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  • Shifaa HX

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    Mustafa Ismael Nayyef
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    This document appears to be a medical record from a mobile clinic containing the patient's name, age, profession, residence, phone number, past medical history, past surgical history, chief complaint, history of present illness, and a detailed review of symptoms involving multiple body systems. The record goes on to document the patient's vital signs, physical examination findings, any diagnostic investigations, treatment plan including prescribed medications, and chronic medications.

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    Shifaa Hx

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    This document appears to be a medical record from a mobile clinic containing the patient's name, age, profession, residence, phone number, past medical history, past surgical history, chief complaint, history of present illness, and a detailed review of symptoms involving multiple body systems. The record goes on to document the patient's vital signs, physical examination findings, any diagnostic investigations, treatment plan including prescribed medications, and chronic medications.

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    © All Rights Reserved
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    2 views2 pages

    Shifaa HX

    Uploaded by

    Mustafa Ismael Nayyef
    This document appears to be a medical record from a mobile clinic containing the patient's name, age, profession, residence, phone number, past medical history, past surgical history, chief complaint, history of present illness, and a detailed review of symptoms involving multiple body systems. The record goes on to document the patient's vital signs, physical examination findings, any diagnostic investigations, treatment plan including prescribed medications, and chronic medications.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    ‫عيادة الشفاء المتنقلة‬

    ‫المهنة‬ :‫العمر‬ :‫االسم‬:


    ‫الطبيب‬ :‫السكن‬ :‫الهاتف‬:
    PMHx:
    PSHx:
    C.C.:
    Hx:

    Systematic review:
    Neuro: (Headache, fever, LOC, fit, weakness, numbness, vision &hearing, vertigo, sleep, ENT)

    Cardiorespiratory: (Chest pain, palpitation, syncope, SOB, leg edema, leg pain, cough, sputum, blood, horseness)

    GIT: (appetite, weight, dysphagia, heartburn, nausea, vomiting, abdominal pain, distension, jaundice, flatulence, bowel
    motion, color, consistency, straining, tenesmus)

    Urogenital: (urine color, frequency, nocturia, loin pain, dysuria, urgency, weak stream, intermittency, straining,
    incontinence, discharge, male genital problem, menstrual abnormality, vaginal bleeding, breast problem,)

    Hematology: (anemia: pallor, easy fatiguability. Bleeding: easy bruising, petechiae, recent bleeding. Lymph nodes)

    Endocrine: (polyuria, nocturia, weight gain or loss, cold/heat intolerance)

    Musk-Skin: (joint pain/swelling, joint stiffness, oral/genital ulcers, rash, skin problem, hair/nail problem)

    FHx/social Hx:
    ‫عيادة الشفاء المتنقلة‬

    Examination:
    BP: PR: SpO2: T:
    General:
    Chest:
    Heart:
    Abdomen:

    Investigations:

    Treatment:
    Chronic drugs:
    -

    Prescribed:
    -

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