Circle of blurry vision: free download. On-line document store on 5y1.org

[DOC File]S: (use approved abbr—cont
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[ ] Eyes: eye dz, injury, blurry vision, diplopia, visual loss, discharge [ ] ENNT: ear pain, decreased hearing, tinnitis, rhinorrhea, epistaxis, sore throat, dental pain, voice change, swollen glands [ ] Resp: cough, wheezing, SOB, DOE ... Circle any problems below which you now have, underline any, which you have had in the past. Write ...
blurry half circle in vision

[DOC File]142 Anatomy & Physiology Coloring Workbook
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In the following table circle the correct word under the vertical headings that describes events occurring within the eye during close and distant vision. Vision Ciliary Muscle Lens convexity Degree of light refraction. 1. Distant Relaxed Contracted …
bright circle in vision

[DOCX File]Review of Systems
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Please circle any symptoms you are having so the doctor may review with you during your examination. ... nose bleeding / sores in the mouth / sore throat / difficulty or pain swallowing eyes / change in vision / blurry vision / double vision / eye pain.
circle in eyesight

[DOCX File]Blink Vision Center // Dr. Lindsay Alexander // Terrell, Texas
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Blurry Vision. Burning Eyes . Eye Fatigue . Eye Strain . Squinting . Eye Turn. Macular Degeneration. Headache . Double Vision ... Please circle if anyone in your FAMILY has any of these conditions and indicate their relationship to you: Diabetes _____ Heart Disease ...
round circle in my vision

[DOC File]PATIENT HISTORY FORM - Hopkins Medicine
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( Mood swings ( Pain ( Redness ( Anxiety ( Redness ( Rash ( Risky behavior ( Loss of vision ( Nodules/bumps ( Double or blurred vision ( Hair loss ( Dryness ( Color changes of hands or feet OTHER PROBLEMS: THROAT BLOOD ( Frequent sore throats ( Anemia ( Hoarseness ( Clots ( Difficulty in swallowing ( Pain in jaw KIDNEY/URINE/BLADDER
circle in vision of eye

[DOCX File]tmdf.org
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1400 Dowell Springs Blvd, Suite 340 Knoxville, TN 37909 . Phone: 865-888-9494 Fax: 865-444-7672
circles in vision

[DOC File]Referring Provider or Individual
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Please circle the following symptoms that you may have and explain: Fever Chills Night sweats Weight changes _____ Blurry vision Double vision Light sensitivity _____ Nose bleeds Hearing loss Ringing in ears _____
see circles in vision

[DOCX File]O'Rourke Vision Care - Home
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Blurry Vision Dry, scratchy eyes Excessive Itching Retinal Detachment Cataracts ... Watery Eyes Light Sensitivity Double Vision Flashes/Floaters Glaucoma. Eye pain/strain Headaches Eye/Head injury Macular Degeneration Eye Surgery ... Please circle. NONE. AnxietyAnxiety. A.I.D.S/HIV. Alcoholism. Allergies. Anemia. Arthritis. Asthma.
round blurry circle in vision

[DOC File]Douglas C - PatientPop
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101 South Main Street, Suite 101. Coopersburg, PA 18036. 610-282-1170 ph. 610-282-0256 fax. PAST MEDICAL HISTORY. PLEASE CIRCLE ANY OF THE FOLLOWING PAST MEDICAL PROBLEMS YOU MIGHT HAVE AND/OR ANY SYMPTOMS:
blurry half circle in vision

[DOC File]Microsoft Word - patient documents 5-11-2010.doc
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How often do you experience symptoms: (circle) Constantly: (76 -100% of the time) Frequently: (51-75% of the time) Occasionally: (26-50% of the time) Intermittently: (0-25% of the time) How much have your symptoms interfered with your usual daily activities? (circle) Not at all A little bit Moderately Quite a bit Extremely
bright circle in vision

Circle of blurry vision