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cce_paediatrics_history (summary (I took a history from (Mr/Ms),…
cce_paediatrics_history
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CC/HPI
HPI
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severity
1-10, impact: sleep, school, exercise
character
(dull, sharp, cramping) (sputum) (vomit)
time
(onset, duration, progression) (duration, frequency, variation)
general well-being
systemic: fever, weight, appetite
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summary
I took a history from (Mr/Ms), (father/mother) of their (year old) child, who presented with (chief compliant) for (duration)
this is a (character) complaint, associated with (symptoms), exacerbated/relieved by (factors)
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he/she has a past medical history of (disease) for (duration), (drug history), he/she has a family history of (disease)
birth and developmental history are unremarkable, immunizations are up to date
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