Family and personal anamnesis (case history) tuberculosis, sexual disease, cardiovascular disease, liver diseases, excretory system

m diseases, endocrinopathies, surgeries, injuries, infectious and parasitic diseases, mental disorders, epilepsy etc.) Professional anamnesis Subjective problems Height______________________Weight____________________Temperature______ ______ Urine(protein, sugar, urobilinogen, pus)___________________________________________ ___________________________________________________________________________ Erythrocyte sedimentation rate:__________________________________________________ HbsAg:____________________________________________________________________ _ Plasmodia smear, malaria:______________________________________________________ Head: Eyes: (vision sharpness, pupil, conjunctivas, trachoma presence) Ears, hearing(effusion, drum exams) R. e. L. R.L. e. Nose (quality of passage, smell)Mouth (tongue, tooth, voice) Nasopharynx (tonsils) Neck (thyroid gland, lymphatic nods and pulsation) Chest (shape, symmetry, mobility, R-screening) Lungs (percussion, auscultation) Heart (size, sounds, pulse rate, blood pressure) Resting RTG (only in case of subjective problems or objective finding accompanying other problems) Abdomen (state of abdominal walls, mobility) Hernia, Genital organs, Venerologic screening (BWR) Rectum (hemorrhoids) Backbone (deformities, sensitivity, mobility) Upper limbs (pathologic changes, mobility and handling defects) Lower limbs (deformities, mobility changes, varixes, pedes plani) Nervous system (reflexes, tremors, pareses, nystagmus, motoric coordination) Mental state (mental illnesses, subnormal intellect, neuroses, psychopathy, psychoses) Skin (exanthema or enanthema, fungal and purulent disease including hairs, scabies, scars,pigmentation defects) GENERAL APPEARANCE OF AN EXAMINANT Laboratory findings (blood count, urine, sediment, HbsAg, hepatitis B, glycaemia): Parasitologic screening of feces: Bacteriologic screening of feces (including the test on carrier state of salmonella and shigella) Summary of checkups (diagnosis):

Final testimonial on medicinal capability for studying in the Czech Republic: