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Evaluare - Indicare Puncte Corp Durere Acuta

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FORMULAR EVALUARE DURERE

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FORMULAR EVALUARE DURERE

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Evaluare - Indicare Puncte Corp Durere Acuta

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EVALUARE/INDICARE PUNCTE DURERE ACUTA

Indicati prin semnul X punctele de pe suprafata corpului care corespund unei dureri acute.
Nu indicati suprafete!
Descriere durere: de suprafata / profunda(muscular) / durere osoasa
Descriere perceptie durere: durere ascutita / durere surda / durere pulsatorie

Nume__________________

Varsta__________________

Data completarii formularului___________________

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