Maternal grandfather Died of heart attack age 54 paternal grandmother Died of

Maternal grandfather died of heart attack age 54

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-Maternal grandfather: Died of heart attack , age 54 -paternal grandmother: Died of pneumonia, age 78 -Paternal grandfather : Died of old age , age 85 -Healthy, age 26 -Daughter: Asthma, age 19 Review of Systems(ROS): Address all body systems that may help rule in or out a differential diagnosis Check the box next to each positive symptom and provide additional details.ConstitutionalSkinHEENTFatigue: Denies Weakness: Denies Fever/Chills: Denies Weight Gain: Report 20lb weight gain over the years . Weight Loss: Denies Trouble Sleeping:Denies Night Sweats: Denies Other: Itching: Denies Rashes: Denies Nail Changes: Denies Skin Color Changes:DeniesDiplopia: Denies Eye Pain:Denies. Eye redness:Denies Vision changes:Denies Photophobia: Denies Eye discharge:Denies Earache: Denies Tinnitus: Denies Epistaxis: Denies. Vertigo: Denies. Hearing Changes:DeniesHoarseness: Denies Oral Ulcers: Denies Sore Throat: Denies Congestion:Denies Rhinorrhea: Denies RespiratoryNeuroCardiovascular
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Cough: Denies Hemoptysis: Denies Dyspnea : Denies Wheezing: Denies Pain on Inspiration: Denies Sputum Production: Denies Other: Presence of fine crackles Syncope or Lightheadedness:Denies Headache: Denies Numbness:Denies Tingling: Denies Sensation Changes: Denies Speech Deficits: Denies Chest pain: Denies chest pain at this time.Last episode of chest pain occurred last week end (last Friday evening). Report severity of pain at a 5 0n 10. characteristics of pain as tight and uncomfortable SOB: Denies Exercise Intolerance: Reports pain worsens with physical activity such as yard work or climbing the stairs Orthopnea:Denies Edema: Denies Murmurs:Denies Palpitations:Denies Faintness:Denies OC Changes :Denies Claudications: Denies PND :Denies. Other:Denies pain radiationMSK GIGUPSYCHPain: Denies any current pain at this time Stiffness: Denies Crepitus: Denies Swelling:Denies Limited ROM:Denies Redness:Denies Misalignment:Denies Other:Denies Nausea/Vomiting:Denies Dysphasia:Denies Diarrhea:Denies Appetite Change;Denies Heartburn:Denies Blood in Stool:Denies Abdominal Pain:Denies Excessive Flatus:Denies Food Intolerance:Denies Rectal Bleeding:DeniesUrgency:Denies Dysuria: Denies Burning:Denies Hematuria: Denies Polyuria: Denies Nocturia: Denies Incontinence:Denies Stress:Reports very low stress. Anxiety:Denies Depression:Denies Suicidal/Homicidal Ideation:Denies Memory Deficits:Denies Mood Changes:Denies Trouble Concentrating:Denies GYNRash:Denies Discharge:Denies Itching:DeniesIrregular Menses:NA Dysmenorrhea: NA Foul Odor:NAAmenorrhea: NA LMP:NA Contraception: DeniesO:Objective Information gathered during the physical examination by inspection, palpation, auscultation, and palpation. If unable to assess a body system, write “Unable to assess”. Document pertinent positive and negative assessment findings.
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and SBody SystemPositive Findings Negative FindingsGeneral Choose an item.
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