英语作文病历模板

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英语作文病历模板

英文回答:

Medical History Template。

Patient Information。

Name:

Date of Birth:

Gender:

Address:

Phone Number:

Email Address:

Reason for Visit。

What brings you to the clinic today?

Medical History。

Past Medical History。

Do you have any past medical conditions?

Have you ever been hospitalized or had surgery?

Do you currently take any medications?

Do you have any allergies?

Family Medical History。

Do any of your close family members have any medical

conditions?

Have any of your close family members passed away at a

young age due to illness?

Social History。

What is your occupation?

Are you currently married or in a relationship?

Do you have any children?

Do you smoke, drink alcohol, or use drugs?

Physical Examination。

General Appearance:

Height:

Weight:

BMI:

Vital Signs:

Blood pressure:

Pulse:

Respiratory rate:

Temperature:

Cardiovascular:

Heart rate:

Heart sounds:

Blood pressure:

Respiratory:

Respiratory rate:

Lung sounds:

Abdomen:

Girth:

Soft and non-tender:

Liver span:

Musculoskeletal:

Range of motion:

Strength:

Reflexes:

Skin:

Color:

Texture:

Turgor:

Assessment。

Briefly summarize the patient's medical history,

physical examination findings, and any diagnoses.

Plan。

List the medications and treatments that have been

prescribed for the patient.

Schedule any follow-up appointments or tests.

Provide patient education and discharge instructions.

中文回答:

病历模板。

患者信息。

姓名:

出生日期:

性别:

地址:

电话号码:

电子邮件地址:

就诊原因。

今天有什么问题来就诊?

病史。

既往病史。

您是否有任何既往病史?

您是否曾经住院或做过手术?

您目前正在服用哪些药物?

您是否有任何过敏症?

家族病史。

您的近亲中是否有任何人生病?

您的近亲中是否有年轻时因疾病去世的?

社会病史。

您的职业是什么?

您目前是否已婚或有伴侣?

您有孩子吗?

您是否吸烟、饮酒或服用药物?

体格检查。

一般情况:

身高:

体重:

BMI:

生命体征:

血压:

脉搏:

呼吸频率:

体温:

心血管:

心率:

心音:

血压:

呼吸:

呼吸频率:

肺音:

腹部:

腹部围度:

柔软无压痛:

肝脏跨度:

肌肉骨骼:

活动范围:

力量:

反射:

皮肤:

颜色:

质地:

turgor:

评估。

简要总结患者的病史、体格检查结果和任何诊断。

计划。

列出已为患者开具的药物和治疗措施。

安排任何随访预约或检查。

提供患者教育和出院指导。