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Medical record

From CC: HPI: Where, When, How, Why Sleep, urine, stool, water intake, CM: Name, dose, How long PMH:  DM/HTN/TB/Cancer/,  Hospitalization Past surgery: Cause, date OBGYN: LMP, GPA, FH: blood-relative disease like DM/HTN/cancer/TB... PH: Stress PE:  GA Eyes throat neck GI RS CVS Genitourinary A P

Azotemia

 https://docs.google.com/presentation/d/14UMFpTyXNz4OvJbtbG_MagPfPbCb3iKMpPl6CMc_EIM/edit?usp=sharing

Dyspnea

 https://docs.google.com/presentation/d/1xMvmp-QJjyWOptsA-48dZQBsKABepkgrZ9Htd3FPb0A/edit?usp=sharing

Medical Chart

Patient's identification Date of Entrance:  ,Time:  ,ID: Department:  ,Room: Patient's name:  ,Sex:  ,Age: Nationality:  ,Occupation: Address: Referral from: Chief Complaint Main symptoms that the patient comes to see a doctor History of present illness(HPI) Location:  ,Severity:  ,Duration:   When Progressing, regressing, steady constant, intermittent, frequency aggravating, alleviating, Associated factor Medications Allergic  Currence medication(CM) Past of medical history(PMH) Medications/Vitamins/Herbal(-/-/-) Allergies Operations/Hospitalizations/Blood transfusions(-/-/-) When?How many?Type? Adult patient: DM/HTN/MI/Stroke/Peptic ulcer/Asthma/Emphysema/Thyroid/Liver/Kidney/ Bleeding/Cancer/TB/Hepatitis/STD ask about routine health maintenance Pediatric patient: Past Surgical and OBGYN history Past surgical history: Type, date, pathology OBGYN history(If female): Menarche, Menstrual cycle, Paragravida, abortion Urogenital tract:...

Education for patient after surgery

 បានធូរស្រាលក្រោយការវះកាត់ បន្តការព្យាបាលនៅផ្ទះ ដោយលេបថ្នាំតាមវេជ្ជបញ្ជាគ្រូពេទ្យ លាងរបួស២ថ្ងៃម្ដង និងកាត់ជេស១៤ថ្ងៃក្រោយការវះកាត់ ណាត់ត្រលប់មកពិគ្រោះវិញនៅថ្ងៃ ទី ខែ ឆ្នាំ
 https://docs.google.com/document/d/1ndriFah1j3p0MIGavy8g6qdBy6gb7JfBt1_yhp65lho/edit?usp=sharing