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Anamnzis

Adatok:
Nv______________Sz. dtum:____/___/___ Kor:_______
Lakhely:_________________________________________
Csaldi llapot:_______________Foglalkozs___________

Beutals:
Idpontja_______________
Beutalsi okok: _____________________________________
__________________________________________________
__________________________________________________
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Csaldban elfordul betegsgek:


Fertz bet.________________________________________
__________________________________________________
Krnikus bet._______________________________________
__________________________________________________
__________________________________________________
__________________________________________________
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__________________________________________________
Szemlyes Krelzmny:

Fiziolgis
Szlets adatai:_____________________________________
Oltsok___________________________________________
Els/Utols mens.___________________________________
Szls/Vetls______________________________________

Gyermekkori betegsgek______________________________
__________________________________________________
__________________________________________________
__________________________________________________
Balesetek__________________________________________
__________________________________________________
Korhzi beutalsok__________________________________
__________________________________________________
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Mttek___________________________________________
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Fertz bet. HCV/HBV/TBC/SIFILIS/HIV

Objektv vizsglat:
Szubjektv panaszok_________________________________
__________________________________________________
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Sly______Magassg______Testhm_______
Br/nykh__________________________________________
__________________________________________________
Nyirokcsomk______________________________________
Csontrendszer______________________________________
__________________________________________________
Izom/Izletek_______________________________________
__________________________________________________
Gerincoszlop_______________________________________
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Mellkas___________________________________________
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Lgz R___________________________________________
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Keringsi r TA______________________________________
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Has_______________________________________________
Emszt___________________________________________
Reflexek, Nyels___________________Rgs____________
Szklet____________________________________________
Vese______________________________________________
Vizelet____________________________________________
I.R._______________________________________________
__________________________________________________
Tr/id orient_______________________________________
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K.I.R. tnetek_______________________________________
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Diagnzisok:
__________________________________________________
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Kezels:___________________________________________
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