mari8338 on 2011-11-07
The following additional information is required to help you. Therefore, please do the best you can in providing a detailed and accurate data.
6. Height .
9. List of your complaints
10. Since how long are you suffering from each complaint
11. Diabetic or non-Diabetic
12. Desire sweets/sour/salt
14. Tongue and Taste
15. Current BP (without medicine and with medicine)
16. What exactly is happening?
17. How do you feel?
18. How does this affect you?
19. How does it feel like?
20. What comes to your mind?
21. One situation that had a
big effect on you?
22. How did that feel like?
23. What sensation do you experience in that situation?
24. What are you showing by that gesture of your hand (Habits or Actions)?
25. Current and previous remedies/medicines you are taking or took in the past?
26. Family Background
27. Educational Qualifications of the patient
28. Nature of work, what do you do for living?
29. Desires, likes and dislikes for food
30. Name of foods which increase your problem
31. Mind-behavior, anger, irritability, hurry, impatient and so on.. How are you different from other persons, public speaking or not , you can describe all of the details about your behavior, love and affections.
32. Aggravation (increases-time, season,)& Amelioration (Decreases)
33. Attached here your photographs of the affected area. (if required/optional)
34. Location of the disease
35. Side of the problem (Right or Left), (Upper or Lower part of body)
36. Color of the secretions/discharges e.g urine, stool, sputum, Saliva etc.
For Females Only
37. When is the period during the month approx date? Any monthly cycle issues? Regular, early, late, before problems, after problems, pain, any other discharges?
38. Are you pregnant? If yes, please give pregnancy start date? Any current issues?
♡ nawazkhan last decade
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