Physical Exam
Vital Signs
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Temperature |
Oral: |
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Axillary: |
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Aural: |
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Anal: |
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Basal Body Temperature: |
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Blood Pressure: |
Resting Supine Blood Pressure: |
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Standing Blood Pressure: |
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Peak Exercise Blood Pressure: |
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Respiration |
Rate |
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Rhythm |
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Depth |
Superficial |
Middle |
Full |
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Clavicular Breathing |
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Abdominal Breathing |
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Long |
Slow |
Hard |
Soft |
Smooth |
Choppy |
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Pulse |
Rate |
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Yang |
Excess |
Hot |
Superficial |
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Rhythm |
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Yin |
Deficient |
Cold |
Interior |
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Pulse Dosha |
Vata |
Pitta |
Kapha |
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Position |
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Upper |
Middle |
Lower |
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Left |
S |
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M |
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D |
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Right |
S |
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M |
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D |
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Floating |
Hollow |
Flooding |
Slippery |
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Wiry |
Tight |
Excessive |
Submerged |
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Thin |
Minute |
Choppy |
Soft |
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Frail |
Scattered |
Deep |
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Exam
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Head |
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Eyes |
Pupils Extra-ocular
muscles Fundi Iris |
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Ears |
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Nose |
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Throat |
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Teeth |
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Gums |
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Tongue |
Body
Color |
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Body
Shape |
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Coating
Color |
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Coating
Thickness |
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Coating
Distribution |
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Moisture |
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Coating
Root |
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Spirit |
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Crack,
fissures ,burns |
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Cranial
Nerves |
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Facial
Skin |
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Complexion |
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Jaw |
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Lips |
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Neck |
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Lymph
Nodes |
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Scalp
and Sutures |
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Temporal
Artery |
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Sinuses |
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Voice |
soft |
loud |
rough |
sweet |
pressured |
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Throat
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Hair |
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Thorax |
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Heart |
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Lungs |
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Ribs |
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Sternum |
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Thoracic Spine |
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Alarm Points |
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Skin |
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Abdomen |
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Diaphragm |
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Solar Plexus |
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Right upper Quadrant |
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Mid-Epigastrium |
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Left Upper Quadrant |
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Left |
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Right Upper Quadrant |
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Umbilical Area |
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Supra-pubic Area |
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Inguinal Area |
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Genitals |
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Pelvis |
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Rectum |
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Prostate |
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Hara |
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Alarm Points |
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Waist |
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Skin |
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Extremities |
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Shoulders |
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Arm Alarm Points |
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Hands |
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Fingers |
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Wrists |
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Elbows |
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Forearm |
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Fingernails |
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Arm Neuro Strength & ROM |
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Hips |
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Knees |
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Ankles |
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Foot |
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Toes |
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Toe Nails |
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Leg Alarm Points |
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Leg Neuro Strength & ROM |
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Alarm Points |
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Lung 1 Lung |
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CV-12 Stomach |
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CV-14 Heart |
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CV-17 Pericardium |
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Liv-13 Spleen |
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Liv14 Liver |
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GB-24 Gallbladder |
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GB-25 Kidney |
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Stomach 25 Large Intestine |
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CV-5 Triple Warmer |
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CV-4 Small Intestine |
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CV-3 Bladder |
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TCM Internal Organs
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Organ |
Qi |
Blood |
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Excess |
Weak |
Rebel |
Prolapse |
Stagna-tion |
Heat |
Cold |
Deficiency |
Stagnation |
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Heart Pericardium Small Intestine |
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Spleen Stomach |
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Lung Large Intestine |
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Kidney Bladder |
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Liver Gallbladder |
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Pericardium Triple Warmer |
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Tender Back Points |
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Vertebra |
Bladder Point |
Organ |
Nervous System |
Left Side |
Right Side |
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T-1 |
11 |
sea of blood |
Hands, thyroid |
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T-2 |
12 |
wind gate |
Heart |
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T-3 |
13 |
lung |
Lungs, bronchi, pleura, chest |
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T-4 |
14 |
pericardium |
Gallbladder, Common Duct |
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T-5 |
15 |
heart |
Liver, solar plexus |
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T-6 |
16 |
governor |
Stomach, Mid-back |
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T-7 |
17 |
diaphragm |
Pancreas, duodenum |
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T-8 |
extra |
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Spleen, low mid back |
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T-9 |
18 |
liver |
Adrenal Glands |
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T-10 |
19 |
gallbladder |
Kidneys |
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T-11 |
20 |
spleen |
Ureters |
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T-12 |
21 |
stomach |
Small Intestine, upper-low back |
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L-1 |
22 |
triple burner |
Iliocecal valve, large intestine |
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L-2 |
23 |
kidney |
Appendix, abdomen, upper leg |
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L-3 |
24 |
sea of qi |
Sex
organs, uterus, bladder knees |
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L-4 |
25 |
large intestine |
Prostate, lower back |
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L-5 |
26 |
gate of origin |
Sciatic, lateral leg and feet |
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Sacrum |
27 28 29 30 |
Small intestine Bladder |
Hip, buttocks, rectum, anus |
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Piriformis |
GB 30 |
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Sciatic nerve |
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GB-20 |
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GB-21 |
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Bl-10 |
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Screening Guidelines for Non-risk, Healthy Adults
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Evaluation |
Guidelines- Non-risk, Healthy Adults |
Dates
Performed |
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Physical Health Exam |
Periodically |
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Cholesterol Screening |
Every 5 years. Men
beginning at age 35, Women at age 45. |
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Pap Smear (F) |
Every 1-3 years to age 65 |
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Mammogram (F) |
Every 1-2 years, over age
49 |
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Breast exam (F) |
Every 1-2 years |
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PSA (M) |
At clinician's discretion |
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Sigmoidoscopy |
Every 3-5 years after age
19 |
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Glaucoma |
Blacks - ages 20-45 every
3-5 years |
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Vision |
Every 2-5 years after age
40 |
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Vaccinations |
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Vaccine |
Dates Performed |
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Influenza |
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Pneumovax |
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Td |
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Hepatitis B |
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Hepatitis A |
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MMR |
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Varicella |
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Ranges of Personal Discipline Styles |
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Strong willed |
Lazy |
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Perfectionist |
Sloppy |
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Self-promoting |
Self-defeating |
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Orderly |
Haphazard |
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All-or-nothing |
Little bit bitter than none |
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Obsessive-compulsive |
Go with the flow |
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Patient--Not easily frustrated |
Impatient--Easily frustrated |
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Not easily distracted |
Easily distracted |
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Strong ego |
Weak ego |
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Deep vision |
Short-sighted |
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Clear minded |
Foggy minded |
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Gentle |
Heavy handed |
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Encouraging |
Fear-based |
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Flexible |
Inflexible |
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Deep vision |
Short-sighted |
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Reason based |
Traditional |
Common Self-Defeating Attitudes and Behaviors And Their Solutions
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Procrastination |
Well-Paced |
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Fear of Rejection or Failure |
Encouraged and Secure |
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Perfectionism |
The Best Feasibly Capable |
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Low Self Esteem |
Self-Respect |
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Cynicism and a Sense of Hopelessness |
Hopeful |
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Pride |
Willing to Take the Chance of Looking Foolish to Succeed |
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Helplessness |
Willing to Try |
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Self-righteousness |
Open Minded and Flexible |
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Martyrdom |
Approach even the Sufferings of Life with Appreciation |
Hindrances
on the Path and Solutions
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Sickness |
Vitality |
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Dullness |
Sharpness |
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Doubt |
Conviction |
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Carelessness |
Carefulness |
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Laziness |
Disciplined |
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Attachment |
Detachment |
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Lack of True Understanding |
Right Knowledge |
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Inattentiveness |
Focused |
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Compulsive |
Steadfastness
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Test Ordered |
Results |
Reported |
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Date |
Problem
List
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Problem |
Strategy
to Resolution |
Resolved |
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