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    History of Dysphagia

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    Nader Sugar
    This document provides a template for documenting a patient history and examination for dysphagia. It includes sections for collecting information on the patient's name, age, occupation, presenting complaint, history of present illness, past medical history, social history, review of systems, and neurological exam. The goal is to gather relevant details about the patient's difficulty swallowing and look for potential causes or contributing factors.

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    History of Dysphagia

    Uploaded by

    Nader Sugar
    3 views2 pages
    This document provides a template for documenting a patient history and examination for dysphagia. It includes sections for collecting information on the patient's name, age, occupation, presenting complaint, history of present illness, past medical history, social history, review of systems, and neurological exam. The goal is to gather relevant details about the patient's difficulty swallowing and look for potential causes or contributing factors.

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    Original Title

    History of dysphagia

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    This document provides a template for documenting a patient history and examination for dysphagia. It includes sections for collecting information on the patient's name, age, occupation, presenting complaint, history of present illness, past medical history, social history, review of systems, and neurological exam. The goal is to gather relevant details about the patient's difficulty swallowing and look for potential causes or contributing factors.

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    © All Rights Reserved
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    Flag for inappropriate content
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    3 views2 pages

    History of Dysphagia

    Uploaded by

    Nader Sugar
    This document provides a template for documenting a patient history and examination for dysphagia. It includes sections for collecting information on the patient's name, age, occupation, presenting complaint, history of present illness, past medical history, social history, review of systems, and neurological exam. The goal is to gather relevant details about the patient's difficulty swallowing and look for potential causes or contributing factors.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 2

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    stor
    y:Dy
    sphagi
    a

    Dr
    .Name: Pr
    epar
    ebyDr
    .M.Al
    -Amr
    i

    Dat
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    Intr
    oducey oursel f Pasthi story:
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    Explainandt ake D.M.
    permi ssion Hyper t
    ensi on
    Name M.I.orSt roke
    Age All
    ergyorAst hma
    Occupat ion Anyi nvestigati
    onfor
    Kat dif
    ficultyofswal l
    owing
    Cigaret t
    e (endoscopy
    ,bar
    ium
    swallowi
    ng)
    Alcohol
    Corrosi veingest ion
    Present ingcompl ai
    n:
    Oper ation
    Compl ain
    Chemoorr adiotherapy
    Durat i
    on
    Drughi st ory:
    H.O.P. I
    .(dysphagia):
    Antaci dorPPI
    Onset
    NSAI Doraspi r
    in
    Cour se( int
    ermittentor
    Fami lyhi st
    ory :
    const ant)
    Samecondi t
    ion
    Durat i
    on
    Speci f
    icdi sease
    Level off oodsticking
    Social history:
    Diff
    icultywi thsolids,
    l
    iquidsorbot h Travel
    Gradeofdy sphagia Dietorphy sicalactivit
    y
    Painful swel l
    i
    ng Badhabi ts
    (odynophagia)i
    fit
    s Systemi creview:
    (i
    ntermit
    tentorconstant) C.V.S.
    aggravat
    edwi thspecial Repar ator y
    food G.I.
    T.
    Refer r
    edot algia U.T.I.
    Dysphoni a( changeof Geni t
    al
    voice) Nerv ous
    Wei ghtl oss Muscul oskeletal
    Regur gitationor Met abol i
    sm
    vomi ti
    ng
    Chestorepi gastricpain Thankt
    hepat
    ient
    Othersy mpt oms
    (hali
    stosi s,wat erblush,
    coughatni ght,diffi
    culty
    ofbr eathing)
    Sensat ionofl ump, bulge
    orgur glei nt heneck
    Jaundi ce
    2)doneadequat
    e=1
    Total
    : 3)notdone=0
    Score:
    1)donewel
    l=2

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