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[DOC File]OSHA Respirator Medical Evaluation Questionnaire
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g. Coughing that produces phlegm (thick sputum) Yes No. h. Coughing that wakes you early in the morning Yes No. i. Coughing that occurs mostly when you are lying down Yes No. j. Coughing up blood in the last month Yes No. k. Wheezing Yes No. l. Wheezing that interferes with your job Yes No. m.
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Respiratory Protection Plan - TRAIN
Coughing that produces phlegm (thick sputum) not associated with a cold: Yes/No. h. Coughing that wakes you early in the morning: Yes/No ... Coughing up blood in the last month: Yes/No. k. Wheezing: Yes/No. l. Wheezing that interferes with your job: Yes/No. m. Chest pain when you breathe deeply: Yes/No. n. Any other symptoms that you think may ...
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[DOCX File]Review of Systems
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NONE / shortness of breath / cough / coughing up blood / coughing up phlegm / wheezing. Gastrointestinal: NONE / abdominal pain / nausea / vomiting / diarrhea / constipation / heartburn. Musculoskeletal: NONE / muscle pain / bone pain / joint pain / swollen or red joints / …
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[DOC File]HOOGEVEEN CHIROPRACTIC CLINIC
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… chronic cough, chronic wheezing, coughing up blood, or excessive phlegm? Yes No … painful/bloody/more frequent/uncontrolled urination, unusual genital discharge, genital sores, breast mass/tenderness, excessive menstrual flow/pain, etc? Yes No
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[DOC File]SYMPTOMS - Nusrum
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Hemoptysis is the coughing or “spitting up” of blood, which may vary from blood-streaked phlegm to pure blood. Assess the volume of the blood produced together with other attributes of the sputum. Focus the further questions on the setting in which the hemoptysis occurred and the associated symptoms. Identify the origin of blood
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[DOCX File]OSHA 19100 Appendix C
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Coughing that produces phlegm (thick sputum) Yes/No. ... Yes/No. Coughing that occurs mostly when you are lying down. Yes/No. Coughing up blood in the last month. Yes/No. Wheezing. Yes/No. Wheezing that interferes with your job: Yes/No. Chest pain when you breathe deeply. Yes/No. Any other symptoms that you think may be related to lung problems.
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[DOCX File]Appendix A – Medical Questionnaire:
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Shortness of breath when walking fast on level ground or walking up a slight hill or incline ... Shortness of breath when walking or dressing yourself. Shortness of breath that interferes with your job. Coughing that produces phlegm (thick sputum) Coughing that wakes you early in the morning ... Coughing up blood in the last month. Wheezing ...
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Wheezing and coughing up phlegm