fisa medicala recuperare_fara liniatura

3
FISA MEDICALA NR. ................./................................................ .... NUME SI PRENUME Data nasterii/varsta Localitate/ Judet Alergii Ocupatie AHC APF APP Fumator Cafea Alcool Medicatie Istoric Examen clinic: T= TA= G= IMC= G T 2 Probe de pareza Tonus muscular sensibilitate ROT (reflexe

Upload: ioan-emanuel-stavarache

Post on 25-Jan-2016

213 views

Category:

Documents


1 download

DESCRIPTION

FISA MEDICALA Recuperare_fara Liniatura

TRANSCRIPT

Page 1: FISA MEDICALA Recuperare_fara Liniatura

FISA MEDICALA NR. ................./....................................................

NUME SI PRENUMEData nasterii/varsta

Localitate/Judet

Alergii

Ocupatie

AHC

APF

APP

Fumator

Cafea

Alcool

Medicatie

Istoric

Examen clinic: T=

TA=

G=

IMC=G

T2

Probe de pareza

Tonus muscular

sensibilitate

ROT (reflexe osteo-tendinoase)

Page 2: FISA MEDICALA Recuperare_fara Liniatura

Ex. Radiologice

DXA

VCM

EMG

Ex. Ecografice

Alte consultari

Dg.

Plan de recuperare