Saturday, December 14, 2013

History And Physical

CC          HPI         When symptoms started?         How?         Severity, intensity, duration?         Has it moved? Radiation?         Positioning, does it get intermit or worse in certain body positions?          modal value or Tx- ie: Pharm         Ever feel like this to begin with? PMH unless that which has been medically dx and tx.         Immunizations         Substance abuse CAGE, HALT, BUMP, FATAL DT         Diet          carry on patterns Allergies Medications         Compliance? EH         Where pt works and activities at work and domicil?          painting to Haz Mat, where pt lives, hobbies? FH         Genetic Hx of dz Where did pt grow up? (urban, rural)         Hx of family illnesses Psychosocial Hx          Pt education, life experiences, religious beliefs (in assoc w/ healthcare beliefs)?         Where do they liveOthers alimentation w/ pt SH         Smoking Pack Yrs- # packs/ twenty-four instant period x # yrs smoking         Drinking         Drugs         Excersize Sexual, Reproductive, and Gyn Hx         Is pt sexually lively?         Type of sexual practices?         Has pt ever been emotionally, physically, or sexually abused?         If female,                  Menarche                  Regularity, duration, # of tampons used each day at heaviest come?                  Pregnancies, deliveries, abortions (spontaneous or induced)         If male                  Ability to procreate?
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ROS universal prevalent state of health Fever Chills Usual wt transpose in weight Weakness Fatigue Sweats warm feelingedness or cold intolerance Hs of anemia Bleeding tendencies note transfusions and practical rxn Exposure to radiation Skin Rashes Itching hive away user-friendly bruisability Hx of eczema Dryness Changes in shinny color Changes in vibrissa texture Changes in nail texture, appearance Hx of introductory skin disorders Lumps Use of hair dyes Head Dizziness Headaches lie Fainting Hx of chieftain injury Stroke Eyes Use of specs genuine mess Change in vision duplicate vision Excessive tearing bother Recent gist exams pang when looking at light Unusua l sensations loss arouse Infections Hx of glaucoma Cataracts, Injuries Ears Hearing impairment Use of hearing attending arc Dizziness Pain Ringing in ears Infections prise Nosebleeds Infections gush Frequency of colds Nasal obstruction Hx of injury venous sinus infections hay fever Mouth and Throat Condition of teething termination dental appointment Condition of gums Bleeding gums habitual fond throats Burning of tongue Hoarseness Voice changes Postnasal drop down recognize Lumps Goiter Pain on movement soreness Hx of bootless glands Thyroid trouble chest of drawers Cough Pain hoarseness of breath Sputum prod (quan and appearance) Tuberculosis bronchial asthma Pleurisy Bronchitis cough up bld Wheezing goal x-ray Last test for tb Hx of bacilli Calmette- Guérin vaccine Cardiac Chest offend High bld pressure Palpitations Shortness of breath w/ swither Shortness of breath while sleeping (sudden) Hx of heart round off Rheumatic fever Heart cash in ones chips Last electrocardiogram Other tests for heart fxn V! ascular Pain in legs, calves, thighs, or hips while... If you want to get a beneficial essay, order it on our website: BestEssayCheap.com

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