Do i have lupus questionnaire

    • [PDF File]LupusPRO (Lupus Patient Reported Outcome Tool) v1

      https://info.5y1.org/do-i-have-lupus-questionnaire_1_2dc7e2.html

      question regarding my lupus. 41 . My doctor understood the impact of lupus on my life. 42 . My doctor provided me with the information I need to understand my lupus. 43 . My doctor discussed/ monitored the side effects of lupus medicine/s. Thank you for completing this questionnaire. Please check to ma ke sure all questions have been answered.


    • [PDF File]Lupus Symptom Checklist

      https://info.5y1.org/do-i-have-lupus-questionnaire_1_0d9040.html

      your family has had lupus. Share the lupus checklist you have completed with your health professional. • You will be examined for rashes and other signs that something is wrong. • Laboratory tests of blood and urine, for example, may be taken to see how your immune system is working.1


    • [PDF File]Appendix Table: Brief Index of Lupus Damage Questionnaire

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      Appendix Table: Brief Index of Lupus Damage Questionnaire This survey collects information about symptoms you may have experienced related to your lupus. It takes most people about 10 minutes to go through the questionnaire. Please remember that if you are not comfortable answering any question, you can skip the question.


    • [PDF File]IRM Twelfth Edition 92401 web version

      https://info.5y1.org/do-i-have-lupus-questionnaire_1_8adde9.html

      (2) What type of lupus has been diagnosed: r Discoid Lupus r Systemic (disseminated) Lupus (SLE) (3) Which organs/tissues have been involved: r Skin r Kidneys r Central Nervous System


    • [PDF File]Carolina Lupus Study Questionnaire Follow-Up 2001-CASES

      https://info.5y1.org/do-i-have-lupus-questionnaire_1_4e3084.html

      Carolina Lupus Study Questionnaire . Follow-Up 2001-CASES . ... The questions will ask you about events from around the time you were diagnosed with lupus up until now. We understand that some things will be difficult to remember. We would like to have your best possible answer, so please take the time you need to think things over.


    • [PDF File]systemic lupus erythematosus risk factor questionnaire

      https://info.5y1.org/do-i-have-lupus-questionnaire_1_9229b8.html

      SYSTEMIC LUPUS ERYTHEMATOSUS RISK FACTOR QUESTIONNAIRE Good morning (afternoon/evening). Thank you for agreeing to take part in this study. Our questions will cover your health, personal habits, hobbies and jobs...and (FOR WOMEN) questions about women’s health.


    • Lupus Screening Questionnaire

      lupus erythematosus (SLE) was tested in two field trials, with the goal of identifying previously undiagnosed cases. The survey involved the administration of the questionnaire designed by Liang et al (Liang ME, Meenan RF, Cathcart ES, Schur PH: A screening strategy for population studies in systemic lupus erythematosus.


    • [PDF File]LUPUS QUESTIONNAIRE

      https://info.5y1.org/do-i-have-lupus-questionnaire_1_0ef8e1.html

      Initial Lupus Episode Condition’s Most Recent Disappearance Condition’s Most Recent Relapse (6) What medications were/are being used to control the condition or any other condition affecting the proposed insured? Name of medication (prescription or otherwise) Dates used Quantity taken Frequency taken


    • SYSTEMIC LUPUS ERYTHEMATOSUS (SLE) AND OTHER …

      systemic lupus erythematosus (sle) and other autoimmune diseases disability benefits questionnaire . 1c. if there are additional diagnoses that pertain to autoimmune diseases, list using above format:€


    • [PDF File]Systemic Lupus Erythematosus Quality of Life Questionnaire

      https://info.5y1.org/do-i-have-lupus-questionnaire_1_7d8945.html

      Systemic Lupus Erythematosus Quality of Life Questionnaire Pa ti en ’ s ck r Visit No: Date (dd/mm/yyyy): / / Language English Thank you for completing this questionnaire that allows us to know more about the day-to-day problems that affect SLE patients. This will help us to understand lupus patients better


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