英文病历模版.doc

《英文病历模版.doc》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、Division:__________Ward:__________Bed:_________CaseNo.___________Name:______________Sex:__________Age:___________Nation:___________BirthPlace:________________________________MaritalStatus:____________Work-organization&Occupation:______________________________

2、_________LivingAddress&Tel:_________________________________________________Dateofadmission:_______Dateofhistorytaken:_______Informant:__________ChiefComplaint:___________________________________________________HistoryofPresentIllness:________________________

3、___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

4、___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

5、___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

6、_________________________PastHistory:GeneralHealthStatus:1.good2.moderate3.poorDiseasehistory:(ifany,pleasewritedownthedateofonset,briefdiagnosticVIIIDivision:__________Ward:__________Bed:_________CaseNo.___________andtherapeuticcourse,andtheresults.)Respirat

7、orysystem:1.None2.Repeatedpharyngealpain3.chroniccough4.expectoration:5.Hemoptysis6.asthma7.dyspnea8.chestpain_______________________________________________________________Circulatorysystem:1.None2.Palpitation3.exertionaldyspnea4..cyanosis5.hemoptysis6.Edema

8、oflowerextremities7.chestpain8.syncope9.hypertension_______________________________________________________________Digestivesystem:1.None2.Anorexia3.dysphagia4.sourregurgitation5.eructati