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Instituto de Gestão e ciências de Saúde

Direcção Pedagógica
Ficha de avaliação sumativa para semiologia
Curso:_____ Turma: _____Disciplina:_______ Semestre:____ Local de exame:_________

Data:_________ Nome do Aluno:_______________________________________________

1.1.Identificação do paciente: (1)V

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1.2.Motivo pelo qual o paciente está na clínica (queixa/s principais): (1)V


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1.3.História da doença actual: (1)V


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1.4.História patológica pregressa: (1)V
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1.5.História familiar, pessoal e social: (1)V


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1.6.Revisão por aparelhos ou sistemas: (1)V

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1.7.Achados do exame físico: (3)V


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1.8.Exames diagnósticos auxiliares solicitados e resultados: (3.5)V

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1.9.Prevenção (4.5)V

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1.10. Resumo da história (3)V

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Nota___________ (valores) ______Data___/_____/______

Assinatura do estudante SUPERVISORES

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