Monday, February 11, 2013

Macro

REVIEW OF SYSTEMS:
GENERAL: The enduring denies any general perverting health lately, recent weight change, fever, fatigue or headaches.
EARS, NOSE, MOUTH, AND pharynx: The tolerant denies hearing loss, earaches, chronic sinus problems, nosebleeds, discharge gums, unhinged throat, or swollen glands in neck.
CARDIOVASCULAR: The patient denies spunk trouble, chest pain, palpitations, shortness of breath, or swelling of the feet, ankles or hands.
genitourinary: The patient denies frequent urination, burning or painful urination, filiation in urine, or incontinence.
SKIN: The patient denies any rashes, itching, changes in skin color, varicose veins, summit pains or breast lumps.
NEUROLOGICAL: The patient denies dizziness, numbness, tingling, tremors or paralysis.
ENDOCRINE: The patient denies undue thirst or urination, heat or unwarmed fanaticism or skin becoming drier.
HEMATOLOGIC/LYMPHATIC: The patient denies bleeding or bruising tendency, anemia or enlarged glands, slow to heal after cuts.
PSYCHOLOGICAL: The patient denies shop loss or confusion, nervousness, depression or insomnia.
GASTROINTESTINAL: The patient denies loss of appetite, nausea, vomiting, frequent diarrhea, constipation or rectal bleeding or gallbladder pain.

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RESPIRATORY: The patient denies chronic or frequent cough, spitting up blood, shortness of breath, or wheezing.
look: The patient denies any injury to the eyes, double or wooly-minded vision.
MUSCULOSKELETAL: The patient reports joint pains, stiffness, weakness, back pain and cold extremities that she attributes to rheumatoid arthritis. She reports difficulty walking due to they current party boss complaint.
MUSCULOSKELETAL: The patient reports joint pains, joint stiffness, weakness in muscles and joints, muscles pain, back pain and difficulty walking. She denies cold extremities.

PHYSICAL interrogation:
GENERAL:  The patient is a well-developed 50-year-old white female who is diligent and cooperative and is in no acute distress.
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