__________________/ teacher`s name/

_________________________________/student`s name/

CASE HISTORY
Surname first name_________________________________________________________
Age______ Sex______________
Date of аdmission__________________

I. Сomplaints
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II.Anamnes morbi
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III.Anamnes vitae
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Vaccination status______________________________________
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Epidemiological anamnes
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IV. GENERAL CONDITION

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RS
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CVS
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HR______/min FB_____________/min BP____________/mm

GIS _______________________________________________
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GUM______________________________________
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Musculosceletal system___________________
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 CNS_______________________________________________________
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INVESTIGATIONS
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V. DIAGNOSIS

Main___________________________________________________________________
Complication______________________________________________________________________________
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Concomitant
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Survey plan (*interpretation of analyses)
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VI. Treatment plan

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VII. RECOMMENDATIONS
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Data_____________2020____ .

Signature_______________________