5. Disease progression: early signs and symptoms are difficult to recognize, or symptoms may
not be present at the time of medical examination
6. Patient/client disclosure: client disclose information previously unknown or undisclosed to
the physician
7. Client does not report symptoms or concerns to the physician because of forgetfulness, fear
or embarrassment
8. Presence of one or more yellow (caution) or red (warning) flags
Yellow flag is a cautionary or warning symptom that signals “slow down” and thick about the
need for screening
Red flags are features of the individual’s medical history and clinical examination thought to
be associated with a high risk of serious disorders such as infection, inflammation, cancer or
fracture , Requires immediate attention, either to pursue further screening questions and or
test or to make an appropriate referral