Review

What How Answers

Registration

Name Brian

Date of Birth Feb 27, 1994

Address 279 King Road, London

Telephone 0979496709

Sex Male

Occupation banker

Insurance number CD288654888

Marital status Divorced

Next of kin Mom

Telephone 037540062

Immunizations 3 times – vaccine Covid-19

Health-screening Last month

tests

Allergies Fish

Surgeries Never

Medications Not taking any medications

General health Pretty good

Vital signs

T, BP, RR, HR, P, SpO2

History of Present Illness (HPI)

Chief complaint
SOCRATES

Site Upper belly

Onset 2 hours ago

Character Sharp pain

Radiation Move to right shoulder

Associated vomiting

symptoms

Time course 2 hours

Exacerbating & Try to walk

Relieving factors Stay same position

Severity 7/10

Other symptoms Tired

Past Medical History (PMH)

MAM SFS
Main diseases None

Allergies fish

Medications No medications

Surgeries never

Family history Mom - diabetes

Social history Dont smoke

SAD SAD

Smoke Dont smoke

Alcohol A litter

Drugs never

Sexual life Not active

Activities Go swimming every weekend

 Diet Plan diet

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