Neurological exam template pdf
[DOC File]Review of Systems (ROS) Assessment Guide
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Skin: Rashes, lesions, wounds, ulcers, tumors, masses, bruises/ecchymoses, change in moles, itching, acne, diaper rash, burns, temperature changes, hair growth/loss.
[DOC File]N703 Chronic SOAP Note - Weebly
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Denies any other neurological diseases. Psychiatric: Pt. denies history of depression anxiety or panic attacks. Skin: No problems identified. Health Maintenance: Sleeps 8-10 hours every night, without difficulty falling or staying asleep. She sees her dentist twice a …
[DOCX File]‘Go-By’ For all Undersea / Dive medical exams:
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A detailed neuro exam must be performed & documented. The information is conveniently provided for you in box 44. If using the electronic 2808 form provided from NASNI, the examiner must manually circle with pen the Yes or No items for complete documentation that these exams were performed. The examiner’s marks will approapriately appear in a ...
[DOCX File]LUMBAR / SACROILIAC EVALUATION
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Radiating painR LNumbness/ Tingling R LPain with sitting Pain with Standing
[DOCX File]Follow-up form
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Fundoscopic exam is benign; discs flat, venous pulsations are seen on the right. Visual fields are full to confrontation. EOMs are intact, PERRL, no nystagmus, no ptosis.
[DOC File]source document template - VA Portland
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these templates are for Pis and their study coordinators and should be used as examples or templates to build from and modify to meet their specific needs. Source document templates include inclusion/exclusion worksheet, adverse event tracking log, medications log, missed visit, early withdrawal form, study visit form, randomization form, study procedures form, physical evaluation form ...
[DOC File]PSYCHOLOGY TESTING REFERRAL FORM
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Initial Integrated Assessment & most recent Service Plan (if not updated within 30 days, include an addendum of recent events) All previous psychological or other professional evaluations, including psychosexual, mental health assessments Court order for evaluation/Court referral for evaluation/Court Report Educational Records to include grade ...
[DOCX File]Knee Evaluation
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Knee Evaluation. Name_____ DX_____ Date_____ Current Meds_____ PMH_____
Basic Physical Assessment Handout
FUNDAMENTALS OF NURSING CLINICAL Renton Technical College. Basic Physical Assessment Handout LPN Program/ Spring 2006
[DOC File]The Clinical Interview - Psychology
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Neurological problem? Often not due to a psychiatric disorder. Why not schizophrenia? Neologism: words are invented by the speaker or distorted. Schizophrenia? Thought block or thought withdrawal. Rare phenomenon. Thoughts withdrawn from the head – only identified if it occurs in mid-thought and if the patient volunteers or admits on question ...
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