Headaches with numbness and tingling

    • [DOCX File]CONFIDENTIAL PATIENT INFORMATION

      https://info.5y1.org/headaches-with-numbness-and-tingling_1_3f170c.html

      Other Important Physical Symptoms: ex. dyspnea, chest pain, headaches, numbness/tingling, weakness Social History: Alcohol/Tobacco/Drug Use: ex. current and past use?

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    • [DOC File]Health Questionnaire for Massage Therapy

      https://info.5y1.org/headaches-with-numbness-and-tingling_1_37c02f.html

      􀂉 Neck pain 􀂉 Headaches 􀂉 Sinusitis-Allergies 􀂉 Pain into your shoulders/arms/hands 􀂉 Dizziness 􀂉 Numbness/tingling in arms/hands 􀂉 Visual disturbances ... 􀂉 Numbness/tingling in your legs/feet 􀂉 Frequent/difficulty urinating

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    • [DOC File]September 17, 1999 - Centra Health

      https://info.5y1.org/headaches-with-numbness-and-tingling_1_239aee.html

      Avg. Pain Rating _____Self Reported Functional Rating _____Neck Disability Index: _____

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    • [DOC File]PATIENT HISTORY FORM - Hopkins Medicine

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      Numbness/tingling. Headaches. Stroke. Seizure disorder. Reduced sensation. Other:_____ Reproductive System. Breast cancer. Ovarian cysts. Painful menstruation. Pregnant . ... Sharp Dull ache Numbing Burning Tingling Shooting. Are your symptoms? Getting better Staying the same Getting worse. When is it worst? ...

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    • [DOC File]CHMC Headache questionnaire - Cornell University

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      􀂉 Numbness 􀂉 Headache 􀂉 Tingling 􀂉 Swelling􀂉 Tightness 􀂉 Weakness. Quality of Your Symptoms: 􀂉 Sharp 􀂉 Throbbing􀂉 Burning 􀂉 Dull 􀂉 Local􀂉 Tension ... 􀂉 Neck Pain 􀂉 Headaches 􀂉 Sinusitis/Allergies 􀂉 Pain into Shoulders/Arms/Hands 􀂉 Dizziness

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    • Comprehensive Geriatric Assessment Template

      **Fever or chills >3 days Flu-like symptoms Headaches (chronic) **Jaundice (yellow skin/eyes) Joint pain (chronic)- PZA **Light colored stools **Loss of appetite **Malaise/fatigue **Nausea/vomiting **Numbness/tingling **Skin rashes/itching **Sores on lips or inside mouth **Unusual bleeding (nose, gums, stool, urine, etc. or easy bruising)-RIF ...

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    • [DOCX File]eval form - RehabEdge

      https://info.5y1.org/headaches-with-numbness-and-tingling_1_9d4272.html

      Skin: Rashes, lesions, wounds, ulcers, tumors, masses, bruises/ecchymoses, change in moles, itching, acne, diaper rash, burns, temperature changes, hair growth/loss.

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    • Headache, Numbness or tingling and Numbness or tingling: Comm…

      Numbness/Tingling- Right . Numbness/Tingling- Left . Numbness/Tingling- Both . Unable To Speak. Decreased Consciousness . Unsteadiness/Severe . Dizziness . Double Vision . One-Sided Weakness Previous treatments: (please give name of provider, date, type of treatment and if it helped) Name of provider, date, type of treatment Primary care provider

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    • [DOC File]TB-206 DOTLog 12 - Texas

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      ( Recent weight gain; how much____ ( Headaches ( Depression ( Recent weight loss: how much____ ( Dizziness ( Excessive worries ( Fatigue ( Fainting or loss of consciousness ( Difficulty falling asleep ( Weakness ( Numbness or tingling ( Difficulty staying asleep ( Fever ( Memory loss ( Difficulties with sexual arousal ( Night sweats

      headaches and arm numbness


    • [DOCX File]CONFIDENTIAL PATIENT INFORMATION

      https://info.5y1.org/headaches-with-numbness-and-tingling_1_571358.html

      Palpitations / irregular heartbeats NEUROLOGICAL Numbness Tingling Seizures Headaches Dizziness Vertigo GASTROINTESTINAL Nausea Vomiting Constipation Acid reflux Diarrhea Abdominal pain SLEEP Loud Snoring Daytime Fatigue

      headache and tingling hands


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