Vertigo Click or tap here to enter text Hearing Changes Click or tap here to

Vertigo click or tap here to enter text hearing

This preview shows page 3 - 6 out of 17 pages.

Vertigo Click or tap here to enter text.Hearing Changes Click ortap 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:Click or tap here to enter text.
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Click or tap here to enter text.RespiratoryNeuroCardiovascularCough Click or tap here to enter text.Hemoptysis Click or tap here to en-ter 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 Choose an item.Choose an item.Choose an item.Other: Click or tap here to enter text.Syncope or Lightheaded-ness Click or tap here to enter text.☐XHeadache Started recently2 days after low speed car ac-cident, headache occurs daily for 1-2 hours at a time. Pain is described as dull, and located at the crown and back of the head. Numbness Click or tap here to enter text.Tingling Click or tap here to enter text.Sensation Changes Choose an item.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.Orthopnea Click or tap here to enter text.Edema Click or tap here to enter text.Murmurs Click or tap here to enter text.Palpitations Click or tap hereto enter text.Faintness Click or tap here to enter text.OC Changes Click or tap here to enter text.Claudications Click or tap here to enter text.PND Click or tap here to en-ter text.Other: Click or tap here to enter text.MSKGIGUPSYCH
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☐XPain Neck pain with movement of head and neck☐XStiffness stiffness to neckCrepitus Click or tap here to entertext.Swelling Click or tap here to entertext.☐xLimited ROM Redness Click or tap here to en-ter text.Misalignment Click or tap here to enter text.Other: Click or tap here to enter text.Nausea/Vomiting Click or tap here to enter text.Dysphasia Click or tap here to enter text.Diarrhea Click or tap here to enter text.Appetite Change Click or tap here to enter text.Heartburn Click or tap here to enter text.Blood in Stool Click or tap here to en-ter text.Abdominal Pain Click or tap here to enter text.Excessive Flatus Click or tap here to enter text.Food Intolerance Click or tap here to enter text.Rectal Bleeding Click or tap here to enter text.Other:Click or tap here to enter text.Urgency Click or tap here to enter text.
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  • Fall '15
  • Headaches

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