Review Cúc

What How Answers

Registration

Name Rocher Green

Date of Birth 12/3/1991

Address 456 Main Street

Telephone 6505551212

Sex

Occupation Nurse

Insurance number 543210987

Marital status Married

Next of kin Husband: Mike

Telephone
Immunizations Flu vaccine, 2 doses

HPV vaccine

Health-screening 2 Health check-up:

tests good

Allergies No

Surgeries 1 surgeries to remove

appendic

Medications Vitamin B12 for 3

months

General health Good

Vital signs

The vitals are:

- T: 36.5 degrees Celcius

- Radial Pulse: 75

- Blood pressure : 122/80

 - Respiratory rate: 20

- Oxygen saturation: 98%

History of Present Illness (HPI)

Chief complaint Abdomino pain

SOCRATES

Site Upper abdomen

Onset Yesterday at 7 AM

Character Sharp and grabbing

pain

Radiation No radiate

Associated Nausea

symptoms

Time course 5 min

Exacerbating & E: Hungry

Relieving factors R: Eat rice, bread

Severity 7/10

Other symptoms

Past Medical History (PMH)

MAM SFS

Main diseases 9 years ago , underwent

remove appendic

Allergies No

Medications No

Surgeries

Family history Father: Hypertension

Mother: Diabetes

Social history No

SAD SAD
 Smoke No

Alcohol Sometime drink

redwine in dinner

Drugs No

Sexual life ----

Activities Yoga, Three time to

week

Diet Low sugar and salty,

raw food

Note: