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Carolina skin care, p
Carolina Skin Care, P.A. (In relation to your visit today) Allergies: Any non medication allergies, history of hives, itching, etc. □No □Yes explain ___________________________________________________________________ __________________________________________________________________________________ Cardiovascular: Any problems with your heart such as palpitations, murmurs, irregular pulse, etc. □No □Yes explain ___________________________________________________________________ __________________________________________________________________________________ Ears/nose/throat: Any problems in these areas such as vertigo, nasal drainage, mouth sores, etc. □No □Yes explain ___________________________________________________________________ __________________________________________________________________________________ Eyes: Any eye discharge, itching, blurred vision, etc. □No □Yes explain ___________________________________________________________________ __________________________________________________________________________________ Gastrointestinal: Any problems with stomach/intestines/gallbladder, abdominal swelling, etc. □No □Yes explain ___________________________________________________________________ __________________________________________________________________________________ Hematology/Lymphatic: Any history of anemia, easy bruising, enlarged lymph nodes, etc. □No □Yes explain ___________________________________________________________________ __________________________________________________________________________________ Integument: Any history of skin diseases, moles changes, hair loss, etc. □No □Yes explain ___________________________________________________________________ __________________________________________________________________________________ Musculoskeletal: Any bone/joint/muscle pain, joint swelling, joint stiffness, etc. □No □Yes explain ___________________________________________________________________ __________________________________________________________________________________ Respiratory: Any breathing problems such as wheezing, shortness of breath, chronic cough, etc. □No □Yes explain ___________________________________________________________________ __________________________________________________________________________________ Psychiatric: History of any mental illness/treatment such as depression, bipolar disorder, etc. □No □Yes explain ___________________________________________________________________ __________________________________________________________________________________
CONTINUED ON REVERSE Carolina Skin Care, P.A.
Name ______________________________ Today’s Date _____________ Date of Birth ____________________ Referring Physician___________________ Why are we seeing you today?________________________________________________________ Are you allergic to any of the following: Have you had any of the following:
□ NSAID’s (aspirin, Motrin, Tylenol)
□ Hepatitis (type) ____________________
□ Other ________________________________
Skin Cancer & Location: Reaction: ____________________________
□ Squamous Cell ________________________
____________________________
□ Melanoma ____________________________
____________________________ ____________________________ For women: Are you pregnant or do you think you may be pregnant? □ yes □ no Are you nursing? □ yes □ no
Have you had any surgeries: Has anyone in your family had: (please indicate relationship to you)
□ Basal Cell Carcinoma___________________
□ Lupus or other auto-immune D/O______________
□ Heart surgery (type) _______________________
□ Other ________________________________
□ Psoriasis/Psoriasis Arthritis________________
If so, what year was the procedure performed:
□ Squamous Cell Carcinoma__________________
Do you use or have a history of: (If so, when and how Please list all current medications and dosage: ________________________________________ ________________________________________ ________________________________________
□ Illegal drug Use (type)________________
________________________________________
□ Tanning bed/sunbathing_____________________
________________________________________
□ Sexually transmitted disease (type)_______________
________________________________________ ________________________________________
□ Other_________________________________
Preferred Pharmacy:_______________________ ____________________________ Primary Care Physician:_________________________
Das Noonan-Syndrom Gregor Schlüter1, Malte Rossius1, Armin Wessel2, Barbara Zoll1 Zusammenfassung tyrosin-Phosphorylase, die eine zentrale Regu- that are set low and rotated posteriorly, steno- latorfunktion in fast allen Signaltransduktions- sis of the pulmonal valve and short stature. Das Noonan-Syndrom ist ein Dysmorphie-Syn- wegen von Wachstumsfaktoren ausübt. Diese
Five hot foods that help you keep your cool As the hot weather bears down on us, we look for any way to cool off – heading to the beach, the mountains or the great indoors to escape the sun’s rays. 04 November 2011 | By Luigi Gratton, Vice President of Medical Affairs at Herbalife, International We tend to eat differently when the weather is warm, too - steering clear o