Family History Fam Hx Includes but not limited to illnesses with possible

Family history fam hx includes but not limited to

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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. Hypertension, diabetes, colon Cancer, high colestherol 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. x Fever/Chills pt stated night before she devoleped fever Weight Gain Click or tap here to enter text. 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 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 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 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
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Weight Loss patient states she lost weight, without trying Trouble Sleeping Click or tap here to enter text. x Night Sweats her sleeping pattern change after her dad death x Other: Tina is concern about pain med to go, enter text. x Other: Acne tap here to enter text. Eye discharge Click or tap here to enter text. or tap here to enter text. to enter text. Other: Click or tap here to enter text. Respiratory Neuro Cardiovascular Cough Click or tap here to enter text. Hemoptysis Click or tap here to enter text. Dyspnea Click or tap here to enter text. Wheezing Click or tap here to enter text. Pain on Inspiration Click or tap here to enter text. Sputum Production Other: Click or tap here to enter text. Syncope or Lightheadedness Click or tap here to enter text. Headache Click or tap here to enter text. Numbness Click or tap here to enter text. Tingling Click or tap here to enter text. Sensation Changes Speech Deficits Click or tap here to enter text. Other: Click or tap here to enter text. Chest pain Click or tap here to enter text. SOB Click or tap here to enter text. Exercise Intolerance Click or tap here to enter text.
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  • Fall '15
  • Tina, Medical diagnosis

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