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HISTORY OF
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SYMPTOMS
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PRESENT ILLNESS
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1.) Add detailed symptom -->
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*Tap Here 1
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- symptom:
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*Tap Here (Symptom)
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- Pattern:
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Tap Here (Pattern)
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- Onset:
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Tap Here (Onset)
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- Relieved by:
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Tap Here (Relieved by)
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- Aggravated by:
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Tap Here (Aggravated by)
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- Status:
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Tap Here (Status)
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- Course:
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Tap Here (Course)
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- Comment:
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Tap Here (Comment)
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2.) Add detailed symptom -->
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Tap Here 2
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- symptom:
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*Tap Here (symptom)
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- Pattern:
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Tap Here (Pattern)
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- Onset:
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Tap Here (Onset)
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- Relieved by:
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Tap Here (Relieved by)
• • •
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- Aggravated by:
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Tap Here (Aggravated by)
• • •
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- Status:
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Tap Here (Status)
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- Course:
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Tap Here (Course)
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- Comment:
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Tap Here (Comment)
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3.) Add detailed symptom -->
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Tap Here 3
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- symptom:
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*Tap Here (symptom)
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- Pattern:
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Tap Here (Pattern)
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- Onset:
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Tap Here (Onset)
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- Relieved by:
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Tap Here (Relieved by)
• • •
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- Aggravated by:
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Tap Here (Aggravated by)
• • •
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- Status:
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Tap Here (Status)
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- Course:
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Tap Here (Course)
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- Comment:
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Tap Here (Comment)
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4.) Add detailed symptom -->
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Tap Here 4
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- symptom:
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*Tap Here (symptom)
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- Pattern:
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Tap Here (Pattern)
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- Onset:
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Tap Here (Onset)
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- Relieved by:
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Tap Here (Relieved by)
• • •
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- Aggravated by:
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Tap Here (Aggravated by)
• • •
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- Status:
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Tap Here (Status)
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- Course:
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Tap Here (Course)
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- Comment:
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Tap Here (Comment)
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5.) Add detailed symptom -->
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Tap Here 5
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- symptom:
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*Tap Here (symptom)
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- Pattern:
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Tap Here (Pattern)
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- Onset:
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Tap Here (Onset)
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- Relieved by:
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Tap Here (Relieved by)
• • •
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- Aggravated by:
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Tap Here (Aggravated by)
• • •
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- Status:
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Tap Here (Status)
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- Course:
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Tap Here (Course)
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- Comment:
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Tap Here (Comment)
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Type all other symptoms:
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Tap Here (other symptoms)
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REVIEW OF SYSTEMS
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GENERAL
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*GENERAL
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- Within normal limits:
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General [-] Normal Values
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- Positive / Negative Values:
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General
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- Comments:
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General Comments
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SKIN
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*SKIN
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- Within normal limits:
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Skin [-] Normal Values
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- Positive / Negative Values:
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Skin Values
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- Comments:
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Skin Comments
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HEENT
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*HEENT
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- Within normal limits:
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HEENT [-] Normal Values
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- Positive / Negative Values:
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HEENT Values
• • •
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- Comments:
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HEENT Comments
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NECK
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*NECK
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- Within normal limits:
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Neck [-] Normal Values
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- Positive / Negative Values:
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Neck Values
• • •
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- Comments:
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Neck Comments
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BREAST
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BREAST
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- Within normal limits:
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Breasts [-] Normal Values
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- Positive / Negative Values:
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Breasts Values
• • •
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- Comments:
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Breasts Comments
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- Not Examined
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Not Examined
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CARDIOVASCULAR
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*CARDIOVASCULAR
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- Normal Values:
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Cardiovascular [-] Normal Values
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- Positive / Negative Values:
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Cardiovascular Values
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- Comments:
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CV Comments
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RESPIRATORY
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*RESPIRATORY
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- Within normal limits:
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Respiratory [-] Normal Values
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- Positive / Negative Values:
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Respiratory
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- Comments:
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Resp Comments
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GASTROINTESTINAL
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*GASTROINTESTINAL
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- Within normal limits:
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GI [-] Normal Values
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- Positive / Negative Values:
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Gastrointestinal
• • •
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- Comments:
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GI Comments
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URINARY
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*URINARY
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- Within normal limits:
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Urinary [-] Normal Values
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- Positive / Negative Values:
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Urinary Values
• • •
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- Comments:
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Urinary Comments
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PERIPHERAL VASCULAR
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*PERIPHERAL VASCULAR
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- Within normal limits:
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Periph. Vasc. [-] Normal Values
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- Positive / Negative Values:
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Periph. Vasc.
• • •
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- Comments:
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Periph. Vasc. Comments
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MUSCULOSKELETAL
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*MUSCULOSKELETAL
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- Normal Values:
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MSK [-] Normal Values
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- Positive / Negative Values:
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MSK
• • •
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- Comments:
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MSK Comments
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ENDOCRINE
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*ENDOCRINE
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- Within normal limits:
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Endocrine [-] Normal Values
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- Positive / Negative Values:
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Endocrine
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- Comments:
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Endo Comments
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NEUROLOGICAL
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*NEUROLOGICAL
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- Within normal limits:
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Neurological [-] Normal Values
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- Positive / Negative Values:
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Neurological
• • •
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- Comments:
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Neuro Comments
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