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| a list of possible causes of the patient's problem or complaint |
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| The main reason for the patient's visit |
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| Description of individual body systems in order to discover any symptoms not directly related to the main problem |
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| Any significant illnesses that run in the patient's family |
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document sent to a primary physician, usually by a specialist, to give an opinion on a more challenging problem |
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documents a patient's admission and hospital stay (usually a longer stay) |
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it just started recently or is a sharp, severe symptom
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| pupils are equal, round, and reactive to light and accommodation |
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