Do you want to buy antibiotics online without prescription? http://buyantibiotics24h.com/ - This is pharmacy online for you!

Colon and rectal clinic, p

Colon and Rectal Clinic, P.A.
Patient Name: ________________________ Age: __________ Date of Visit: _________
Height: _______________ Weight: _______

PREVIOUS ILLNESSES
(Please list any illness you have had, and the dates of their occurrence)
_____________________________________ ________________________________
_____________________________________ ________________________________
_____________________________________ ________________________________
PREVIOUS COLON SCREENING (Please list the most recent colon screenings you have undergone
and the dates of their occurrence)
Flexible Sigmoidoscopy _________________ Colonoscopy ___________________
Barium Enema ________________________ _______________________________
PAST SURGICAL HISTORY (Please list all operations you have had and the dates of occurrence)
_____________________________________ ________________________________
_____________________________________ ________________________________
_____________________________________ ________________________________
MEDICATION (Please list all medications that you are currently taking and their doses. Please include
over-the-counter and herbal medications) Please note if you are on the following specifically:
__________________________________________ Plavix  Coumadin/warfarin  Ticlid  Aspirin 
____________________________________ __________________________________
____________________________________ __________________________________
ALLERGIES (Please list any medication you are allergic to and explain the reaction to the medication)
No Known Drug Allergies______________ ________________________________
_____________________________________ ________________________________
FAMILY HISTORY (Please list your family member and the disease associated)
Colon Cancer ________________________ Other__________________________
Rectal Cancer ________________________ ________________________________
Polyps ______________________________ ________________________________
REVIEW OF SYSTEMS (Do you currently have or had a history of the following? Please check all
that apply. If you do not check the box, we assume that the answer is no.)
General Cardiovascular
Female Reproductive
Neurologic/Psychiatric
Recurrent fever High blood pressure Urologic
Eye, Ear, & Throat
Male Reproductive
Abnormal stress test Prostate gland problems pregnancies ______ Personal Habits
Respiratory
Abdominal/GI
Endocrine
Difficulty swallowing Nausea/vomiting Diabetes Asthma ______________________ Hematologic Peptic Ulcer Hormonal abnormalities
Anemia Jaundice
Rheumatologic
Primary Care Doctor
Dermatologic
Oncologic Rash
Other Physicians
I have reviewed the above information with the patient on this date. All boxes which are not checked are either negative or N/A. Physician’s Signature________________________________

Source: http://www.crchouston.com/pdf/156_Patient_History-Physical.pdf

palumbi.stanford.edu

PERSPECTIVES patterns—electric blue in the westernCaribbean, lemon yellow in the Northern Why Gobies Are Like Hobbits Caribbean—might be local signals to preda-tors that these gobies are the valet serviceAs Bilbo Baggins famously warned, trav- genetic breaks between island groups that rather than the entrée. If this is true, then thelive relatively close together. These breaksw

Nf akz nr. 66 _ aktueller stand der forschung.doc

In der Vereinszeitschrift der Von Recklinghausen Gesellschaft e.V. als Bundesverband Neurofibromatose "NF- aktuell Nr. 66" vom August 2008 ist der nachfolgende Artikel erschienen. Er gibt einen aktuellen, umfassenden und verständlichen Überblick über NEUROFIBROMATOSE. Den Mitgliedern des Vereins stehen die NF-aktuell und damit die darin enthalten Informationen jeweils kostenl

Copyright © 2010-2014 Medical Pdf Finder