Patient is enrolled and attends school Patient reports she is a nonsmoker and

Patient is enrolled and attends school patient

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Patient is enrolled and attends school. Patient reports she is a nonsmoker and socially drinks on occasion, but no more than 3 drinks at a time. Patient reports history of marijuana use, but has not used the drug since she was 20-21 years old. Patient reports sexual activity in the past; currently uses no form of contraception. Family History (Fam Hx) - Includes but not limited to illnesses with possible genetic predisposition, contagious or chronic illnesses. Reason for death of any deceased first degree relatives should be included. Include parents, grandparents, siblings, and children. Include grandchildren if pertinent. Patient’s mother has a history of hypertension and high cholesterol. Reports grandfathers have histories of diabetes and hypertension. Patient reports sister has a history of asthma. No one in the family has a history of COPD; she reports hearing about GERD, but unsure of history. 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. Constitutional Skin HEENT Fatigue Click or tap here to enter text. Weakness Click or tap here to enter text. Fever/Chills “had a fever and was sweaty” Weight Gain Click or tap here to enter text. Weight Loss Click or tap here to enter text. Trouble Sleeping waking Itching Click or tap here to enter text. Rashes Click or tap here to enter text. Nail Changes Click or tap here to enter text. Skin Color Changes Click or tap here to enter text. Other: Diplopia Click or tap here to enter text. Eye Pain Click or tap here to enter text. Eye redness Click or tap here to enter text. Vision changes Click or tap here to enter text. Photophobia Click or tap here to enter text. Eye discharge Click or Earache Click or tap here to enter text. Tinnitus Click or tap here to enter text. Epistaxis Click or tap here to enter text. Vertigo Click or tap here to enter text. Hearing Changes Click or tap here to enter text. Hoarseness Click or tap here to enter text. Oral Ulcers Click or tap here to enter text. Sore Throat Click or tap here to enter text. Congestion Click or tap here to enter text. Rhinorrhea Click or tap here to enter text. Other:
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up at night due to asthma symptoms Night Sweats “sweaty at night, but not night sweats” Other: Click or tap here to enter text. none tap here to enter text. denies Respiratory Neuro Cardiovascular Cough dry; nonproductive Hemoptysis Click or tap here to enter text. Dyspnea reports SOB frequently the last two days Wheezing expiratory, posterior bilaterally Pain on Inspiration Click or tap here to enter text. Sputum Production Other: Click or tap here to enter text.
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  • Fall '15
  • Robinson

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