Individaul Client Health History and Examination

Health History and Examination

Health Assessment of the Head, Neck, Eyes, Ears, Nose, Mouth, Throat, Neurological System, and the 12 Cranial Nerves Skin, Hair, Nails, Breasts, Peripheral Vascular System, Lymphatics, Thorax, Heart, Lungs, Musculoskeletal, Gastrointestinal, and Genitourinary Systems

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Student Name :Grand Canyon | Date: June 9, 2012 |
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Client/Patient Initials: SN | Sex :F | Age:   52                   |
Health History/Review of Systems(Complete and systematic review of systems) |
Neurological System (headaches, head injuries, dizziness, convulsions, tremors, weakness, numbness, tingling, difficulty speaking, difficulty swallowing, etc., medications):Denies headache, Was involved in a motor vehicle accident in 2000 with minor head injury but resolved, and denies convulsion and no medication. |
Head and Neck (pain, headaches, head/neck injury, neck pain, lumps/swelling, surgeries on head/neck, medications): Denies headache, neck pain, no lumps /swelling nor any surgery and does not take any medication. |
Eyes (eye pain, blurred vision, history of crossed eyes, redness/swelling in eyes, watering, tearing, injury/surgery to eye, glaucoma testing, vision test, glasses or contacts, medications):20/20 vision denies neither blurred vision, no redness/swelling, tearing watering nor any medication. |
Ears (earache or other ear pain, history of ear infections, discharge from ears, history of surgery, difficulty hearing, environmental noise exposure, vertigo, and medications): Denies earache, no discharge from the ears, has difficulty hearing and uses hearing aid in left ear she is not exposed to environmental noise and not any medication. |
Nose, Mouth, and Throat (discharge, sores or lesions, pain, nosebleeds, bleeding gums, sore throat, allergies, surgeries, usual dental...