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Chief complaint CC

description of what symptom or sign brought the patient to the doctor or hospital

Present illness PI

the patient relates the details of how they are feeling

Past history PH

begins with pt childhood and includes all diseases and conditons


rashes, itches, discoloration, dryness, and scaling


changes in its texture or distribution, loss or excess


head, eyes, ears, nose, and throat


vision problems


loss, discharge, pain


discharges, allergies

mouth and throat

teeth, difficulty swallowing, thyroid, movement of neck

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