Professional Documents
Culture Documents
Personal History
Name
Sex
Residency Special Habits Occupation Menstrual History Age Smoking Alcohol intake Menarche: Marital Status Date of admission
Sexual Behaviour Others
Children
Current cond. :
Pressure manifestation
Course: Duration: Association: Increase@ decrease : Course: Duration: Apparent cause: Increase@ decrease : Ear Pain Horners Syndrome Others
Diarrhea Polyuria Sweaty skin Myopathy Fine Tremors Others
Toxic Manifestation
Past History
(Similar attack, common disease, drug allergy @intake, Previous operation and radiotherapy to neck)
Similar attack : Common Disease : Drug allergy @ intake : Previous Operation @ radiotherapy of Neck :
Family History
Examination
General Examination Inspection Eyes Inspection swelling
Swelling Skin Overlying Special signs
Exopthalmous Lid lag Jaundice Site : Size : Shape : Skin Overlying :
Failure of convergence Others Move up w deglutition w Protrussion of tongue Pulsation Others
Palpation
Swelling Carotid Artery Lymph Nodes Trachea Percussion Auscultation
Warmth: Tenderness : Surface edge : Consistency : Mobility :
Investigation
Ultrasound Thyroid Function Test Radiological Investigation Other Lab investigation
(Hb%, urine and stools analysis , blood sugar and urea)