History of heart bypass surgery
[DOC File]Heart History Questionnaire
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Title: Patient’s Medical History: Author: Michael A. Schwahn Last modified by: Dave Vollmers Created Date: 1/15/2002 2:08:00 AM Other titles: Patient’s Medical History:
[DOC File]PATIENT INFORMATION
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Section Three: Cardiopulmonary History. A. Have you had any of the following? Angina or Chest (Heart) Pain/ Discomfort YES NO Current. Heart Catheterization YES NO Date_____ Myocardial Infarction/ Heart Attack YES NO Date_____ Heart Bypass Surgery YES NO Date_____
[DOC File]MEDICAL HISTORY
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- As above - Up to 2 weeks before surgery Up to 2 days before surgery - Up to 4 weeks before surgery 18 mo ... * Serology should be performed in patients ≥ 14 years with a negative history of clinical varicella to confirm the need for vaccination. ... cyanotic heart disease. cardiac disease with heart failure. Abnormal splenic function ...
Coronary artery bypass surgery - Wikipedia
NONE (Check all that apply; indicate the year of the surgery) Cosmetic (Please list) Ear Thyroid Tonsils Gallbladder Neck Appendectomy Nasal Hemorrhoid Sinus Colon Eye (Type of surgery) Gastric Bypass Hernia Eyelid Stomach Breast (Type of surgery) Hysterectomy C-section Back (Type of surgery) Heart Coronary Artery Bypass Joints (Please list ...
[DOC File]MEDICAL HISTORY & REVIEW OF SYSTEMS: Please check all …
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PAST SURGICAL HISTORY: Angiplasty (Heart Stent) Colonoscopy Mastectomy (Removal of Breast) Ankle Surgery EGD Nasal Septum Surgery Appendectomy Gastric Bypass Shoulder Surgery Blood Transfusion Hernia Sinus Surgery CABG (Heart Bypass Surgery) Hysterectomy (Removal of Uterus) Splenectomy (Removal of Spleen) Cardiac Catheterization Joint ...
[DOC File]MEDICAL HISTORY - Plastic Surgery Fresno
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MEDICAL HISTORY & REVIEW OF SYMPTOMS: Do you currently have or have you had in the past any problems related to the following systems? (Please check all that apply) Past Surgeries Social History Family History Tonsillectomy Heart bypass Hysterectomy Knee replacement Appendectomy Gall …
[DOC File]PROVIDENCE REHABILITATION & WELLNESS CENTER
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Any history of heart attack or other heart problems? Coronary Artery Bypass. When diagnosed? Number of arteries involved? Any history of a heart attack? Duration of hospitalization? Current treatment and medication? Residuals- any continuing pain, shortness of breath, or any other heart problems?
Preanesthesia Assessment Guidelines Sample
Located Inside Bristol Regional Medical Center. 1 Medical Park Blvd., Suite 400 East. Bristol, TN 37620. 423-844-5400 _____ has scheduled an appointment for you with
[DOC File]Patient’s Medical History:
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getting to know you better. a comprehensive medical and dental history is required for an accurate diagnosis and the safe and effective treatment of periodontal disease.
[DOC File]Immunisations BEFORE surgery in cardiac surgery patients
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History and physical examination (H&P is valid for 30 days before surgery. Any H&P more than 7 days but less than 30 days’ old requires an updated note by the surgeon. The surgeon’s office will be notified 2 business days prior to surgery if the H&P is missing.
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