PATIENT HISTORY FORM - Hopkins Medicine

SYMPTOMS C P SYMPTOMS C P SYMPTOMS C P SYMPTOMS C P PAIN / STIFFNESS DIGESTIVE SYSTEM ... WOMEN ONLY At Night Abdominal Discomfort Bruise easily Difficult menstruation In Morning Indigestion Dermatitis Breastfeeding ... Angina Heavy headed Fog Cough Pacemaker Fainting Stress Chronic Cough High Blood Pressure Visual light sensitivity ... ................
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