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HPI
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Chief Complaint/ reason for todays visit / patients own words!
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Free Text History (PROVIDER ONLY!)
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Main symptom? // Mass or lesion?
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Location of symptoms/mass/lesion. For non localizing symptoms (fatigue, dizziness) write "NA"
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For lesion/mass SIZE AT ONSET? (if applicable)
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For lesion/mass CURRENT SIZE? (if applicable)
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Severity of symptom (mild, moderate, severe)
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How long with symptoms or mass/lesion?
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What other symptoms or issues are associated with the main symptom?
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List APPROPRIATE symptoms patient does not have (fever, chills, etc.)
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What causes symptom or makes it worse?
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What helps or makes symptoms better?
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What treatments/meds tried? Effective or not?
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OTHER symptoms or concerns patient has?
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