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Taking the History
Using and Evaluating the Data in Part II
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Abdomen abdominal pain acute Additional Studies albumin alkaline phosphatase aortic arthralgias arthritis atrial auscultation bilaterally bilirubin blood bowel cancer Carcinoma carotids Chemistry chest pain Chest x-ray Chief Complaint cholecystitis Clear to percussion Clinical and Diagnostic cough cyanosis denies diagnosis Diagnostic Features diarrhea disease dyspnea dysuria edema endocarditis enlarged globulin glucose gm/dl heart HEENT hematemesis hematuria hepatitis Hepatomegaly History of Present History/Symptoms icterus INCR infarction infection jaundice jugular jugular venous distention LABORATORY Urinalysis last perfectly lesions liver Lymph Nodes lymphadenopathy mEq/L mg/dl months ago murmur myocardial infarction Neurologic palpable Past Medical History patient was last percussion and auscultation pericarditis Physical Examination Physical Examination/Signs PMNs pneumonia Present Illness Prevalence of Clinical prostate pulmonary Radiology Resp Review of Systems rheumatic fever SGOT Skin spleen stenosis Summary Identification Surg symptoms Temp tenderness thyroid ulcer Urinalysis urine Vital Signs Weight loss