IMHR Sample Form 2 - IMobileHealthRecord.com
Blood Clots Bones Swelling Back Problems Arthritis Frequency Urinating Genital Discharge Blood in Urine Menopause Kidney Stones Difficulty Urinating Kidney Disease Thyroid Problems Microsoft Word - iMHR Sample Form 2.docx Author: ... Content Retrieval
NEW PATIENT MEDICAL HISTORY GENERAL SURGERY
NEW PATIENT MEDICAL HISTORY GENERAL SURGERY Blood clots Headache, migraine Seizure disorder Cancer (list type): Female specific: Augmentation mammoplasty Cesarean Section Mastectomy Bilateral tubal ligation Dilation and Curettage Myomectomy ... View This Document
Causes Of Ankle Swelling - About.com Health
Common causes of ankle swelling include: Traumatic Injury A traumatic injury, The most common cause of vascular obstruction is a blood clot, also known as a DVT. This type of vascular problem usually occurs in one leg ... Read Article
MADISON WOMEN’S CLINIC
Do you have problems with urinating frequently at night or bed wetting? _____ 18. Do you have painful urination or difficulty in starting urination? _____ 19. Do you ever have a protrusion or Blood Clots _____ Bleeding ... Content Retrieval
PAST MEDICAL HISTORY: (Dates If Possible) No
The information below will help provide us with an understanding of your medical background. This will assist us in your care. Blood Clots, Phlebitis, Bleeding Tendencies? Pain on Urinating? No Yes Urinary Frequency? ... Fetch Content
She is on Coumadin therapy for blood clots in her legs. She was evaluated and examined accordingly. A 63-year-old female came into the clinic retention, fatigue, and only urinating once in the past 48 hours. Examination reveals swelling in the legs and feet. ... Get Document
PATIENT SELF-ASSESSMENT FORM - Myeloma Center
PATIENT SELF-ASSESSMENT FORM Blood clots in your lungs Yes No Surgical History Have you ever undergone any surgical procedure(s): Urinating at night Burning or painful urination Blood in urine Urgent urination ... Retrieve Here
Duke Clinical Electrophysiology
DUKE CLINICAL ELECTROPHYSIOLOGY HEALTH INVENTORY ___ Frequent urination ___ Difficulty urinating ___ Painful urination ___ Kidney problems ___ Vertigo/ dizziness ___ Blood clots ___ Leg cramps ___ Easy bruising / bleeding ... Document Viewer
WILLOW CREEK WOMEN’S CLINIC - Willowcreekclinic.com
WILLOW CREEK WOMEN’S CLINIC Increase drinking or urinating Nausea or vomiting Blood clots (thrombophlebitis) Difficulty breathing when lying flat. Title: If this is your 1st visit to WCWC please complete in entirety Author: Owner ... Read More
New Patient Medical History Form
New Patient Medical History Form ____Blood Clots (Deep Vein Thrombosis) ___Infertility (female/male) ... Get Doc
Name: ______________________________ DOB ...
Last Name: _____ DOB: _____ Gender: ( Male ( Female. Occupation hours after finished urinating: Nausea / vomiting: ( ( Blood clots: ( ( Shortness of ( (breath: Heartburn / ( ( Anemia ... Access Content
CT OF THE ABDOMEN AND/OR PELVIS *Please Notify Us Prior To ...
Stomach, female and male organ disease, infections, blood clots in allows the Radiologist to view the contents of the whole abdomen and/or pelvic area. mouth or feel the sensation of urinating. IF YOU ARE TAKING METFORMIN OR ANY MEDICATION ... Retrieve Here
Bladder Stones In Dogs - Greenway Pet Clinic
With higher frequency in female dogs; the other types of stones are more common to male dogs. Breeds commonly affected with bladder stones include the following: blood in the urine and will strain to urinate, the same symptoms as a dog with bladder stones. ... Access This Document
Oliguria - Wikipedia, The Free Encyclopedia
Oliguria or hypouresis (both names from roots meaning "not enough urine") is the low output of urine. [1] In humans, it is clinically classified as an output more than 80 ml/day but less than 400ml/day. [2] ... Read Article
Name: Health History - Frankforddoctors.com
Family History: Has any blood relative (father, mother, siblings, Female: Decreased libido Erectile dysfunction Blood in the urine Urinary incontinence Urinating at night Urinary frequency Urinary hesitancy Musculoskeletal: Back pain ... Read More
Bladder Cancer & The Cost Of Smoking - YouTube
Some smaller blood clots passed while urinating. There is usually heavy bleeding and blood when this happens ... View Video
The Family Health Center, P.C. - Palmerclinic.com
Blood Clots in legs or lungs Yes No Osteoporosis Yes No Cancer Female Male Age of first period Date of last pelvic exam Difficulty Urinating How many times have you been pregnant? History of sexually transmitted disease? ... Access Document
FIRSTM.I.MM DD YYYY LAST FIRSTM.I. LAST - Bloomfield Hand
PATIENT NAME (PLEASE PRINT) BIRTH DATE AGE MALE FEMALE FIRSTM.I.MM DD YYYY LAST PARENT/GUARDIAN NAME IF PATIENT IS A MINOR HEIGHT WEIGHT FIRSTM.I. LAST Blood Clots Bleeding Problems Psoriasis GENITOURINARY None Incontinence Burning while urinating Blood in urine Kidney stones ... Access Doc
SECTION 1 - Patient Information Are You: Right Handed Or Left ...
Male Female Family/Primary Care Doctor Are you Blood Clots Other _____ SECTION 4 - Patient’s Social History Most Recent Weight Change Hearing Loss Heart/Chest Pain Difficulty Urinating Fever/Chills Nose ... Access Document
Pygeum & Saw Palmetto Review Part 1 - YouTube
Click on this link to review or order this product 'Now'http://painwhenurinating.org/home/tre. Pygeum & Saw Palmetto Video Review Part 1 Are you suffering from pain when urinating, going to the loo every 2hrs, constantly thinking about urinating, unable to go out because you run ... View Video
Patient Health Questionnaire - Howardlungandsleep.com
Patient Health Questionnaire . Blood clots Ear problems Pain when urinating Bladder infection/other infection Kidney stones More frequent urination Blood in urine . Musculoskeletal Join pain/stiffness ... Read Full Source
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