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  • Upper-Lower Respiratory Infections Form

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    Ubuntu Linux
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    UPPER / LOWER RESPIRATORY INFECTIONS DATE : S: NAME: ALLERGIES: CURRENT RX: HEADACHE FATIGUE MYALGIAS CHILLS / TEMP / SWEATS: EYES: NOSE: WORK LOSS: TOBACCO USE: DOB / AGE: PREG: ASTHMA : DURATION: EARS (R / L): red disc

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    upper-lower respiratory infections form

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    UPPER / LOWER RESPIRATORY INFECTIONS DATE : S: NAME: ALLERGIES: CURRENT RX: HEADACHE FATIGUE MYALGIAS CHILLS / TEMP / SWEATS: EYES: NOSE: WORK LOSS: TOBACCO USE: DOB / AGE: PREG: ASTHMA : DURATION: EARS (R / L): red disc

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    Attribution Non-Commercial (BY-NC)
    Descărcați ca DOC, PDF, TXT sau citiți online pe Scribd
    Indicator pentru conținut neadecvat
    35 vizualizări2 pagini

    Upper-Lower Respiratory Infections Form

    Încărcat de

    Ubuntu Linux
    UPPER / LOWER RESPIRATORY INFECTIONS DATE : S: NAME: ALLERGIES: CURRENT RX: HEADACHE FATIGUE MYALGIAS CHILLS / TEMP / SWEATS: EYES: NOSE: WORK LOSS: TOBACCO USE: DOB / AGE: PREG: ASTHMA : DURATION: EARS (R / L): red disc

    Drepturi de autor:

    Attribution Non-Commercial (BY-NC)
    Descărcați ca DOC, PDF, TXT sau citiți online pe Scribd
    Indicator pentru conținut neadecvat
    din 2

    UPPER/LOWER RESPIRATORY INFECTIONS

    DATE
    : NAME: DOB/AGE:

    S: ALLERGIES: WORK LOSS: PREG:


    CURRENT TOBACCO ASTHMA
    RX: USE: :
    HEADACHE FATIGUE MYALGIAS
    CHILLS/TEMP/SWEATS: DURATION:
    pain disch tubes st glands
    EYES: red disc ithc ears: EARS (R/L): hearing THROAT:laryngitis
    cong pressure PND pain cough productive Y/N
    NOSE: disch/color CHEST: color
    nausea vomit diarrhea
    SKIN/RASH: OTHER: pain
    ADDITIONAL
    HX:

    O: VITALS: BP: P: T: Weight: OTHER:

    Ears Nose Throat Neck Lungs


    Eyes: : : : : :
    Heart Skin
    : :
    A:

    P:

    UPPER/LOWER RESPIRATORY INFECTIONS


    DATE
    : NAME: DOB/AGE:

    S: ALLERGIES: WORK LOSS: PREG:


    CURRENT TOBACCO ASTHMA
    RX: USE: :
    HEADACHE FATIGUE MYALGIAS
    CHILLS/TEMP/SWEATS: DURATION:
    pain disch tubes st glands
    EYES: red disc ithc ears: EARS (R/L): hearing THROAT:laryngitis
    cong pressure PND pain cough productive Y/N
    NOSE: disch/color CHEST: color
    nausea vomit diarrhea
    SKIN/RASH: OTHER: pain
    ADDITIONAL
    HX:

    O: VITALS: BP: P: T: Weight: OTHER:

    Ears Nose Throat Neck Lungs


    Eyes: : : : : :
    Heart Skin
    : :
    A:

    P:

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