Page 447 - 2021 IDMT Digital

Associated Symptoms/Other:
526 SHUWLQHQW WR WKH &&

SYMPTOMS:
Onset:
:KHQ GLG LW VWDUW" :KDW ZDV WKH
VHWWLQJ"
Palliating/Provoking Factors:
%HWWHU :RUVH"
Quality:
:KDW LV LW OLNH" 'HVFULEH LW
Region/Radiation:
'RHV WKH SDLQ PRYH WR DQ\ RWKHU
DUHDV"
Severity:
'HILQH
Timing/Treatments Tried:
&RQVWDQW ,QWHUPLWWHQW" +DYH
\RX WDNHQ DQ\WKLQJ IRU LW" 'LG LW
KHOS"
Associated Symptoms/Other:
526 SHUWLQHQW WR WKH &&
SYMPTOMS:
Onset:
:KHQ GLG LW VWDUW" :KDW ZDV WKH
VHWWLQJ"
Palliating/Provoking Factors:
%HWWHU :RUVH"
Quality:
:KDW LV LW OLNH" 'HVFULEH LW
Region/Radiation:
'RHV WKH SDLQ PRYH WR DQ\ RWKHU
DUHDV"
Severity:
'HILQH
Timing/Treatments Tried:
&RQVWDQW ,QWHUPLWWHQW" +DYH
\RX WDNHQ DQ\WKLQJ IRU LW" 'LG LW
KHOS"
Associated Symptoms/Other:
526 SHUWLQHQW WR WKH &&
SYMPTOMS:
Onset:
:KHQ GLG LW VWDUW" :KDW ZDV WKH
VHWWLQJ"
Palliating/Provoking Factors:
%HWWHU :RUVH"
Quality:
:KDW LV LW OLNH" 'HVFULEH LW
Region/Radiation:
'RHV WKH SDLQ PRYH WR DQ\ RWKHU
DUHDV"
Severity:
'HILQH

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