Escolar Documentos
Profissional Documentos
Cultura Documentos
SYSTEMS
General Survey/Constitutional Symptoms:
FINDINGS
(-) Fatigue
(-) Body malaise
(-) Fever
Head
Ears
(-) Fainting
(+) Difficulty of hearing (right)
Eyes
Nose
(-) discharge
(-) Bleeding
(-) Discharge
(-) Obstruction
Mouth/Throat
Cardiovascular
Respiratory
Breast
(-) Sputum
(+) Left masses
(+) Right mass
(+) Axilla mass (right)
(+) Pain
Gastrointestinal
(-) Discharge
(+) change in appetite
(+) Constipation
(+) Black stool
(-) Hemorrhoids
(-) Nausea
(-) Vomiting
(-) Painful swallowing
(-) Abdominal pain
Genitourinary
Muscloskeletal
(-) Discharge
(-) Swelling
(-) Pain
Integumentary
Neurological
Psychiatric
(-) Depression
(+) Anxiety
(+) Change in sleeping pattern
Endocrine
Reproductive
Hematologic/Lymphatic
Allergic/Immunologic