Differential the diagnosis

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Clinical diagnosis

On the establishment of the patient’s complaints _______________________________

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Anamnesis morbi ________________________________________________________

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Anamnesis vitae ________________________________________________________

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Genetic anamnesis ______________________________________________________

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Data of objective examinations _____________________________________________

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Data of additional methods of examination ___________________________________

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It possible to make clinical diagnosis:

Basic diagnosis __________________________________________ __________________________________________

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Complication __________________________________________

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Concomitant disease __________________________________________

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The temperature list

data

BP

P

T

M

E

M

E

M

E

M

E

M

E

M

E

M

E

M

E

M

E

M

E

M

E

M

E

M

E

M

E

Stool

Weight

diuresis

Treatment of the patient

Regimen ____________________________________________________________ ______________________________________________________________________

Diet № ___ _______________________________________________________ ____________________________________________________________________________________________________________________________________________

The menu for infant:

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Medicament treatment:

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Physiotherapeutic measures:

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