Head Injury History
Head Injury Onset [text] prior to evaluation Onset while: [text] Injury at: [text] Impact at [text] [select value="no|YES"] <-- nasal drainage/bleeding [select value="no|YES"] <-- ear drainage/bleeding Associated Pain (0=none, 10=severe) Location: [text] Radiation: [text] Severity now (0-10): [text] Severity at worst (0-10): [text] Duration: [text] Characterized as [text]. [select value="no|YES"] <-- remembers the accident [select value="no|YES"] <-- remembers after the accident Episode was witnessed by [text] and they reported: [select value="no|YES"] <-- complete loss of consciousness for a duration of [text] [select value="no|YES"] <-- Seizure activity [select value="no|YES"] <-- Confusion following the episode [select value="no|YES"] <-- associated incontinence of urine or stool Episode was followed by the following symptoms that lasted [text]: [select value="no|YES"] <-- headache [select value="no|YES"] <-- neck pain [select value="no|YES"] <-- lightheadedness [select value="no|YES"] <-- extremity weakness [select value="no|YES"] <-- Vision change [select value="no|YES"] <-- Hearing change [select value="no|YES"] <-- nausea or vomiting [checkbox memo="display/hide references" name="footnotes" value=""][conditional field="footnotes" condition="(footnotes).is('')"] reference: contributed by Dr. Scott Moses, creator/author of the Family Practice Notebook [link url="//www.fpnotebook.com" memo="(link)"][/conditional]
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