COLORADO SPRINGS COMMUNITY SURGEONS
Effort nl/no accessory muscles (other )-CV: RRR (other ) Ext: No edema (other )-Psych: A&Ox3 (other ) Affect pleasant/nl (other ) Reviewed by: Physician/Date: _____ CHRONIC MEDICAL PROBLEMS. Please write YES/NO in the space below and circle problem: 1.Headache. 15.Blood clots/DVT/Pulmonary Embolus. 2.Fainting/Dizziness. 16.Anemia/Sickle Cell ... ................
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