PATIENT HISTORY FORM - Newman-Thiele Foot and Ankle …
NONE / chest pain / palpitations / swollen legs / leg pain with walking / waking up out of sleep because you can’t breathe / fainting / shortness of breath . Respiratory: NONE / shortness of breath / cough / coughing up blood / coughing up phlegm / wheezing. Gastrointestinal: ................
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