Professional Documents
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Anamnese
Paciente:_________________________________ Idade: _________ Sexo: ____
RG:_______________CPF: ___.___.___-___ Data de Nascimento: __ / __ / ___
End:_____________________________________________Tel: ( ) ____ - ____
Estado Civil: __________ Profissão: ___________________________________
FC:____________ FR: ___________ PA:____________
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Medicamentos:
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Rotina pré-morbidade:
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Cognição:_________________________________________________________
EXAME FÍSICO
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Exame Sensorial
Sensibilidade Superficial:
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Propriocepção (cinestesia / artrestesia):
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Exame Perceptual:
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Exame motor:
Motricidade Voluntária:
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ADM:
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Tônus:
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Reflexos:
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Coordenação Motora:
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Equilíbrio:
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Força:
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Mudanças de Decúbito:
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Transferências:
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Marcha:
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