CC:

HPI: (Onset, Location, Duration, Character, Alleviating/Aggravating, Radiation, Timing)

Problem List: PSHx:

FHx:

Social Hx:

Sexual Hx:

PMH:

Meds:

Allergies:

ROS: sick contacts, fever, chills, wt loss, dizziness, Δappetite, sleep, vision, hearing, sore throat, SOB, Δ Δ ΔDOE, LE edema, chest pain, palpitation, N/V, heartburn, regurgitation, swallowing, abd pain, diarrhea, constipation, bloating, heme, mucus, bowel or bladder,Δ hesitancy, impotence, masses, thirst, heat/cold intol, tremor, menstrual irreg, skin/nails, libido, body Δ Δ Δhair, rashes, itch, arthralgia, deformity, swelling, myalgia, bruising, bleeding, muscle weakness, seizure, falls, memory loss, paresthesia, vertigo, lymph nodes

Exam: T BP HR RRGen, HEENT, Neuro, Pulm, CV, Abd, GU, MSK, Skin, Lymph