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5 Cards in this Set
- Front
- Back
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Head Ears and Eyes
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EYE: denies hx of vision difficulty, pain, discharge, redness, swelling, watery; PMH of eye trouble, glaucoma, last eye exam, use of glasses/contacts.
EAR: earache, pain, infections, discharge, hearing loss, environmental noise, tinnitus, vertigo, self-care HEAD: headache, dizziness, headinjury, lumps, sweeling |
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Mouth, throat, abdoment
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MOUTH AND THROAT: soreas, lesions, sore throat, bleeding gums, toothache, hoarseness, dysphagia, altered taste, smoking, etoh, self-care (brush, floss, dental, last dental exam)
ABDOMEN: appetite, dysphagia, food intolerance, abdominal pain, nausea/vomiting, bowel habits, past abdominal hx, PUD gallbladder, hepatitis, appendicitis, colitis, hernia, medications, ETOH, nutrition assessment |
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Nervous System
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Headache, head injury, dizziness/vertigo, sz, tremors, weakness, incoordination, numbness/tingling, diff swallowing, diff speaking, diff remembering...PMH: CVA, meningitis, ETOH
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Nose, Sinus, thorax, and lungs
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NOSE AND SINUS: discharge, frequent URI, sinus pain, trauma, epistaxis, allergies, altered smell
Lungs: cough, SOB, pain w/ breathing, past hx of respiratory infections, smoke? environ exposure, self care behaviors (last PPD, CXR, flu shot, pneumonia vacc) |
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Heart and peripheral vascular
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HEART: CP, dyspnea, orthopnea, cough, fatigue, edema, nocturia, PMD, DM, HTN, high cholesterol, FMH HTN, obesity, CAD, smoking, ETOH, exercise, medications
PERIPHERAL VASCULAR: leg pain/cramps, skin changes in arms or legs, swelling in arms or legs |
