What is the best method to enhance the quality of services of the primary care physician?
Ask the patient to put all problems, issues, complaints, and/or conditions in writing.
Verify the findings.
Scan the document.
Place the document in the patient's medical records chart.
Experience in America has shown that the patient says one thing and the primary care physician writes something else.
The primary care physician has to do lots of research on his or her own to fix the issues.
Seek help from others to fix the issues. Fix the underlying cause.
Annual health assessment
At this point, what are the reasons for the consultation?
Hello, my name is Dr. Asif Qureshi.
How can I help you?
At this point, what are the reasons for the consultation?
Tell me more.
Tell me about yourself.
Who all will be in regular communications with me and what are their expectations?
How do I identify the person?
What identification mark(s) does the person have?
Where is the profile of the person?
What is the profile of the person?
What is the first and last name of the person?
What is the date of birth of the person?
What is your current mailing address?
How long have you lived at this location?
What languages do you speak?
What are all the mailing addresses of the person since birth?
Who verified the findings?
What are the issues?
These are basic questions; there are many more.
At this point, what are the reasons for the consultation?
Why are you seeking a consultation with a primary care physician at this point?
How should a primary care physician record the consultation documentation?
Record the exact reasons for the consultation, including the exact statement or question relevant to the consultation.
Snellen Chart Interpretation
20/20 vision is considered "normal" vision, meaning you can read at 20 feet a letter that most people
should be able to read at 20 feet.
If a patient reads the 20/200 line that means they can read at 20 feet the letters that people with
"normal" vision can read at 200 feet.
At this point, what are the reasons for the consultation?
Date: August 23, 202_
Time: 10:00 AM
Location: 5042 North Winthrop Avenue #___, Chicago, Illinois 60640. Office: 773-7//-2/// Fax: 773-///-////
Name of the Primary Care Physician: Asif Qureshi, MD
Specialty: Family Medicine
Reasons for consultation:
1. Routine checkup
2. Issue that needs research and deliberations with the current primary care physician. I would prefer for you to research and come up with answers relevant to the standard of healthcare. What did you understand? What do you suggest?
State of consciousness - alert, drowsy, very drowsy, obtundation, stupor, coma. Conscious means able to hear, see, and talk relevant to age.
Is the person conscious and oriented to time, place, person, and situation?
Most of such individuals are conscious and oriented to time, place, and person, but not oriented to situation.
1. State of consciousness - Alert
2. Weight 180 lb (81.6 kg)
3. Height 5' 11" (1.803 m)
4. BMI 25.10
How do you calculate your body mass index?
Here are further guidelines.
5. Blood Pressure 125/82
6. Temperature (Temporal) 97.3 °F
7. Pulse 72
8. Oxygen Saturation 99%
9. Current Health Issues as of 9/2/2025
September 2, 2025
None
10. Diagnoses: Primary hypertension
11. CONTINUE taking these medications
lisinopril 20 MG Tab
For diagnoses: Primary hypertension
Allergies as of 9/2/2025
No Known Allergies
September 2, 2025
Current Health Issues as of 9/2/2025
None
Instructions from Asif Qureshi, MD
Lisinopril Dosage
Lisinopril 20 MG Tab
Take 1 Tab by mouth once per day.
Usual Adult Dose for Hypertension
Initial dose: 10 mg orally once a day; 5 mg orally once a day
Maintenance dose: 20 to 40 mg orally once a day
Maximum dose: 80 mg orally once a day |
Body Temperature Norms
98.6 °F (37°C) is generally considered a normal temperature, though every person’s normal temperature is different and may be slightly lower or higher.
Normal body temperature varies by person, age, activity, and time of day. The average normal body temperature is generally accepted as 98.6°F (37°C). Some studies have shown that the "normal" body temperature can have a wide range, from 97°F (36.1°C) to 99°F (37.2°C).
Here are some of the factors that affect body temperature:
time of day
older age
frequency of exercise
weather
location of temperature reading
hormone levelsTrusted Source
being overweight
Fever in adults
Low-grade fevers: 99.1 to 100.4 F
Moderate-grade fevers: 100.6 to 102.2 F
High-grade fevers: 102.4 to 105.8 F
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How do you describe a non-emergency medical problem?
What best describes your situation at this point?
If the issue is included on this list, it is a medical emergency problem.
https://www.qureshiuniversity.com/medicalemergency.html
If the issue is included on the list below, it is a medical non-emergency problem.
What problems does a primary care physician manage?
A primary care physician manages the assigned nonemergency medical problems. A primary care physician provides nonemergency medical services.
https://www.qureshiuniversity.com/primarycarephysician.html#Answer
Where are detailed facts about high blood pressure?
https://www.qureshiuniversity.com/highbloodpressure.html
Where is your profile?
What was your recent blood pressure?
This is how you must reply.
Blood pressure records
At 6:59 PM on Saturday, December 9, 2023, my blood pressure in Chicago was ___/__ mm hg.
When was your last complete blood count (CBC) done?
When was your last basic metabolic panel done?
When was your last comprehensive metabolic panel done?
Was this done fasting or random?
Where are the results of these blood tests?
What are most common non-emergency medical problems?
What best describes your non-emergency medical problem?
I need an annual medical checkup.
I need counseling.
An administrator and those associated with them need counseling.
The person mentioned needs counseling.
I need problems- or issues-based counseling.
I need alcohol or drug abuse counseling.
I need relationship counseling.
I need help with my medical problem.
I need help with my non-medical problem.
I was asked to lie. There was no domestic violence. This was a politically motivated criminal conspiracy by others. I need counseling.
I have a headache.
I have a throbbing headache.
I have a splitting headache.
I have a fever.
I have a temperature.
I am dizzy.
I have ringing in my ears.
I have pink eye. I have pink eye in both eyes.
I have conjunctivitis.
I have stress due to harms from others.
I have a cold. I am cold means I feel cold.
I have a blocked nose. I am congested.
I have a runny nose.
I can't stop sneezing.
I can't stop coughing. Dust makes me cough.
I have a cough.
I have the flu.
I have a mouth ulcer. I have a canker sore on my tongue.
I have a toothache. I have a cavity.
I have a sore throat.
I have a stiff neck.
I have shoulder pain.
I have asthma. Sometimes I have difficulty breathing.
I have high blood pressure.
I have a stomachache. I want to vomit. I want to throw up. I am nauseous.
I have a rash on my arm. My rash is red. Rashes are temporary.
I have arthritis. My fingers hurt when I move them.
I have arthritis in my hands. I have arthritis in my knees. Normally arthritis affects the elderly.
Abdomen
I have diarrhea. (noun) I am constipated.
I have constipation. (noun) I have to drink more water. I need to eat more fruits and vegetables. He has a cramp. He needs to stretch his muscle.
I have a bruise on my leg.
I twisted my ankle.
I have a swollen ankle.
I have a wart on my foot.
I have a blister on my foot.
Seasonal allergy
Minor burns or lacerations
What seems to be the issue or issues?
What is it?
What best describes it?
Is it new or ongoing and recurrent?
Was it preceded by any specific issue?
What is it triggered or worsened by?
What relieves it?
What is it accompanied by?
When did it start?
How did it start?
Where did it start?
How much time has elapsed from the start?
What is the location?
Where is it? For example, is the stress or pain in the head, in the chest, in the abdomen, or in any other location?
What makes it worse?
What reduces it?
What will happen if you continue having this?
What will happen if you do not have this?
What have you done so far for this?
What causes it?
What do you think causes it?
What do I think caused it?
What needs to be done to verify what caused it?
Has patient taken any medication or substance before this issue?
Has any specific thing happened that led to this issue?
Is this troubling your everyday activity?
How is this troubling your everyday activity?
Adult Symptoms
Abdominal pain in adults
Blood in stool in adults
Chest pain in adults
Constipation in adults
Cough in adults
Diarrhea in adults
Difficulty swallowing in adults
Dizziness in adults
Eye discomfort and redness in adults
Eye problems in adults
Foot pain or ankle pain in adults
Foot swelling or leg swelling in adults
Headaches in adults
Heart palpitations in adults
Hip pain in adults
Knee pain in adults
Low back pain in adults
Nasal congestion in adults
Nausea or vomiting in adults
Neck pain in adults
Numbness or tingling in hands in adults
Pelvic pain in adult females
Pelvic pain in adult males
Shortness of breath in adults
Shoulder pain in adults
Sore throat in adults
Urinary problems in adults
Wheezing in adults
Child Symptoms
Abdominal pain in children
Constipation in children
Cough in children
Diarrhea in children
Ear problems in children
Earache in children
Eye discomfort and redness in children
Eye problems in children
Fever in children
Headaches in children
Joint pain or muscle pain in children
Nasal congestion in children
Nausea or vomiting in children
Skin rashes in children
Sore throat in children
Urinary problems in children
Wheezing in children |
Body Mass Index (BMI)
Obesity/body mass index (BMI) over 30
Class III obesity: More than 40
Underweight: Less than 18.5
Marasmus
BMI below 16.
Obesity: How is it diagnosed?
Obesity/body mass index (BMI) over 30
In general, the following BMI ranges (in kg/m2) classify different weight types:
Underweight: Less than 18.5
Optimum range: 18.5 to 24.9
Overweight: 25 to 29.9
Class I obesity: 30 to 34.9
Class II obesity: 35 to 39.9
Class III obesity: More than 40
How do you calculate your body mass index?
How do I calculate my BMI?
You can calculate your BMI yourself by following these steps:
Multiply your weight in pounds by 703.
Divide that answer by your height in inches (there are 12 inches in 1 foot).
Divide that answer by your height in inches again.
For example, a person who weighs 180 pounds and is 5 feet 5 inches tall (65 inches total) would calculate their BMI in the following way:
180 x 703 = 126,540.
126,540 / 65 = 1,946.769.
1,946.769 / 65 = 29.95.
The person’s BMI is 29.9.
1. Level of consciousness (LOC)
Alert: Fully awake, responsive, and oriented.
Lethargic: Drowsy but arousable with mild stimuli.
Obtunded: Difficult to arouse, requires strong stimuli.
Stuporous: Responds only to vigorous or painful stimuli.
Comatose: No response to any stimuli.
2. Weight
180 lb (81.6 kg)
3.
Height
5‘ 11״1.803) ״ m)
71
4.
BMI
25.10
How do you calculate your body mass index?
You can calculate your BMI yourself by following these steps:
Multiply your weight in pounds by 703.
Divide that answer by your height in inches (there are 12 inches in 1 foot).
Divide that answer by your height in inches again.
For example, a person who weighs 180 pounds and is 5 feet 5 inches tall (65 inches total) would calculate their BMI in the following way:
180 x 703 = 126,540.
126,540 / 65 = 1,946.769.
1,946.769 / 65 = 29.95.
The person’s BMI is 29.9.
For example, a person who weighs 180 pounds and is 5 feet 11 inches tall (71 inches total) would calculate their BMI in the following way:
180 x 703 = 126,540.
126,540 / 71 = 1782.25352113
1782.25352113 / 71 = 25.1
The person’s BMI is 25.1.
5.
Blood Pressure
125/82
6.
Temperature
(Temporal)
97.3 °F
7.
Pulse
72
8.
Oxygen Saturation
99%
9. Visual acuity
10. What are the issues?
I. Food
II. Housing / Everyday sleeping/living location
III. Health care
IV. Clothes
V. Transportation
VI. Safety
VII. Education (a lack of education leads to long-term consequences)
VIII. Caregiver
IX. Communication (etc.)
X. Case management
1 = I
2 = II
3 = III
4 = IV
5 = V
6 = VI
7 = VII
8 = VIII
9 = IX
10 = X
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Balanced Diet
Last Updated: June 14, 2026
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