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Выполнил студент(ка)________________________________________________гр.______курса___________________________________факультета
1.СВЕДЕНИЯ О БОЛЬНОМ:
Ф.И.О____________________________________________________________
ВОЗРАСТ________________________________________________________
МЕСТО ЖИТЕЛЬСТВА____________________________________________
ПРОФЕССИЯ_____________________________________________________
ИНВАЛИДНОСТЬ_________________________________________________
КЛИНИЧЕСКИЙ ДИАГНОЗ________________________________________
ДАТА ПОСТУПЛЕНИЯ В КЛИНИКУ________________________________
ДАТА КУРАЦИИ__________________________________________________
2.ЖАЛОБЫ БОЛЬНОГО:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
3.ИСТОРИЯ НАСТОЯЩЕГО:
ЗАБОЛЕВАНИЯ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
4. ИСТОРИЯ ЖИЗНИ_____________________________________________________________________________________________________________________________
СПОРТИВНЫЙ______________________________________________________________________________________________________________________
Характер питания_____________________________________________________________________________________________________________________________
Аллергологический анамнез_____________________________________________________________________________________________________________________________
5.РЕЗУЛЬТАТЫ ОБЩЕКЛИНИЧЕСКОГО ОСМОТРА___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
6. РЕЗУЛЬТАТЫ СПЕЦИАЛЬНОГО ОСМОТРА (ПОСИСТЕМНОЕ ОБСЛЕДОВАНИЕ)_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
7.РЕЗУЛЬТАТЫ ДОПОЛНИТЕЛЬНЫХ МЕТОДОВ ОБСЛЕДОВАНИЯ:_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
8.ОЦЕНКА ФИЗИЧЕСКОГО РАЗВИТИЯ:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
9. ЗАКЛЮЧЕНИЕ ПО ПРОВЕДЕННОМУ ОБЩЕМУ И СПЕЦИАЛЬНОМУ КЛИНИЧЕСКОМУ ОБСЛЕДОВАНИЮ:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
10.ПРОГРАММА ФИЗИЧЕСКОЙ РЕАБИЛИТАЦИИ:______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
11.ДНЕВНИК ВРАЧЕБНО-ПЕДАГОГИЧЕСКИХ НАБЛЮДЕНИЙ:_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
12.РЕКОМЕНДАЦИИ ПО ФИЗИЧЕСКОЙ РЕАБИЛИТАЦИИ НА МОМЕНТ ВЫПИСКИ:__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________