内科英文病历实用模板

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1、实用HUAZHONGUNIVERSITYOFSCIENCEANDTECHNOLOGYTONGJIMEDICALCOLLEGEACCESSORYTONGJIHOSPITALHospitalizationRecordsforNone-operationDivisionDivision:__________Ward:__________Bed:_________CaseNo.___________Name:______________Sex:__________Age:___________Natio

2、n:___________BirthPlace:________________________________MaritalStatus:____________Work-organization&Occupation:_______________________________________LivingAddress&Tel:_________________________________________________Dateofadmission:_______Dateofhist

3、orytaken:_______Informant:__________ChiefComplaint:___________________________________________________HistoryofPresentIllness:文档实用________________________________________________________________________________________________________________________

4、__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

5、__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

6、______________________________________________________________________________________________________________________________________________________________________________________________________________PastHistory:GeneralHealthStatus:1.good2.mode

7、rate3.poorDiseasehistory:(ifany,pleasewritedownthedateofonset,briefdiagnosticandtherapeuticcourse,andtheresults.)Respiratorysystem:1.None2.Repeatedpharyngealpain3.chroniccough4.expectoration:5.Hemoptysis6.asthma7.dyspnea8.chestpain___________________

8、____________________________________________Circulatorysystem:1.None2.Palpitation3.exertionaldyspnea4..cyanosis5.hemoptysis6.Edemaoflowerextremities7.chestpain8.syncope9.hypertension_______________________________________________________________文档实用D