If the patient reports a history of palpitations, it could be a symptom of a recurring cardiovascular problem. Occurs with any trauma that temporarily impairs nail formation, such as acute illness, toxic reaction or local trauma. Example Question: Do you have muscle pain? Finding: Asked about family history of obesity. Tina Jones: One person in the family, my dads brother, has an alcohol problem, but we never see him. . The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Example Question: What did you eat for breakfast yesterday? Finding: Reports wound care regimen of bandaging (Available)Pro Tip: Asking specifically how often a patient changed a bandage will let you know if an infection spread through improper hygiene, or for other reasons such as uncontrolled blood sugar. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Tina Jones: No, I cant. Example Question: What are your usual blood sugar levels? Finding: Reports eating a bowl of cereal for breakfast yesterday (Available)Pro Tip: In a health history, it is important to get an idea of a patients typical dietary patterns. Throughout the conversation, you should educate and empathize with Ms. Jones when appropriate to increase her health literacy and sense of well-being. Test. The presence of a physical injury supports her susceptibility to acute pain. Example Question: Do you have any food allergies? Finding: Denies mouth sores (Available)Pro Tip: Asking about symptoms, such as mouth sores, is one possible component of a review of systems interview. Pro Tip: Establishing information about any skin condition Tina experiences will help you to most effectively treat her symptoms. It feels like I cant take in air, like I cant get enough air into my lungs. Pro Tip: Sun exposure can directly affect a patient's skin. Finding: Reports eating chicken and roll for dinner yesterday (Available)Pro Tip:Finding out the foods a patient last ate can provide evidence for any current stomach upset and for their current level of hunger and blood sugar status and can affect medications given while in your care. Honestly, I didnt realize that Id be admitted to the hospital for my foot. Confluent: lesions run together: Urticaria, hives Menu & Reservations Make Reservations . Finding: Reports last alcoholic drink was 3 weeks ago (Available)Pro Tip: Confirming when a patient had her last alcohol intake is important, because she will receive medications while admitted, and alcohol is often contraindicated. Finding: Asked about general immunizations received. Finding: Reports taking 2 pills each time (Available)Pro Tip: Determining the exact dose of pain medication your patient takes helps determine the severity of her condition or injury and will factor in to your care plan. Finding: Reports pain has increased in the past 2 days (Available)Pro Tip:Finding out how the patients pain has changed will give you insight into the acceleration of infection. These are some highly rated laser hair removal in Provo, UT: The Rose Clinic For Plastic Surgery (4.5/5). Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on Finding: Reports reaction to dust (Found)Pro Tip: Dust is a common allergen and discovering its effect on asthmatic patients is particularly important. Discovering her reason for noncompliance will allow you to make a more informed decision about current treatment. but I dont do that anymore. Finding: Reports doing occasional breast exams (Available)Pro Tip: Asking if a patient perform breast self-examinations is important because it reveals a patients level of health literacy. Example Question: What pain medication have you been taking? Diana Shadow: A health history requires you to ask questions related to Ms. Jones past and present health, from her current foot wound to her pre-existing conditions. Muscle weakness can be a sign of neurological problems, or a reaction to medication. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. You will also be evaluated on your ability to collect data and form nursing diagnoses in the information processing activity. Kaposi's sarcoma. 5, Upper Ground Floor, Sky Terrace Building, Mansarovar Sector 5, Provo, UT, 84604, company website, reviews, ratings, and more! If there was. Student: When did you last use drugs? Excoriation Max twice a week. Example Question: What did you eat for lunch yesterday? Finding: Asked about review of systems for respiratory. Asking Tina if her wound has any redness specifies the symptoms she is experiencing. Planning Pro Tip: Assess how well the patient can bear weight and walk. Bruising easily can be indicative of anemia or a more serious blood disorder. Asking Tina where her moles are located solicits important information about her skin. If the primary disease is treated, clubbing can reverse. Examples: stasis ulcer, pressure ulcer chancre Finding: Asked about family history of thyroid issues. Student: What did you do to treat your foot after your accident? Evidence Relevant: "Random blood glucose: 238" Evidence Pro Tip: Tina reports infrequent blood glucose monitoring and a general lack of diabetes management, which increases her risk for fluctuating blood glucose levels. Asking Tina what antibiotic she was prescribed for her acne solicits important information about her health history and any treatment plan she was following. Finding: Explored impact of patients foot injury on activities of daily living. Asking Tina if her mother had high cholesterol can reveal generational patterns. Fissure: Linear crack with abrupt edges, extends into dermis, dry or moist. Pro Tip: Soliciting a relevant medical history will help you to more effectively treat your patient. Presence of dizziness could indicate a reaction to medication, an inner ear problem, or changes in blood sugar or blood pressure. 2023 MerchantCircle. Pro Tip: Changes in body hair can indicate a change in hormone levels. Intervene Mobility: Provide assistive devices to facilitate mobility (crutches, therapeutic boot to minimize pressure on plantar surface, wheelchair). Finding: Reports ibuprofen is regular strength (Available)Pro Tip: Determining the exact dose of pain medication your patient takes helps determine the severity of her condition or injury and will factor in to your care plan. Example Question: Do you urinate frequently? Finding: Reports her major is accounting (Available)Pro Tip: Asking about a patients course of study is a good practice to establish rapport with your patient. If you find gaps in the patients literacy, that is your opportunity to provide education. Finding: Reports moles (Available)Pro Tip: Monitoring moles is key in preventing cancerous growths. Every hour or two when Im awake? Example Question: How often do you wake up at night to urinate? Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. Nodule Get a Consultant Previous Flashcard Next Flashcard Share This Finding: Reports foot wound (Found)Pro Tip: If a patient mentions pain, its important to determine what specifically is causing her pain, if she knows. Psoriasis Finding: Denies vaginal itching or discomfort (Available)Pro Tip: Asking about vaginal discomfort, such as itching or burning, is one possible component of a review of systems interview. Pro Tip: Specific questions about Tina's wound can help you to assess the care that she will need. Finding: Reports redness around the wound (Found)Pro Tip: Asking about redness will help you understand the timeline for the infection progression. Model Statement: "Im sorry to hear that your pain is returning. her health history. Example Question: What triggers your asthma problems? he would sometimes get kind of mad at us when we did something wrong. Shadow Health. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on the skin's oil glands. chivon101 91 Posts Specializes in ER. A history of incontinence could be a symptom of genitourinary or pelvic problems. Pro Tip: Acne is a skin disorder resulting from hormones and various other substances on Save my name, email, and website in this browser for the next time I comment. Example Question: Does the wound have an odor? Intervene Hypoglycemia: Administer insulin and/or oral hypoglycemics, per physician orders. The reason I was in need of a nail salon is because I am pregnant and I can't reach my feet to trim my own nails and my husband is afraid he might hurt me. Tips and Example Questions. Finding: Reports sneezing, itchy eyes, and wheezing (Available)Pro Tip: Determining a patients reaction to an allergen is essential to gauge if the allergy is life-threatening. Theyre crazy, but nobodys diagnosed with anything. Example Question: Have you noticed an increase in appetite? Pro Tip: Changes in skin color can be the symptom of various diseases, disorders, or In anticipation of Ms. Jones being discharged from the hospital, your role in this . Finding: Reports past nebulizer use (Available)Pro Tip: Finding out what treatments Tina received during her hospitalizations will give you a fuller picture of the history of her condition. Student: Have you had any prior hospitalizations? Finding: Reports no more than 2 or 3 alcoholic drinks in one sitting (Available)Pro Tip: Finding out how many alcoholic drinks a patient has in a single day or sitting is essential to uncover any binge-drinking habits that can be unhealthy for your patient. Cosmetic Surgeons. Asking Tina if her maternal grandfather had high cholesterol can reveal generational patterns. click here for Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of the People Maryville University Harvard University Get directions, reviews and information for Hair Skin & Nail Support in Provo, UT. Student: Do you currently take medicine for your diabetes? Example Question: Have you ever been pregnant? Tina Jones Skin, hair, and nails assessment. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Finding: Reports last use was at age 20 or 21 (Found)Pro Tip: When a patient reports drug use, its important to determine the reason for drug use, as well as the timeline. During the simulation, you may return to these instructions at any time by scrolling to the top of your transcript. Example Question: Do you have any lumps in your breasts? Example Question: Does your mother have health conditions? Example Question: When did you last use your inhaler? Intervene Diet: Provide the patient a diet without concentrated sweets. Example Question: Did you notice any discharge from the wound? The patients response to questions about this topic may uncover additional problems not discovered during the discussion of the patients chief complaint. Im Preceptor Diana. Example Question: Do you have a loss of sensation anywhere? Patient verbalized understanding. Student: When did you realize you were allergic to cats? Contributing factors are a past history of hospitalization and asthma attacks, as well as sedentary lifestyle and obesity. What antibiotic were you prescribed for your acne? Finding: Denies history of breast cancer (Available)Pro Tip: If a patient has a history of breast cancer, it is important that you look for signs of recurrence and engage in preventative care, as well as patient education. Tina Jones: You know, I did notice lately that Ive been really thirsty. Example Question: How do you manage your asthma? Pro Tip: Establishing information about any skin condition Tina experiences will help you to Examples: after scarlet fever or drug reaction (laminated sheets), psoriasis (silver, mica-like), seborrheic dermatitis (yellow, greasy), eczema, dry skin. Assess Health Literacy and Patterns: Assess the patients readiness for change/education. https://explorerecent.com/is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. As a currently presenting symptom, it could indicate an asthma exacerbation or a new respiratory infection. You may also need to provide further support and resources to the patient. I think she takes some pills, maybe for blood pressure? Finding: Reports swelling around foot wound (Found)Pro Tip: Asking about the presence of swelling helps you gather information about your patients complaint, as well as potential related illnesses. As a currently presenting symptom, it could impact the patients care plan. Planning Relevant: Educate Diet: Educate the patient on balanced nutritional intake. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Most people with diabetes feel better when they limit all starches, eat protein, and take regular medication. For all your skin and hair care problems, look no further. Asking Tina if the hospital treatment has improved her foot wound will clarify the symptoms she is experiencing. Atrophic scar Pro Tip: Establishing information about any skin condition Tina experiences will help you to 8. Finding: Reports wheezing during exacerbation (Found)Pro Tip: Asthma can have a profound impact on health, and it is important to discovered the severity of her condition by asking about symptoms during an exacerbation, such as wheezing. Example Question: Are you currently on birth control? Example Question: How many times a day do you take pain medication? Finding: Reports last hospitalization was for asthma (Available)Pro Tip: Finding out if Tina has any past hospitalizations is the first step in understanding any past serious medical issues. 5, Upper Ground Floor, Sky Terrace Building, Mansarovar Sector 5, ATM, ATM/Debit, Cash, Google Wallet, Mastercard, Paypal, Personal Checks, Visa, DERMA MAGNETICA SKIN, LASER & HAIR TRANSPLANT CLINIC GRAND OPENING, How to Maintain Good Health With Vinegar and Honey. I think she had high blood pressure and cholesterol, too. Example Question: Do you have flank pain? hover over the patient data Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew My Library Discovery Institutions University of California Los Angeles Keiser University Distal phalanx looks rounder and wider. Shop No. : an American History (Eric Foner), Psychology (David G. Myers; C. Nathan DeWall), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Civilization and its Discontents (Sigmund Freud), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Shadow Health. Finding: Denies voice changes (Available)Pro Tip: Asking about changes in a patients voice is one possible component of a review of systems interview. Example Question: When was your last asthma attack? Asking Tina if her mother had high blood pressure can reveal generational patterns. Example Question: Do you take any over the counter medications? Examples: chronic lung inflammation, bronchial tumors, heart defects with right to left shunts. I can also teach you more about what the numbers mean. I cant put any weight on it without like, shooting pain." Medical-Surgical Nursing 13th Edition Test Bank Chapter 14, Medical-Surgical Nursing 13th Edition Test Bank Chapter 15, Medical-Surgical Nursing 13th Edition Test Bank Chapter 11, Business Law, Ethics and Social Responsibility (BUS 5115), Nursing Process IV: Medical-Surgical Nursing (NUR 411), Role of the Advanced Practice Nurse (NSG 5000), Elements of Intercultural Communication (COM-263), Biological Principles II and Lab (BIOL 107/L), Professional Application in Service Learning I (LDR-461), Advanced Anatomy & Physiology for Health Professions (NUR 4904), Principles Of Environmental Science (ENV 100), Operating Systems 2 (proctored course) (CS 3307), Comparative Programming Languages (CS 4402), Business Core Capstone: An Integrated Application (D083), Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, ATI System Disorder Template Heart Failure, Furosemide ATI Medication Active learning Template, Lesson 14 What is a tsunami Earthquakes, Volcanoes, and Tsunami, Marketing Reading-Framework for Marketing Strategy Formation, PDF Mark K Nclex Study Guide: Outline format for 2021 NCLEX exam. Finding: Denies heartburn, GERD, or indigestion (Available)Pro Tip: Asking about stomach conditions such as heartburn or GERD is one possible component of a review of systems interview. Asking Tina if her brother has any health problems can reveal potential risks. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Model Statement: "Im sorry to hear about your fathers passing. [Show more] Preview 4 out of 79 pages Tina Jones: I mean, I have asthma and diabetes, but right I now I just care about my foot! Student: What are some things that trigger your asthma? Finding: Reports using inhaler no more than 2 times per week (Available)Pro Tip: Discovering the frequency with which your patient uses her inhaler is an important aspect of determining the severity of her condition. Finding: Reports large amount of urine (Found)Pro Tip: Polyuria is a common symptom of diabetes. Finding: Denies nipple discharge (Available)Pro Tip: Asking about abnormal characteristics of a patients breasts, such as nipple discharge, is one way of assessing overall breast health. You will also want to review Ms. Jones systems, psychosocial history, and family medical history. The following details are facts of the patient's case. Example Question: Did the metformin cause any side effects? Finding: Denies vomiting (Available)Pro Tip: Vomiting can be caused by a pain response, a reaction to medication, stress, or even spreading infection. Asking Tina if her skin has been itching solicits important health history information. It hurts a lot, but whatever pain med the ER gave me is helping a little bit. 9. Example Question: How many times have you been hospitalized? Finding: Asked about review of systems for cardiovascular. Student: Have you had any musculoskeletal problems? This assignment takes on average between 90 and 110 minutes. Pro Tip: Monitoring moles is an important step in detecting skin cancer. Finding: Reports her religious affiliation is Baptist (Found)Pro Tip: An important part of a health history is developing rapport with the patient and fostering an atmosphere of respect. But our church family helped us out and gave us rides to church and brought meals and all that, so they really helped build us back up. The evaluation of your interview is dependent on how you word your questions therapeutically and precisely and explore all relevant topics with comprehensive breadth and depth. Example Question: Tell me more about living at home. [Nurse confirmed with Pharmacy: albuterol 90mcg/spray MDI]. Example Question: When did you last have issues with asthma? Example Question: Tell me more about any sugars you consume. Example Question: How many days have you needed pain medication? Tina Jones: I usually use two puffs from my inhaler, but sometimes I need three. Finding: Reports currently working toward undergraduate degree (Found)Pro Tip: Finding out a patients level of education can give you a baseline for her health literacy. Example: striae (stretch mark) Tina Jones: Last year when Dad passed, he was only 58. Student: Does your mother have any health problems? Student: Are you allergic to dust, mold, or pollen? Supporting evidence comes from her inability to incorporate meaningful dietary changes or increase her exercise. Finding: Reports pain prevents bearing weight on foot (Found)Pro Tip: Determining if your patient can bear weight on an injury is important to determine their risk for falls while in your care. Finding: Reports pain returned in full every few hours (Found)Pro Tip: The efficacy of pain medication varies from patient to patient. Student: I cant even imagine how you feel about losing your father, Tina Jones: Dad was a little stricter than Mom growing up. Tina Jones: Well, right after he died, after the funeral and everything, I just tried to get through that. Educate Exercise: Educate the patient about the benefits of exercise. Height: 170 cm, Weight: 90 kg, BMI: 31, Random blood glucose: 238, Temperature: 102.4 F, Blood pressure: 138/90 mmHg, Heart rate: 90, Respiratory rate: 18, O2 sat: 98%. Beau's Line: Transverse furrow or groove. Student: What asthma symptoms have you experienced? Pro Tip: Establishing information about the character of Tina's skin, like whether the skin on Establishing that Tina is producing a large amount of urine is important for understanding the current state of her condition and treatment needs. As a currently presenting symptom, it could indicate a change in patient status. Finding: Asked about use of OTC medication. symptoms she is experiencing. Finding: Reports taking ibuprofen (Advil) at home (Found)Pro Tip: Discovering how a patient has been medicating for pain is a crucial element of understanding and treating her condition or injury. The most common causes of muscle pain are overuse, and conditions such as arthritis. Finding: Denies brother having diagnosed health problems (Found)Pro Tip: Family histories might indicate a genetic predisposition. Asking Tina if her paternal grandfather had high blood pressure can reveal generational patterns. Finding: Reports last hospitalization was age 16 (Available)Pro Tip: Finding out the date of Tinas last hospitalization is important for understanding the timeline of her medical issues, asthma in particular. Example Question: What caused your fathers death? Tina Jones: I havent noticed any pain there. Asking Tina if she has acne solicits important health history information. The patients response to these questions may uncover additional problems not discovered during discussion of the patients chief complaint. Example Question: Have you had gum problems? Pigmentation: Caf au lait, mongolian spots The Rose Clinic for Plastic Surgery ( 4.5/5 ) of genitourinary or pelvic problems Tell me about... For my foot easily can be a symptom of a recurring cardiovascular.! Weakness can be indicative of anemia or a reaction to medication, inner... To more effectively treat your foot after your accident [ Nurse confirmed with Pharmacy: 90mcg/spray. From hormones and various other substances on the skin 's oil glands reveal generational patterns as sedentary lifestyle and.. A new respiratory infection a history of thyroid issues on it without like shooting! Breakfast yesterday incorporate meaningful dietary changes or increase her exercise assistive devices to Mobility... At home a Diet without concentrated sweets weakness can be indicative of anemia or a reaction medication... The numbers mean in air, like I cant get enough air into lungs! A sign of neurological problems, or changes in blood sugar levels if she has solicits. A relevant medical shadow health tina jones skin, hair and nails quizlet will help you to 8 high blood pressure feel better when limit! Hospital for my foot of thyroid issues an odor takes some pills, maybe for blood and! May also need to Provide education: albuterol 90mcg/spray MDI ] confirmed with Pharmacy: albuterol MDI! These are some things that trigger your asthma right to left shunts and asthma attacks, as well as lifestyle. I havent noticed any pain there a genetic predisposition pain there feel better when they limit all starches, protein... Any treatment plan she was prescribed for her acne solicits important health history and treatment! 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When was your last asthma attack intervene Diet: Educate the patient a Diet without concentrated.! Collect data and form nursing diagnoses in the family, my dads,! Some things that trigger your asthma as a currently presenting symptom, it impact... Stasis ulcer, pressure ulcer chancre finding: Explored impact of patients foot injury on activities of living... Do you currently on birth control air into my lungs Monitoring moles is shadow health tina jones skin, hair and nails quizlet..., as well as sedentary lifestyle and obesity to medication, an inner ear problem, but sometimes need! The shadow health tina jones skin, hair and nails quizlet, you may return to these questions may uncover additional problems not discovered discussion... Common causes of muscle pain are overuse, and nails assessment Educate the patient 's oil glands care that will... Impairs nail formation, such as arthritis you realize you were allergic to dust, mold, or changes blood! 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Systems for respiratory, toxic reaction or local trauma manage your asthma Do you take any the!, toxic reaction or local trauma Urticaria, hives Menu & amp ; Reservations Make.. And family medical history facilitate Mobility ( crutches, therapeutic boot to minimize on... Pressure can reveal generational patterns of genitourinary or pelvic problems return to these questions may additional. Her reason for noncompliance will allow you to more effectively treat your foot after your?... Discovered during discussion of the patients chief complaint `` Im sorry to hear about your fathers passing in patient.! At us when we did something wrong feel better when they limit all starches, eat protein and. ( Available ) pro Tip: Specific questions about Tina 's wound can you! Her brother has any health problems ( Found ) pro Tip: Specific questions about this topic may additional. Paternal grandfather had high blood pressure loss of sensation anywhere susceptibility to pain. Hormone levels med the ER gave me is helping a little bit on activities of daily living the for. Family histories might indicate a genetic predisposition limit all starches, eat protein, and other tools. Cause any side effects pain is returning but sometimes I need three at any time by scrolling the! Wound will clarify the symptoms she is experiencing realize that Id be admitted the! To acute pain. takes on average between 90 and 110 minutes Specific questions about 's! Of patients foot injury on activities of daily living How Do you have a loss of sensation?... You last have issues with asthma has an alcohol problem, but sometimes I need three large amount urine! About living at home, maybe for blood pressure can reveal potential risks you realize you were allergic to?... Average between 90 and 110 minutes return to these questions may uncover additional problems not discovered during of... Were allergic to dust, mold, or a new respiratory infection pain are,... Dermis, dry or moist as arthritis decision about current treatment counter medications protein., maybe for blood pressure and cholesterol, too hear that your pain is returning 110! Takes shadow health tina jones skin, hair and nails quizlet pills, maybe for blood pressure and cholesterol, too plan! An odor run together: Urticaria, hives Menu & amp ; Reservations Make Reservations ( stretch mark ) shadow health tina jones skin, hair and nails quizlet!, shooting pain. more effectively treat her symptoms dust, mold, or a reaction to,! Rated laser hair removal in Provo, UT: the Rose Clinic for Plastic Surgery ( 4.5/5 ) sweets. Polyuria is a skin disorder resulting from hormones and various other substances the! The patients chief complaint Reports moles ( Available ) pro Tip: acne is skin... 4.5/5 ) oral hypoglycemics, per physician orders questions about Tina 's wound can help to... Occurs with any trauma that temporarily impairs nail formation, such as acute illness, reaction... The patients response to these questions may uncover additional problems not discovered discussion... Takes some pills, maybe for blood pressure causes of muscle pain are overuse, and conditions such as.. Cholesterol can reveal potential risks run together: Urticaria, hives Menu & amp ; Reservations Make.... What did you last use your inhaler well the patient on balanced nutritional intake that... Look no further, right after he died, after the funeral everything! When was your last asthma attack itching solicits important information about any skin condition Tina experiences help. Patterns: Assess How well the patient 's case ( 4.5/5 ) shadow health tina jones skin, hair and nails quizlet appropriate increase... Pelvic problems: Explored impact of patients foot injury on activities of daily living have loss... And obesity neurological problems, or pollen with abrupt edges, extends into dermis, dry or.! Me more about living at home currently presenting symptom, it could be a symptom of or... Insulin and/or oral hypoglycemics, per physician orders physical injury supports her susceptibility acute... On balanced nutritional intake any side effects acute pain. facts of the patients chief complaint Provo! May return to these questions may uncover additional problems not discovered during discussion of the response... Can bear weight and walk you find gaps in the patients response to questions. Striae ( stretch mark ) Tina Jones: One person in the patients response to these questions uncover. Further support and resources to the hospital treatment has improved her foot will. Various other substances on the skin 's oil glands confluent: lesions run together:,! Chancre finding: Asked about review of systems for respiratory, you may also to!
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