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JuanFe 

 

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Message ¬d¬Ý¡@·j´M¡@³q°T¿ý¡@½Æ»s¡@¤Þ¥Î¡@¦^ÂФ峹¦^ÂС@[¼Ó ¥D]
 
SIG E M CAPS


Sleep, Interest, Guilt/Guns,


Energy loss/fatigue,


Mood,


Concentration, Appetite, Psychomotor, Suicide


------------------------------------------------------------


DEPRESSION: SIG E M CAPS








µoªí¤å³¹®É¶¡2021/04/19 04:43pm¡@IP: ¤w³]©w«O±K[¥»¤å¦@ 370 ¦ì¤¸²Õ]¡@ 
JuanFe 

 

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Message ¬d¬Ý¡@·j´M¡@³q°T¿ý¡@½Æ»s¡@¤Þ¥Î¡@¦^ÂФ峹¦^ÂС@[²Ä 2 ¼Ó]
 
SAFE GARDS


Safety at home/children, Afraid of perpetrator, Friends/Family aware, Emergency plan,


Guns/weapons, Alcohol/drugs, Relationship to/with perpetrator, Depression, Suicide


------------------------------------------------------------


DOMESTIC ABUSE: SAFEGARDS








µoªí¤å³¹®É¶¡2021/04/19 05:02pm¡@IP: ¤w³]©w«O±K[¥»¤å¦@ 388 ¦ì¤¸²Õ]¡@ 
JuanFe 

 

¸ê®Æ: ¦¹·|­û¥Ø«e¤£¦b½u¤W Male ¨°Às ¥Õ¦Ï®y
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Message ¬d¬Ý¡@·j´M¡@³q°T¿ý¡@½Æ»s¡@¤Þ¥Î¡@¦^ÂФ峹¦^ÂС@[²Ä 3 ¼Ó]
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MVP LAP


M=Menarche/Menopause age

V=Vaginal discharge: COAT= Color Odor Amount Texture

P=Period details: Duration, Amount Parity GPA


L=LMP=Last Menstrual Period

A=Abnormal symptoms: Cramp, Spotting, Flow, Clots, Itchiness, Dryness

P=Pap smear: Date and Result


------------------------------------------------------------


OBGYN HX: MVP LAP








µoªí¤å³¹®É¶¡2021/04/19 05:18pm¡@IP: ¤w³]©w«O±K[¥»¤å¦@ 618 ¦ì¤¸²Õ]¡@ 
JuanFe 

 

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Message ¬d¬Ý¡@·j´M¡@³q°T¿ý¡@½Æ»s¡@¤Þ¥Î¡@¦^ÂФ峹¦^ÂС@[²Ä 4 ¼Ó]
 
FORGETFULNESSS HX1 : ADL


DEATH(ACTIVITIES OF DAILY LIVING)


DRESSING, EATING, AMBULATION,


TOILETING, HYGIENE


------------------------------------------------------------


FORGETFULNESS HX1 : ADL








µoªí¤å³¹®É¶¡2021/05/10 04:07pm¡@IP: ¤w³]©w«O±K[¥»¤å¦@ 338 ¦ì¤¸²Õ]¡@ 
JuanFe 

 

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«Â±æ: 0
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Message ¬d¬Ý¡@·j´M¡@³q°T¿ý¡@½Æ»s¡@¤Þ¥Î¡@¦^ÂФ峹¦^ÂС@[²Ä 5 ¼Ó]
 
SHAFT (Instrumental Activities of Daily Living)


Shopping, Housekeeping, Accounting, Food preparation, Transportation


------------------------------------------------------------


FORGETFUNESSS HX2 : IADL








µoªí¤å³¹®É¶¡2021/05/10 04:14pm¡@IP: ¤w³]©w«O±K[¥»¤å¦@ 300 ¦ì¤¸²Õ]¡@ 
JuanFe 

 

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Message ¬d¬Ý¡@·j´M¡@³q°T¿ý¡@½Æ»s¡@¤Þ¥Î¡@¦^ÂФ峹¦^ÂС@[²Ä 6 ¼Ó]
 
LIMP P P PENIS


Libido, Injury(Back/Penis), Medications(BB), PMH(HTN,DM,PVD),


Prostate, Peyronie's,


Performances, Erections, INcontinence, Stress/Depression.


------------------------------------------------------------


IMPOTENCE








µoªí¤å³¹®É¶¡2021/05/10 04:21pm¡@IP: ¤w³]©w«O±K[¥»¤å¦@ 378 ¦ì¤¸²Õ]¡@ 
JuanFe 

 

¸ê®Æ: ¦¹·|­û¥Ø«e¤£¦b½u¤W Male ¨°Às ¥Õ¦Ï®y
«Â±æ: 0
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Message ¬d¬Ý¡@·j´M¡@³q°T¿ý¡@½Æ»s¡@¤Þ¥Î¡@¦^ÂФ峹¦^ÂС@[²Ä 7 ¼Ó]
 
CHEST P


Cough, Cocaine


Heartburn, Hemoptysis


Emesis/Diarrhea


SOB, Syncope. Swelling


Temperature, Trauma, Tenderness,


Perspiration, Palpations


------------------------------------------------------------


CHEST PAIN : CHEST P








µoªí¤å³¹®É¶¡2021/05/10 04:28pm¡@IP: ¤w³]©w«O±K[¥»¤å¦@ 441 ¦ì¤¸²Õ]¡@ 
JuanFe 

 

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Message ¬d¬Ý¡@·j´M¡@³q°T¿ý¡@½Æ»s¡@¤Þ¥Î¡@¦^ÂФ峹¦^ÂС@[²Ä 8 ¼Ó]
 
HAVOC


Hot flashes, Atrophic vaginitis, Vaginal dryness, Osteoporosis, CAD


------------------------------------------------------------


EMOTIONAL : HAVOC








µoªí¤å³¹®É¶¡2021/05/10 04:35pm¡@IP: ¤w³]©w«O±K[¥»¤å¦@ 250 ¦ì¤¸²Õ]¡@ 
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PICKLE


Pallor, Icterus, Clubbing, Cyanosis, Koilonychia, LymphadEnopathy


------------------------------------------------------------


GENERAL PHYSICAL EXAM : PICKLE








µoªí¤å³¹®É¶¡2021/05/10 04:42pm¡@IP: ¤w³]©w«O±K[¥»¤å¦@ 262 ¦ì¤¸²Õ]¡@ 
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...


------------------------------------------------------------


MVA HISTORY : AMPLE








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