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43 Anamneza Copilu
43 Anamneza Copilu
I. Date personale:
1. Nume, prenume ____________________________________________________________________________
2. Vrsta________________________________sexul________________________________________________
3. Data naterii_______________________________________________________________________________
4. Adresa, telefonul la domiciliu_________________________________________________________________
5. Instituia frecventat de copil__________________________________________________________________
6. Prinii:
a) vrsta______________________________________________________________________________
b) locul de munc______________________________________________________________________
c) profesia____________________________________________________________________________
7. Reaciile alergice:
a) fa de medicamente, seruri, vaccinuri____________________________________________________
b) fa de produse alimentare_____________________________________________________________
c) diverse substane chimice______________________________________________________________
d) nepturi de insecte__________________________________________________________________
8. Antecedente eredocolaterale (bunei, unchi, mtui)________________________________________________
9. Grupa sanguina_________________________ RH________________________________________________
II. Acuzele:
1. Specifice;
2. Generale:
a) Febra;
hectic
febril
subfebril
b) Modul asigurrii vegetative
eutonic
simpaticotonic (tahicardie, hipertensiune)
vagotinic (bradicardie, transpiraie, rumeni, grsui, ganguiment intestinal, des rcete)
c) Slbiciuni;
d) Tolerana efortului fizic;
e) Cefalee;
f) Dispnee (lipsa de aer + tahipnee);
g) Pofta de mncare;
g) Somnul;
greu adoarme?
cu/ fr vise
h) Cardialgii.