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Anamnese Fonoaudiologia Pediátrica
Anamnese Fonoaudiologia Pediátrica
Sexo:____________________________
Encaminhado por:
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Intercorrências na Gestação
⃝ Sim ⃝ Não
Tipo de Parto
⃝ Normal ⃝ Cesárea
Idade Gestacional
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Tempo de Amamentação
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Problemas de Sucção
⃝ Sim ⃝ Não
Frequência Escolar
⃝ Sim ⃝ Não
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Alteração Comportamental (Casa/Escola)
⃝ Sim ⃝ Não
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Linguagem Oral
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Linguagem Escrita
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Internações, Medicamentos em uso
Exames Realizados
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Hipótese Diagnóstica
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Conduta
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