20.7 33.8 38.6 36.2 43.3 26.3 33.8 25.8 21.8 32.6 19.8 21.4 20.6 8.5 3.2 ‘0.1 7.1 ●3.2 “1.8 “5.0 ● 2.4 5.2 2.7 ‘4.2 “1.1 “ 2.2 2.1 ‘2.1 “0.8 ●2.6 ●1.4 ‘1.1 ‘0.9 “1.3 “0.2 ‘0.1 “0.9 ‘0.4 “0.6 “0.1 0.5 “1.0 “1.6 “0.4 “0.3 “0.4 ‘0.3 6.1 “6.6 “0.2 ● 2.4 11,5 “1.2 “3.2 21.2 ●8.1 9.9 34.8 48.5 4t.3 40.3 18.3 36.8 32.6 25.6 21.1 ‘ 10.4 ●5.3 12.7 23.1 26.3 25.6 36.9 15.3 25.0 36.4 24.4 ●9.6 34.2 8.3 11.4 ‘4.2 8.2 19.5 15.8 18.4 25.9 19.7 22.8 “13.3 31.2 4.6 “1.7 “3.5 ●5.5 ●4.8 8.1 “2.8 17.5 10.3 25.6 13.9 13.1 26.9 12.7 25.7 34.0 17.8 23.4 32.5 18.9 19.2 43.1 79.1 80.3 46.3 36.3 40.3 32.2 15.9 27.7 50.9 47.5 32.8 ‘1 2.3 ●6.5 51.4 6.8 8.6 4.9 8.3 ●1.2 23.1 19.4 ‘7.1 “1.4 6.3 2.1 ‘3.1 ●1.4 “1.3 7.2 7.1 “8.1 7.4 “6.3 “7.8 “1O.4 ●5.5 1.0 “0.3 ‘0.9 “0.5 ‘1.3 ‘1.6 ●1.5 6.4 ●2.4 16.8 11.1 4.7 2.5 7.6 12.6 “9.6 “6.8 9.7 16.8 ‘7.4 12.0 4.4 ●9.2 “1.6 ‘0.9 ●3.7 “0.5 “1.3 “1.8 ‘ 0.8 “1.2 “0.5 ●3.5 ● 15.9 14.5 5.2 2.6 7.7 “0.1 6.2 ‘3.0 33.3 ●2.9 ‘1.8 “0.2 4.2 2.0 ‘3.2 “1.0 ●1.3 4.2 3.1 ●5.1 6.4 “2.4 24.8 43.3 ●8.3 ‘0.2 “0.1 “0.7 “1.0 ●0.3 1.1 ‘0.1 13.2 “1.0 “0.2 “0.2 ‘1.1 2.7 “1.3 “0.7 ‘1.4 3.8 “3.3 ‘2.4 “0.6 “1.9 “ 0.7 +0.5 ‘0.3 ‘0.2 “0.3 ‘4.0 “1.2 “0.5 38.1 46.0 12.5 55.7 61.8 62.0 43.2 43.8 12.1 51.4 25.1 40.2 13.5 15.7 53.6 52.0 39.4 65.3 37.1 54.3 64.3 45.3 8.4 4.8 ‘8.6 8.6 ● 12.2 11.6 6.6 29.0 15.5 63.3 28.5 33.2 24.2 31.0 41.0 57.3 21.9 49.1 42.1 28.9 38.4 41.0 30.7 35.8 50.0 59.2 51.6 48.6 59.4 5s.1 43.2 44.0 42.5 41.0 19.5 32.3 9.5 7.5 ●3.6 ●3.9 14.3 8.4 10.1 “7.4 ‘0.8 6.6 2.5 ●2.5 *1.9 ●3.4 11.7 13.7 “ 12.7 7.6 13.3 5.5 ●6.3 “4.8 541.4 93.3 62.0 52.3 20.3 “3.2 7.5 3.3 ●5.2 ‘ 8.8 “1.6 “1.9 3.7 3.7 69.o ●5.6 “8.0 ●6.5 6.0 “9.0 14.9 5.7 14.6 “6.0 “1.9 “4.8 “1.9 “1O.2 “3.4 ‘ 6.3 “4.7 ●5.1 ‘4.8 “3.5 ●2.6 6.7 S98 footnotes at end of table.. 81 Table 43, Number and percent of office visits made by female patients, by diagnastlc sewice ordered or provided and principal reason for visit in the Symptom Module: United States, 1977-78-CO”. Number Diagnostic -wrvjce Princ!pal reason for wsjt a“d R VrJ &Jde 1 of vis;ts L !mited General in Pap Clinical Biood None Other thousands examl examl test lab X-ray EKG histmu hkrorv pressure diagnostic m., check services2 Symptoms referable to the skin, nails, and ha!r . . . S830-S899 Acne orplmples . . . . . . . . . . . . ., . . . . . . . . . . . . . . . . .. S83O Warts, N.0.S.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S850 Skin rash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s860 Skin ies!on . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s865 Skin irritations, N. E. C.4, . . . ...,,,,,..,.,,,,,.. .,, ,S870 All other symptoms referable to the sk!n, nails, and hair . . . . . . . . . . . . . . . . . . . . . . S835-S845, S855, S875-S895 Symptoms referable to the musculoskeletal system s900.s999 Neck symptoms.,.,,,...,,, ,,, .,, ,,, ,,, ,,. ,., ,,s900 8acksymptoms ., . .,, ,,, ..,, ,,, ,., ... ,,, ,.. ,,, ,s905 Low backsymptoms ..,.,.,,,,, .,, ,,, .,, ,,, ,,, S910 Hipsymptoms ., .,, ,, .,,..,... S915 Legsymptoms . .,, ,, .,......, 1“:::1:.:”1:S920 Knee symptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S925 Footand toe symptoms . . . . . . . . . . . . . . . . . . . . . . . . . ..s935 Shoulder symptoms.......,...,., ... .,, ,., ,,. ,.. .s94o Armsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s945 Handand finger symptoms . . . . . . . . . . . . . . . . . . . . . . . .. S960 All other symptoms referable to the musculoskeletsl system . . . . . . . . . . . . . . . . . S930, S950-S955, S965-S980 36,591 6,759 2,102 11,152 4,023 2,654 9,900 57,934 5,654 11,497 4,833 2,186 5,916 5,156 4,3(26 4,773 2,651 3,440 7,522 Percent of visits3 11.7 22.0 24,2 5.7 10,3 “4,8 11,2 7.1 13.3 9.6 8.6 “8.8 ‘3.1 ●5.2 “5.5 “3.6 “6.3 “5.6 5.8 74.5 69.3 63.1 79.2 72.1 78.8 74.9 67.9 64.1 63.6 63.1 64,4 67,2 70.9 75.3 72.8 72.6 70.8 69.9 11.8 8.7 “11.8 14.1 11.4 15.5 10.4 18.1 17.9 21.4 19.6 18.3 22.7 16.4 10.2 17.2 13.7 12.1 19.0 “0.9 ‘0.2 “1.0 “0.9 “3.2 *1,1 1.8 ‘1.0 ●2.9 “1.7 “0.5 ●3.5 “0.6 “1.2 “0.7 “1.1 ‘0.4 2.4 9.8 ‘1.1 ‘5.1 11,0 15,4 13,5 12.1 13.7 13.5 17.4 15.8 ●8.3 17.6 11.8 9.3 ‘7.1 ●8.5 ‘9.8 16.9 “0.9 ‘0.3 *2.6 “2.0 ‘1.5 20.9 16.6 16.5 20.4 35.6 10.9 25.7 30.4 23.3 18.7 22.4 25.0 ‘0.2 ‘0.2 “0.2 “0.4 ‘0,4 2.1 “1.4 ‘2.3 ‘2.4 ‘1.5 “3.3 “0.5 “0.9 ●2.6 ‘2.8 “ 0.6 ●3,2 12.3 2.5 *2.6 “0.9 “11.4 ‘1.1 15.5 ‘2,0 17,1 “2.5 22,4 ‘4.5 10,8 4.0 34.4 3,2 27.1 ‘2.7 36.7 “3.0 33.8 “2.7 38.6 “2.3 48.9 5,8 32.2 *2,8 23.5 ‘1.4 33.2 “1.5 37.9 *4.4 25.5 *3.8 35.1 “3.7 lSOO reference 1. ‘Includes vision test, endasvapv, and other diagnostic services ordered Or prcwlded. 3Perce”t$ will not add to 100.0 because more than 1 service may have been re”dwed 4N.o.s. = not otherwise spacl fled; N.E. C. = not elsewhere classified, 51ncludes vision tests in 10,750,596 wsits (29.2 percent). 61ncludas endoscopies in 1,717,321 visits (5. o percem). 82 Table 44. Number and percent of office wsits made by female patients, by diagnostic service ordered or provided and principal reason for visit in the Disease, Injuries and Adverse Effects, Test Results, and Administrative Modules United States, 1977-78 Number Diagnostic service Principal reason for visit and R VC code~ of visits in Limited General Pap Clinical Blood Other thousands None examl examl test lab X-ray EKG pressure histow history diagnostic test test services2 Allvisits by female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Disease Module Infective and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . .DOO1-D089 Viral diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DO15 All other infective and parasitic diseases . . . . . . DO05-DO1 O, D020-D035 NeoPlatms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D1OO-D199 Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . .. D1OO-D135 Benign neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D14o.D1LI5 Endocrine, nutritional and metabolic diseases . . . . . . . . . . . . . .D200.D249 Diseases of the thyroid gland . . . . . . . . . . . . . . . . . . . . . . . . . .. D2OO Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D205 All other endocrine, nutritional, and metabolic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D21O-D215 Diseases of the blood and blood-forming organs . . . . . . . . . . . .D250-D299 Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D300-D349 Diwmesof thenewous $ystem . . . . . . . . . . . . . . . . . . . . . . .. D35O.D399 Diseases of theeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D400-D449 Diseases of theear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D45GD499 Diseases of the circulsto!y system . . . . . . . . . . . . . . . . . . . .D500-D599 Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D51O Ischemic heart dkease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D515 All other diseases of the circulatory sWtem . . . . D500-D505. D520-D550 Diseases of the respmatory system . . . . . . . . . . . . . . . . . . . . . .D60C-D649 Diseasesof the digestive system . . . . . . . . . . . . . . . . . . . . . .D650-D699 Diseases of the genitourinary system . . . . . . . . . . . . . . . . . . . .D700-D769 Diseases of the skin and sub-cutaneous tissue , . . . . . . . . . . . . . .D800.D899 Diseases of the musculoskeletd system and connective tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D900-D949 Injuries and Adverse Effects Module lnjurfby type and/or location . . . . . . . . . . . . . . . . . . . . . . . . .JOO1-J799 injury, N.0.S.5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..J800-J899 Test Results Module Test results module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. RI OO-R700 Administrative Module Administrative module . . . . . . . . . . . . . . . . . . . . . . . . . . . .. A1OO-A14O Persent of visits3 694,431 2,506 1.366 1;140 4,467 3,398 1,C69 7,296 1,342 5,255 699 917 607 1,241 3,830 1,174 13,335 9,249 1,247 2,839 6,167 2,397 3,732 4,192 4,910 16,863 2,156 4,193 6,957 10.0 ●10.7 ‘1 6.8 “3.5 7.6 “8.9 “3.5 ●3.1 “ 2.9 “1.0 19.1 “15.5 62.4 ●10.3 “1.8 “3.9 “2.1 “2.0 “0.3 +3.5 12.3 “6.3 ●3.1 19.6 “6.6 8.B “ 7.9 16.0 “4.6 59.2 65.0 65.0 65.0 60.1 60.8 58.0 5a.o 65.9 56.9 51.4 44.1 ‘30.7 58.0 66.8 87.6 61.2 60.9 50.8 66.5 68.8 63.5 58.7 88.2 63.6 72.7 70.4 44.0 19.5 21.9 “11.1 “11.3 “1O.9 20.6 17.1 31.8 19.9 “23.2 19.4 ‘16.1 ● 14.4 ‘1.8 “14.1 10.1 “ 12.2 21.3 19.1 29.8 24.7 13.3 28.4 18.8 12.0 19.5 9.7 18.6 11.7 64.5 8.5 ‘6.7 ‘6.2 97.4 ●7.5 ‘5.6 “13.7 ●2.1 “2.3 “1.3 ‘ 7.5 “ 0.7 “0.6 “2.3 “2.7 ‘2.0 “0.6 “2.2 16.1 “0.7 “1.6 “0.4 ‘1.2 16.4 5.8 23.1 28.0 “ 20.4 39.2 30.8 34.1 “20.2 62.8 43.3 70.6 39.9 62.3 ●2.5 “5.7 “3.0 “6.4 15.2 14.8 ●18.1 15.1 13.6 ● 12.6 54.9 “7.7 23.4 2.9 “6.7 29.0 45.0 6.6 ‘5.7 “5.3 “6.3 ●7.4 ●9.3 ●1.3 ●3.9 “6.6 ●2.9 ‘6.5 +3.7 “4.1 5.4 4.5 “11.0 ●5.6 8.1 ●7.6 “1.1 “0.7 12.4 24.8 29.4 8.2 “4.6 2.6 “1.0 “1.7 “0.4 ‘0.5 6.0 “6.7 “6.4 “1.4 “0.5 *o. 1 7.7 6.5 “ 19.4 “6.4 ●1.4 ●3.6 “0.1 ● 4.4 “0.4 “2.4 “3.7 “ 2.2 38.1 18.3 ‘16.3 ‘20.6 31.1 27.3 43.4 61.3 41.5 66.9 57.0 44.7 ‘8.5 41.1 “2.2 “3.7 72.0 81.0 66.2 44.2 27.9 35.2 33.3 12.2 43.6 13.1 36.5 37.3 47.4 9.5 ‘ 10.7 ‘11.0 “9.0 6.9 ‘4.9 “13.1 5.1 “4.0 ‘ 5.9 “1.0 “4.1 ● 2.3 “6.8 491.2 “1.4 5.1 ●3.3 “2.6 12.0 “4.7 ‘2.5 93.3 ●3.3 “2.1 4.8 ‘7.3 12.9 22.2 1S90 reference 1. 21n.dudes vision test andoscopv; and othar diagnostic services ordered or Provided. 3P0rcenm will “m add to 100.0 because morn than 1 sewice may have bann rendered 41ndudes vision tests in 2,59 S,564 visits (67.9 permnt). 5N.o.s. = not Olh.rwme specified. 83 Table 46. Number and percent of of ficevisits made bymalepatients, bydiagnosic sewiceordered orprovided andprincipal reason forvisit inthe Sqmptom Module: United States, 1977-78–Con. Number Diagnostic service Principal reason forvisit and RVCcode2 of visits Limited Genetalin Clinical Blood Other thousands None exam/ examl lab X-ray EKG pressure diagnostic histow history test test services2 Symptoms referable totheskin, nails, andhalr . . . S830-S899 Acne orpimple$ . . . . . . . . . . . , . . . . . . . . . . . . . . . . .. S830 Warts, N.0.S.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S850 Skinrash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . swjo skinlesion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . s865 Skinirritations,N.E.C.4 .,.... . . . . . . . . . . . . . . . . . ..S870 All other symptoms referable to the skin, nails, and hair . . . . . . . . . . . . . . . . . . . . ..S835-S645.S855,S875-S895 Symptoms referable tothemusculoskeletal system ., . S900-S999 Necksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . s900 8acksymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . s905 Lowbacksymptoms . . . . . . . . . . . . . . . . . . . . . . ..S910 Hipsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . s915 Legsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S920 Kneesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S925 Anklesymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S930 Footandtoesymptoms . . . . . . . .,.S935 Shouldersymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . ..S940 Armsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S945 Elbowsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . S950 Handandfingersymptoms . . . , . . . . . . . . . . . . . . . . . ..S960 Allothersymptoms referable tothemusculoskeletal system . . . . . . . . . . . . . . . . . . . . . . . . . . ..S955. S965-S980 27,477 3,480 2,389 8,901 3,432 1,816 7,459 50,982 4,060 11,010 4,811 1,561 4,560 5,653 1,695 4,243 3,933 1,610 1,608 2,822 3,416 Percent of visits3 12.1 18.6 18.4 7.5 14,1 8,1 12,8 7,6 10.3 9,4 10.7 ‘0,3 ●3.6 ●5.4 ●7.8 ●6.5 ‘7.4 *6.9 ‘7.4 ‘1O.O ●7.3 74.1 72.1 72.5 75,0 73.3 81.6 73.0 69.3 64.5 64.4 66.7 80.7 67.0 71.0 76.3 74.6 69.6 70.6 78.1 75.8 68.4 11.0 ●8.2 *6.6 14.8 *9.8 * 10.4 9.8 17.0 19.8 20.0 19.2 ‘12.1 22.2 16.7 +11.5 12.7 15.0 14.6 +9.1 “10.3 17.3 9.0 *2.3 ●5.7 11.5 10.9 *6.4 9.9 10.8 9.1 13.0 8.6 ● 10.9 20.2 7.6 ●5.3 9.5 *5.7 * 9.6 *4.2 *8.3 17.4 “0.6 ●0.2 ‘0.6 ●0.3 ●0.7 +0.9 24.0 22.5 21.4 22.1 34.4 16.2 32.3 30.7 26.0 24.7 *18.5 22.1 25.4 24.4 +0.3 ●0.6 ‘0.7 ‘0.2 2.0 ‘1.5 ‘1.5 *2.5 ●2.2 ●2.8 +1.7 ●2.6 ‘4.4 *2.5 ‘0.8 *0.3 +1.7 11.3 2.7 “1.4 ‘0.2 *8.3 ‘5.0 11.6 *3.O 18.5 +3.1 19.1 ●0.3 11.2 3.3 24.4 3.3 32.7 +5.1 23.5 *3. O 27.1 ●1.8 32.0 +4.5 35.8 ●5.8 14.9 ++3.4 *14.9 ●0.9 21.1 +1.9 29.4 *4.4 22.8 “4.5 18.8 *1.2 14.7 ‘2.8 25.6 *2.8 lSeareferance 1, ‘Includes vision test, andoscopy, and other diagnostic services ordered or provided. 3Percants will “ot add to 100. Obecause more than 1 servica mav hava been rendered. 4N.o.s. = “~t~thar~i~a~pe~ifiad; N.E, C. = “~t~l~a~hare~lassifiad. Slncludas vision tests in 6,844,958 visits (23.3 percent). 61ncludes endoscopiasin l,369,243visits (6.6 peccant). 88 Table 47. Number andpercentof oticevisiti made bymalepatienS, Wdagno@ic sewimor&red orprwi&d andprincipal reason forvisit inthe Diwaw, injuries and Adverse Effects, Tem Results, and Administrative Modul~ United States, 1977-78 Principal reason for visit and R !/C Wde 1 Number Diagnostic service of visits . . Limited General Clinical Blood Other m None thousands examl exam/ lab X-ray EKG pressure diagnostic hktory history test check services2 Percent of visits3 Allvisits by male patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Disca~ Module Infactive and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . .DOOI.D099 Viral diaemea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D015 Another infective andparasitic diseasas . . . . . . . . . . . . . . .DO05.D035 Neoplasm. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. DIo0.D199 Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . .. D1oo-DI35 Endocrine, nutritional, and metabolic diseases . . . . . . . . . . . . .D200-D249 Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D205 All other endocrina, nutritional, and metabolic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D200. D21O-D215 Diseams of the blood and blood.forming organs , . . . . . . . . . . .D25@D2gg Marital disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D300-D349 Diaeasesof thenewoussystam . . . . . . . . . . . . . . . . . . . . . . .. D350.D399 Diseases of theeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D400.D499 Diseases of the ear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D450-D499 Dissases of thecirculatory system . . . . . . . . . . . . . . . . . . . . . .D500.D599 Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D51o I.whemic heart disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D515 Another diseaaes of thecirculatoV system . . . .D500-D505, D520-D550 Diseases of there~iratory system . . . . . . . . . . . . . . . . . . . . .. D6WD64g Diseaaes of the digestive system . . . . . . . . . . . . . . . . . . . . . . .D650.D6gg Harniaof abdominal ccvity. . . . . . . . . . . . . . . . . . . . . . . . . . .. D660 Allotherdiseases of thedigastivesystem . . . . . .D650-D655, D665-D675 Diseases of thegenitourinary system . . . . . . . . . . . . . . . . .D700.D7gg Diseases of theskin and subcutaneous tissue . . . . . . . . . . , . . .D800.D8gg Diseases of the muexloskeletal system and con”active tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D900-D949 Injuries and Adverse Effects Modu Ie lnju~by typeand/or location . . . . . . . . . . . . . . . . . . . . . . . . .JOO1.J799 ln]ury, N.0.S.5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..J900.J999 Test Results Module Testrewlts module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. R1oo.R7oo Administrative Module Administrative module . . . . . . . . . . . . . . . . . . . . . . . . . . . .. A1oo-A14o 460,119 2,372 1,120 1,251 2,526 2,292 4,736 3,726 1,010 492 818 766 2,396 1,066 11,178 6,724 1,869 2,485 5,604 3,144 1,734 1,409 1,942 3,921 2,523 27. W2 2,217 2,044 12,072 11.4 +16.3 ● 19.4 ●13.6 ●8.3 ‘8.6 ‘0.9 “0.3 “2.9 “11.8 ‘43.8 “6.1 “3.8 ‘ 5.6 4.3 “2.8 ‘ 2.4 +9.7 10.9 ‘5.5 ‘4.9 “6.2 ●4.8 18.8 ‘11.4 10.6 ●8.8 20.5 3.2 59.0 59.9 54.7 64.7 70.6 73.5 65.4 62.9 74.5 ‘40.9 “34.3 59.7 68.7 79.6 60.2 58.3 72.0 55.8 67.3 60.4 63.8 56.2 46.3 68.4 66.1 74.3 58.7 45.8 24.8 21.7 ●13.1 ●15.5 “11.0 “ 12.0 “1O.2 17.4 17.9 ● 15.7 ●33.4 ‘1 7.0 “32.2 “7.9 ●13.2 21.8 22.4 18.6 22.7 16.1 27.5 29.3 25.2 “16.1 10.1 17.3 6.8 27.7 “11.0 66.5 18.2 36.8 32.2 40.8 36.5 38.8 66.2 71.0 48.2 “57.2 “2.1 +8.8 *1.9 ‘5.8 19.1 19.5 19.0 18.1 12.0 12.7 ●4.5 “22.7 62.9 ● 7.2 20.2 1.7 ‘5.1 32.2 44.6 9.9 “0.5 “1.0 ●6.7 ●6.4 “2.4 “2.2 “3.1 *1 2.6 ●3.O ●3.4 “0.5 ●6.1 7.5 7.4 ●5.5 “9.3 8.2 “6.6 ●4.1 “9.6 “8.3 “0.9 ‘ 13.2 24.0 21.9 ●6.4 11.0 4.3 “0.2 ‘0.5 ‘2.1 ●1.7 +5.0 ‘4.6 ●6.3 “9.2 ●2.9 “0.6 “1.1 ‘4.0 14.2 12.0 22.4 13.9 ●1.7 ●2.O ●2.1 “1.9 ‘1.5 “0.4 ●4.5 0.4 “1.5 ●5.9 5.1 27.0 16.2 ‘18.1 ‘ 14.4 24.4 25.2 59.0 62.8 44.9 ‘47.9 “28.1 ●24.7 2.0 ●7.6 67.2 78.6 62.4 40.5 25.8 25.2 “15.5 37.1 ● 10.5 13.2 36.5 9.3 23.0 45.1 48.2 10.1 ●3.5 ●4.4 ● 2.7 ●6.9 ●3.6 4.7 ●5.5 ●1.5 ●6.5 ‘3.3 “7.7 486.3 ●3.3 5.5 6.1 ●3.5 5.7 “3.4 ‘5.5 ●2.5 ●7.3 “4.4 ●2.1 ●2.2 6.0 “1O.2 “6.9 630.3 lSaernferanca 1. 21nctudasvision t.st, endoscopy, and other diagnostic sew[cas ordered or provided. 3Parcantswlll not add to 100.0 because more than 1 serviceman have been renderad, 41ncludas vicio”taHsi” l,527,116vislts (63.7 ParCent). 5N.o.s. = nototherwise $pacifled. 61ncludas vision tasts in 2,940,674 visits (24.4 ParCant). 87 Table 48. Number andpercent ofoffice v!sits made by male patients, byd!agnostic sewiceordered Orprovided and principal reason forvisit inthe Diagnostic, !Screening, and Preventive Module and the Treatment Module: United States, 1977-78 Number Diagnostic service Principal reason forvis#t a”d RVCcodel of Vlslts Limited in General Clinical Blood Other thousands None examl examl lab X-ray EKG pressure diagnowc history history test test servic.952 Percent of visits3 Allvisits by male patients .,... . . . . . . . . . . . . . . . . . . . . . . . . Diagnostic, Screen lng, and Preventive Module General examinations . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. XX199Xl99 General medical examination . . . . . . . . . . . . . . . . . . . . . . . . .. X1OO Well baby exam! nation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. X105 Special examinations, . . . . . . . . . . . . . . . . . . . . .X200-X299 Eyeexamination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. X23O Heart examination . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. X235 Diagnostic tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. X30C!-X399 Glucose level determination ., . . . . . . . . . . . . . . . . . . . . . . . .. X31 O Blood pressure test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. X32O Another diagnostic tests . . . . . X300-X305,X315,X325-X370 Other screening andpreventive procedures ., . . . . . . . . .X400-X499 Prophylactic inoculations . . . . . . . . . . . . . . . . . . . . . . . . . . . .. X4OO Family planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. X5 O&X599 Treetment Module Medications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. TIOO-T199 Allergy medication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. TIOO Injections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. T11O Medication, other andunspecified kinds . . . . . . . . . . . . . . . . .T115 Preoperative and postoperative care . . . . . . . . . . . . .T200-T205 Specific types of therapy . . . . . . . . . . . . . . . . . . . . . . . . . . .T40cI-T499 Specific therapeutic procedures . . . . . . . . . . . . . . . . . . .T500-T599 Fitting glasses andcontact lenses . . . . . . . . . . . . . . . . . . . . . . .. T515 Suture-insartion, removal . . . . . . . . . . . . . . . . . . . . . . . . . . . .. T555 Another specific therapeutic procedures . . T500-T510, T520-T550, T56O Medical counsel ing ..,,.... . . . . . . . . . . . . . . . . . . . . . . .. T600-T699 Social problem counseling . . . . . . . . . . . . . . . . . . . . . . . . . .. T700-T799 460,119 31,269 24,234 7,015 7,762 4,4B5 2,B64 14.335 1,161 9,913 3,261 4,089 3,s33 1,240 9,742 6,761 1.734 1,248 12,301 2,032 7,644 1,057 3,580 3,007 1,919 2,222 11.4 3.4 2.9 5.0 ●2.5 ‘ 2.9 ●1.6 ‘0.8 “0.3 “2.7 71.3 73.7 53.1 73.2 84.2 69.0 19.6 14.1 6B.O 2B.3 ● 2.5 36.7 27.5 19.1 73.2 59.0 21.7 22.8 17.8 59.1 58.B 61.0 56.5 59.0 60.7 42.8 17.6 16.2 “26.7 20.2 13.2 +19.4 59.2 70>5 19.2 55.9 66.9 53.5 54.8 52.3 ●15.1 21.7 70.3 68.7 76.1 22.3 18.1 29.6 13.2 ●11.4 16.8 ‘2.9 ‘7.0 “7.2 “10.7 ●2.6 ●1 .0 “5.3 “7.3 7.9 “1.9 6.0 ‘12.5 “3.0 +7.4 ‘15.7 “ 7.5 18.2 35.8 42.5 12.9 13.0 “6.5 24.3 31.8 81.3 17.1 58.9 “3.5 ‘1.4 “17.6 “3.0 “0.6 ●4.5 “13.9 10.2 ‘13.6 ●2.7 ●2.4 ‘4.0 ‘13.1 ●3.5 9.9 12.6 16.2 “0.3 *3.2 ‘0.3 “6.6 5.8 ●2.2 5.9 “6.6 “0.3 ‘1.1 ‘0.2 1.5 4.7 ‘1.2 5.6 ‘0.8 13.3 ‘5.1 ●0.8 4.3 13.1 16.9 10.1 “0.3 20.7 7.0 ●2.2 7.6 *6.8 “1.2 ‘0.2 ‘0.3 “0.8 ‘3.0 27.0 36.9 47.1 ●2.1 31.1 ●1.O 77.4 77.6 63.8 88.9 21.7 ●4.6 “ 4.9 ●6.8 7.8 +2.0 ‘7.7 39.5 10.4 “ 5.6 12.8 18.0 11.1 42.7 ‘4.6 10.1 11.6 14.8 ●1.5 61.5 4102.6 “3.3 9.3 ●7.3 3.5 27.6 “1.7 ●1.B “0.6 “1.3 “0.3 ●2.9 ●4.9 9.4 “3.0 15.3 579.0 +3.0 ‘ 7.4 ‘ 12.4 ●4.5 lSeerefer.3nce 1. 21ncludes wsi.m test endm.scapy and other diagrvastlc services ordered Or provided. 3percen~~ill n~taddt~l oo,obe=au*a m~re than 1 s~~i=emayhavnb~e”ra”dared, 41ncludas vision tests in 3,230,697 visits {72.0 percent). 51mAudes vision tams m 715,598 visits (67.7 percent). 88 Table 50. Numbrand percent ofoffice visit$ma& by female patients, bytherawutic wwimordered orprovi&d andprincipal reamnfor visit inthe Di~a~, injuries and Adverse Effects, Tem Rewl&, and Administrative ModuIes: United States, 1977-78 Principal reason for visit and R VC code 1 Number Therapeutic service of visits lmmuni- in None Drugs Diet Psycho- zationl (pmscriptionl and/or Office Other thousands therapyl desensi- non- medical surgwy therapeutic therapeutic tization prescription) counseling listening sewices2 Percent of visits3 Allvisits t.f female patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Disease Module Infective andparasitic diseases . . . . . . . . . . . . . . . . . . . . . . .DOOI-D099 Viral diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D015 Allotherinfective andparaaitic diaeases . . . . .. DOO%DOIO. DO2O-DO35 Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D1OO-D189 Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . D100-DI 35 Benign neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D140-D145 Endocric+, nutritional, and metabolic diseases . . . . . . . . . . . . . D200-D249 Disaasas of thethyroid gland . . . . . . . . . . . . . . . . . . . . . . . . . .. D200 Diabetes nwllitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D205 All other endocrine, nutritional, and metabolic diseams . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D21O-D215 Diseases of the blood and blood- forming organs . . . . . . . . . . . .D250-D299 Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D30GD349 Diseases of thenervous system... . . . . . . . . . . . . . . . . . . . .. D350-D399 Dimases of theeye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D4oO-D449 Diseases of the ear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D450-D499 Disaases of the circulatory system. . . . . . . . . . . . . . . . . . . . .. D50DD599 Hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D51O Isohemic heart disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D515 Allothw diseases of thecirculatory system . . . .D500-D505, D520-D550 Di$eases of therespiratory system... . . . . . . . . . . . . . . . . . .. D60GD649 Diseaaas of the digestive system . . . . . . . . . . . . . . . . . . . . . .. D650-D699 Diseases of thegenitourinary system . . . . . . . . . . . . . . . . . . .. D700.D799 Di$?ams of theskin andwbcutaneous tissue . . . . . . . . . . . . . .. D8CQ-D899 Diseases of the musculoskeletal ayatem and connective tissue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. D900-D949 Injuries and Advarw Effects Module lnjuryby tywandlor location . . . . . . . . . . . . . . . . . . . . . . . ..JOOIJ799 injury, N.0.S.5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..J800-J899 Test Results Module Testresults module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. R1OO.R7OO Administrative Module Administrative module . . . . . . . . . . . . . . . . . . . . . . . . . . . .. A1OQ-A14O 694,431 2,506 1,366 1,140 4,467 3,388 1,069 7,296 1,342 5,255 699 917 607 1,241 3,630 1,174 13,335 9,249 1.247 2,839 6,167 2,397 3,732 4,182 4,910 16,883 2,156 4,193 6,957 19.8 21.0 +22.0 19.8 33.0 31.1 39.1 16.8 ● 22.4 15.5 16.0 ●10.7 “1.8 ● 15.2 36.1 41.4 12.1 10.3 “6.4 20.6 10.0 34.1 19.5 8.3 13.9 23.4 25.2 29.8 62.0 6.4 ‘2.7 “4.0 ●1.2 ●1.1 “1.4 “2.7 “0.5 ●2.6 “8.0 ●8.3 ●2.O “ 0.8 “4.3 ●1.5 ●1.5 “3.0 “1.0 23.9 “2.4 “0.3 “5.2 ●2.9 9.2 “1.6 ‘1.3 18.4 53.7 57.8 49.3 67.9 36.8 38.2 32.3 61.4 62.0 63.4 “44.8 77.1 34.2 71.8 44.3 46.6 75.7 82.9 73.0 53.4 63.4 41.0 53.6 69.2 69.2 31.8 44.7 36.1 9.6 27.9 32.9 30.8 35.4 21.4 21.9 ● 19.7 57.8 34.0 63.6 59.2 “26.0 ‘15.0 24.7 “8.3 “22.7 39.5 39.3 49.0 36.2 24.8 52.2 20.7 15.1 31.0 19.7 21.8 47.9 12.2 6.8 *13.O “18.1 “6.7 11.8 10.5 *1 5.9 ‘ 0.3 *0.5 ●1 .3 “2.9 *1.2 “2.7 “1O.O ‘4.3 ‘8.8 24.9 18.1 *0.4 28.9 6.7 +7.7 ●2.5 5.6 ●1.6 ● 2.6 “0.4 ●3.4 +4.4 ●1.6 ‘0.6 “1.9 ●1 .4 ●1.6 79.6 ‘6.0 “1.1 *1.7 *3.O ●2.7 *2.O ‘1.4 ●3.2 *1.4 *0.6 ‘3.9 1.8 “5.4 ●2.3 ‘ 2.0 7.8 ●1.6 “2.3 ●0.7 ‘2.5 ‘1.4 ‘1.7 ‘2.8 ●0.8 +0.9 21.6 ‘1.6 “4.4 ●1.2 10.6 ‘0.8 2.8 ●1.1 ●4.1 ‘“1.7 ● 2.3 ●3.5 “7.9 9.7 49.8 20.5 ‘2.7 “4.7 lS*erderenca 1. 2 Includas famil y planning, psychotherapy, and other therapeutic sarvicasordarad or providad. 3Parcantswill notaddto 100.0 bacausamorethanl aswicemay havabaanrendarad. 41ncludasphysiotherapy inl,205,004 visits (7.1 percent). 5N.O.S. = not otharwisa specified. 91 Table51 Number and percent of of f!cev!slts made by female patients, by therapeutic serwceorderedor prowdedand principal reason for visit in the Diagnostic, Screening, and Preventwe Module and the Treatment Module: United States, 1977-78 Therapeutic service Number Pr;nc/pa/ reason forvwtandRVCcodel of Vls!ts lmmuni- Drugs Diet Psycho- Other m None za tiOn/ (prescription/ andlor Office therapyl thousands desenw non- medical therapeutic therapeutic surgery tization setvices2 prescription) counseling listening Percent of visits3 Allwsltsby female pat!ents . Dmgnostlc, Screening, and Preventwe Module General examinations .,, . . . . . . . . . ... .,. .,, ,., .,. ,,, x100-xl99 General med!cal examtnat,on . . . ,., ,X1OO Well baby examination ..,....,,, .,, , . . . . . . . . . . .. X105 Special exam! nattions .,... X200-X299 Pregnancy, unconfirmed . . . . . . . ., .,, ... .,, ... X2002OO Prenatal examinatmn, rout,ne X205 Postpartum exammatlon .X215 Gynecolog&cal examination X225 Eyeexaminatmn. . . . . . . . . . . . . . . . . . ,, . . . . . . .. X23O Heart examination ..,.,. . . . . . . . . . . . . . . . .. X235 . . . . .. X235 All other special examlnat!ons X220, X240 Diagnostic tests... . . .X300-X399 Glucose level determmatmn ,X31O Blood pressure test..... . . . . . . . . . . . . . . . . . . . . .. X320 Pap smear.... X365 Another dlagnost,c tests x30@x305, X31”5, X3 Z5.”X”360, X370 Other screening and preventive procedures .X400.X499 Prophylactic moculatlons ...,, . . . . . . . . . . . . . .. X4OO Famrlyplannlng . . . . . . . . . . . . . . . . . . . .. X50 DX599 Treatment Module Med!cat!ons, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. TIOO.T199 Allergy medication .,,..... . . . . . . . . . . . . . . . . . . . .. TIOO @ectlons. . . . . . . . . . . . . . . . . . . . .. T11O Medication, otherandu nspec,f!edkinds .T115 Preoperative andpostoperattve care ,T200-T299 Preoperatwe vw,t for specified and unspec!fled types of surgery.,.. . . . . . . . . . . . . .. T200 Postoperatwe visit . . . . . . . . . . . . . . . . . . . . . . . . . . . .. T2O5 Spec!fic types of therapv . .T40C-T499 Ps+’chotherapy, ...,.,,,,. . . . . . . . . . . . . . . . . .. T4IO Another spec,f,c tvpesoftherapv .T40CLT405, T415-T425 Specif!c therapeutic procedures .T500-T599 F,ttlng glasses and contact lenses . . ,T515 Suture-insertion, remo.al . . .. T555 Another specific therapeutic procedures T500-T510, T520-T550, T560 Medical counseling..,.....,,.,. ... ,. T600-T699 D,etand nutrtttonal counseling . . . . . . . . . . . . . . . . . . . . . . . .. T6OO Counseling, N. 0.S,6 . . . . . . . . . . . . . . . . . . . . . . .. T605 . . .. T6O5 .%clalproblem counseling . . .T700-T799 lSee reference 1. 21ncl. desfam,ly plann,ng phvsiOtherapy, andrhetherapeut[ cwrvices0rdered w provided. 3Perc.mts will “maddto 100.0 because more than 1 service may havebmm rendered 41ncl. desfamtlv plann, ngm 5,522,944 visits (7.7 Percent]. 51ncludesfam,ly pls””ingi” 1,019,913 .!slt$( 13.4 percent). 6N.0,S. = not otherw,somecif ted. 694,431 41,699 34,8BI 6,711 71,384 3,254 40,394 4,114 13,282 7,467 1,819 1,075 27,175 1,236 13,783 7,631 4,524 4,785 4,318 7,972 12,134 6,230 4,127 1,776 19,529 1,406 18,122 2,988 1,717 1,271 7,809 1,896 2,515 3,397 5,503 4,016 1,487 2,647 19.8 27.6 29,2 19.8 461 22.7 52.0 30.9 41.5 47.7 ‘13.5 53.2 24.9 26.6 11.6 35.8 46.5 ●4.7 “1.1 16.3 3.2 “0,8 “4.2 “9.3 45.4 48.9 45.1 “4.2 “9.9 19.2 43.8 “7.9 13.8 7.6 ‘3.8 “17.9 ‘2.4 6.4 24.4 17.9 58.3 0.5 ●1.6 “ 0.3 “0.7 ● 0.6 “0.7 “0.5 2.0 ●1.8 ●1.9 “1.0 ●4.7 90.0 96,5 “0,1 58.3 95.1 26.2 ● 4.0 “0.7 “5.0 ‘0.4 ●1.8 ‘4.2 ‘1.1 “0.9 ●2.4 “0.2 “1.7 ‘1.6 ‘1.7 ‘0.3 53.7 31.9 38.3 8.6 23.9 42.0 15.9 31.0 39.6 17.1 86.0 ‘23.9 57.6 52.5 74.4 41.0 35.7 6.0 ‘3.8 43,4 39.3 7.2 69.1 82.7 20.5 *4.7 21.8 34.7 ● 19.4 55,4 11.3 “7.5 “7,8 15.9 58.7 71.6 23.7 18.0 27.9 37.1 36.3 41.7 32.7 40.B 41,4 20,7 19.4 7.4 55.2 *25.4 34.8 50.1 43,1 25.8 20.3 “4.3 ●1.8 19.1 6.7 ‘2.4 ‘4.7 26.0 21.9 35.2 20.8 ●6.4 ‘0.4 “1 4.5 11.3 “9.4 “B.O 14.7 77.4 B5.7 54.7 “4.9 6.8 1,8 2.2 1.0 “0.5 ‘0.5 ‘4.8 ‘ 2.4 0.5 “0.4 1.7 “0.6 “2.0 ‘5.2 “0.7 “0.5 26.4 ‘0.6 ●1.6 “0.3 15.1 “2.2 16,1 58.4 “0.7 83.o 60.8 “1.4 “0.6 ‘3.4 ‘1.1 5.6 2.9 3.0 ‘0.5 3.8 ‘7.2 4.1 ‘5.1 3.9 “0.3 3.2 ●3.3 2.6 ●2.1 3.6 ●1.5 ●1.2 ‘0.4 ‘0.2 ●1.8 2,9 ●1.3 ‘16.9 2.4 ‘5.6 2.1 57.8 98.5 *2.8 ‘1.0 “0.7 1.7 8.2 ‘5.9 ‘ 14.6 90.3 7.8 4.2 4.7 ‘f.8 411.7 11.5 4.4 48.5 14.3 30.0 ●5.2 4:5 ●4.8 “0.6 513.7 “0.7 “0.6 49.1 ● 0.4 “ 0.4 ● 0.3 “0.5 6.3 ‘8.1 6.1 18.6 43.7 19.3 45.7 ‘2.6 16.7 ●2.2 ●1.1 ‘ 5.2 ‘2.5 92 Tarble52. Numkrand wmntofoffica visits made bymalepatients, bytherawutic wwiceor&wd orprwi&dwdpriwi@l raaaonfor visit inthe Symptom Module United States, 1977-78 Principal reason for visit and R VC coda~ Therapeutic sarvios Numbdr of visits Immuni- Drugs Diet Otier in None zatiorr/ (prescription/ andlor Office thousands daserrsi- nOn- medical tharapautic surgery tization servicas2 prescription) counseling Percent of visits3 Allvisits by malepatients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Generalsymptoms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S001-S099 Fever . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S010 Tiredness,exhaustion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s015 Weightgain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S040 Chest pain and related symptoms (not referable to body aymem) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S050 Pain, site notraferable toaspacific bodyaystem . . . . . . . . . . . .. S055 Pain andrelated symptoms, generalized, $iteunspecified . . . . . . . .SC60 Allargy, N.0.S.5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S090 Allothergeneral symptoms . . . . . . . . . . . . . . .S005, S02!2-S035,S045 S065-S085,S095 Symptoms referable topsychological and mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S1OC-S199 Anxietyandnervousneaa . . . . . . . . . . . . . . . . . . . . . . . . . . . ..sIoo Depression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S110 All other symptoms referabla to psychological and mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S105. S11%S165 Symptoms referable to the nervous system (excluding sense OrWnS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S200-S259 Headache,pain inhead . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S210 Disturbancesofeansation . . . . . . . . . . . . . . . . . . . . . . . . . . . ..s2z0 Vertigo-dizziness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S225 All other symptoms referable to the nervous system (excluding saneaorgansl . . . . . . . . . . . . . . . . . . ..S200-S205,S215,S230-S240 Symptoms referable to the cardiovascular and lymphatic systama . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S260-S299 Abnormal pulsations andpalpitations . . . . . . . . . . . . . . . . . . . . .S260 All other symptoms referable to the cardiovascular and lymphatic systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S265-S280 Symptomsreferabletotheeyesand ears . . . . . . . . . . . . . . . .. S300-S399 Visiondysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S305 Abnormalsensationsoftheeye . . . . . . . . . . . . . . . . . . . . . . . ..S320 Allothersymptoms referablatotheeyas . . . . . .S310-S315, S325-S340 Hearingdysfunctions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S345 Earache,orearinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S355 Another symptoms referable tothe ears . . . . . . . . . . .S350, S36CW365 Symptoms referabletothe respiratory system . . . . . . . . . . . . . S400-S499 Naselcongeation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S400 Shortnessofbn?ath . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S415 Cough . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..S440 Headcold,uppar respiratory infection (coryza) . . . . . . . . . . . . ..S445 Symptomsreferabletothroat. . . . . . . . . . . . . . . . . . . . . . . . ..S455 Allothersymptoms referabletothe respiratory system . . . . . . . . . . . . . . . . S405341 O, S420-S435, S450, S460.S485 Symptoms referable tothedigestive system . . . . . . . . . . . . . . . S500S639 Stomachpain,cramps,andepasms . . . . . . . . . . . . . . . . . . . . . . .S545 Abdominalpain,cramps,spasms . . . . . . . . . . . . . . . . . . . . . . ..S550 Diarrhea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S595 All other symptoms referable to the digestive system . . . . . . . . . . . . . . . . . . ..S50@S540. S565-S590,S600-S615 Symptoms referabletothegenitourinary system. . . . . . . . . . . . S640-S829 See fOOmOt%s at end of table. 460,119 37,130 9,109 2,348 1,870 9,049 2,467 1,642 2,893 7,753 11.682 4,717 3,068 4,497 13,319 6,194 1,264 3,937 1,924 2,866 1,227 1,641 28,445 6,225 2,271 4,552 2,237 9,219 4,841 56,761 5,102 3,292 13,290 9,206 14,805 11 ,C65 20,346 2,525 5,126 2,486 10,698 12,788 18.9 14.6 10.3 ● 12.5 ‘ 5.5 18.7 29.2 ●1 3.1 ‘3.8 17.2 5.8 ●6.3 ●2.4 7.6 15.6 13.1 ●24.7 12.9 23.1 13.9 14.5 ●13.4 19.6 33.1 * 14.4 18.6 23.1 11.4 19.8 6.4 “5.5 12.0 “2.5 4.2 7.5 10.4 15.4 ●9.9 17.6 ‘8.4 17.3 18.7 8.4 8.6 ●3.6 *3.1 ‘0.3 “3.5 ‘0.6 ●3.1 73.9 ‘3.6 ●0.5 ●0.3 ●1.O ● 2.2 ●2.1 ●3.3 ●3.O 90.6 ●1.1 “2.6 1.6 ‘2.4 92.1 ●1.O ‘ 2.4 ●1.9 6.6 29.8 “5.4 3.5 ●1.3 3.2 8.8 2.1 +1.9 + 0.4 +0.7 3.3 +1.2 51.2 65.9 83.4 64.3 71.0 67.0 48.6 71.4 29.5 61.3 44.5 50.2 43.8 39.7 67.0 72.9 33.5 74.1 55.6 66.3 67.2 65.6 56.3 16.7 73.2 59.5 44.9 81.5 53.4 83.9 61.8 77.2 92.8 84.1 66.8 72.9 65.9 78.3 66.2 79.2 59.8 59.4 25.9 34.8 26.4 42.5 68.2 12.4 30.6 28.6 ●9.5 37.8 13.1 19.1 5.7 12.6 31.6 29.2 42.2 32.8 30.1 43.7 51.4 37.3 16.3 12.1 12.0 13.5 20.9 19.4 18.3 21.7 14.1 43.3 27.0 13.7 16.7 25.8 44.0 45.0 49.0 50.0 38.1 28.6 9.4 2.0 ‘ 0.6 ●1.8 ‘4.3 *6.6 ‘0.4 3.9 ‘0.5 ●0.3 ‘0.4 ‘0.8 ●1.3 ●1.1 ●5.2 ●1.1 “0.2 ‘0.8 ●1.5 11.2 ‘2.0 ●1O.1 11.9 19.1 8.5 23.9 1.9 ●4.7 ‘0.8 +0.7 “0.6 +0.7 5.1 3.6 ●1.1 + 0.4 6.5 8.0 11.7 46.1 ●1 .2 +11.7 ‘6.5 8.4 6.0 ●9.7 8.7 672.2 57.5 89.5 74.0 9.4 9.3 13.6 4.3 17.1 ●3.O ●2.1 ‘3.6 12.2 741.5 ●6.8 10.1 ●6.3 ●1.6 ●2.1 2.5 2.5 8.3 +1.5 *1.3 ●1.9 3.8 5.8 ●4.6 *6.6 ●3.9 6.1 8.0 93