アレルギー病� �.pdf
file202.pdf
Description
【アレルギー病歴】
記入日、記入者、患者氏名、患者現年齢、患者生年月日、性別。
今までかかった事のある病気、現在治療中の病気、現在飲んでいる薬。
女性の方におうかがいします。妊娠、授乳の有無。
薬物アレルギーの有無、その症状、薬品名。
家族歴、ご家族構成、ご家族のアレルギー歴。
アレルギー歴について、気管支喘息、じんましん、湿疹、アトピー、鼻炎、アレルギー性結膜炎。
Technical Information
- File Format: PDF
- File Size: 245 KB
- Pages: 2
- Language: PT
- Author: くろさか
- Total Downloads: 7
- Last Updated: 2 months ago
Document Overview
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