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See notes for HPI
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F/U interval
• • •
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Reason for visit
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New concern
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Location of problem?
• • •
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When did it start?
• • •
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Modifying Factors
• • •
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Severity of symptoms
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Symptoms
• • •
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Chronology
• • •
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Treatment used
• • •
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Comments
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Additional concern:
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Reason for Visit? Second problem
• • •
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Location of problem?
• • •
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When did it start?
• • •
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Symptoms
• • •
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Severity of symptoms
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Chronology
• • •
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Modifying Factors
• • •
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Treatment used
• • •
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Further Comments
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Additional info
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