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subjective description of the symptoms that caused the patient to seek medical attention
diagnosis made on the basis of knowledge obtained from the medical history and physical examination
report written by consulting physician on the request of the patient's primary physician
identification of a disease or condition by a scientific evaluation of physical signs, symptoms, laboratory tests, and procedures
distinguishing between two or more diseases with similar symptoms by comparing their signs and symptoms
pigment granules that give color to the skin and protect the body from injurious ultraviolet light rays
auscultatory sound, particularly a periodic, short-duration sound of cardiac or vascular origin
feeling with fingers of hands to determine the physical characteristics of organs or tissues
information that includes any childhood or adult diseases, surgical procedures, accidents, pregnancies, deliveries, and allergies
physician's objective assessment of the patient, using auscultation, palpation, percussion, and visualization
information provided by patient as to when the symptoms were first notice, the extent and intensity, and the patient's opinion about what caused the symptoms
Review of Systems
exchange between doctor and patient to determine presence or absence of signs and symptoms
information summarizing the patient's lifestyle and environment to determine whether something about these factors are contributing to the problem
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