PATIENT HISTORY FORM - Hopkins Medicine

Muscle/Joints/Bones STOMACH AND INTESTINES ( Frequent crying ( Numbness ( Nausea ( Sensitivity ( Joint pain ( Heartburn ( Thoughts of suicide / attempts ( Muscle weakness ( Stomach pain ( Stress ( Joint swelling ( Vomiting ( Irritability Where? ( Yellow jaundice ( Poor concentration ( Increasing constipation ( Racing thoughts EARS ................
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