Altered Level of Consciousness History

Patient with altered level of consciousness

Onset [text] prior to evaluation
Onset while:  [text]

Key Symptoms
[select value="no|YES"] <-- Confusion 
[select value="no|YES"] <-- Agitation 
[select value="no|YES"] <-- Difficult to awaken
[select value="no|YES"] <-- Complete Loss of Consciousness (lasted [text]) 
[select value="no|YES"] <-- Seizure 
[select value="no|YES"] <-- Extremity weakness [text]
[select value="no|YES"] <-- Change in sensation [text]
[select value="no|YES"] <-- Headache
[select value="no|YES"] <-- Dizziness/Ataxia
[select value="no|YES"] <-- Falls [text]

[select value="no|YES"] <-- Low blood sugar [text]
[select value="no|YES"] <-- Excessive alcohol
[select value="no|YES"] <-- Drug abuse

Pertinent ROS
[select value="no|YES"] <-- fever
[select value="no|YES"] <-- dizziness
[select value="no|YES"] <-- chest pain
[select value="no|YES"] <-- shortness of breath
[select value="no|YES"] <-- cough
[select value="no|YES"] <-- nausea/vomiting
[select value="no|YES"] <-- abdominal pain
[select value="no|YES"] <-- dysuria
[select value="no|YES"] <-- urinary frequency

Pertinent PMH:
[select value="no|YES"] <-- Dementia [text]
[select value="no|YES"] <-- Decreased mobility/ambulation [text]
[select value="no|YES"] <-- Diabetes Mellitus
[select value="no|YES"] <-- Cerebrovascular Accident
[select value="no|YES"] <-- Coronary Artery Disease
[select value="no|YES"] <-- COPD
[select value="no|YES"] <-- Cirrhosis
[select value="no|YES"] <-- Chronic renal failure
[select value="no|YES"] <-- Head Trauma
[select value="no|YES"] <-- Serious CNS risks (e.g. active cancer, immunosuppression, HIV)
[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="" memo="website"][/conditional]
Patient with altered level of consciousness

Onset prior to evaluation
Onset while:

Key Symptoms
<-- Confusion
<-- Agitation
<-- Difficult to awaken
<-- Complete Loss of Consciousness (lasted )
<-- Seizure
<-- Extremity weakness
<-- Change in sensation
<-- Headache
<-- Dizziness/Ataxia
<-- Falls

<-- Low blood sugar
<-- Excessive alcohol
<-- Drug abuse

Pertinent ROS
<-- fever
<-- dizziness
<-- chest pain
<-- shortness of breath
<-- cough
<-- nausea/vomiting
<-- abdominal pain
<-- dysuria
<-- urinary frequency

Pertinent PMH:
<-- Dementia
<-- Decreased mobility/ambulation
<-- Diabetes Mellitus
<-- Cerebrovascular Accident
<-- Coronary Artery Disease
<-- COPD
<-- Cirrhosis
<-- Chronic renal failure
<-- Head Trauma
<-- Serious CNS risks (e.g. active cancer, immunosuppression, HIV)
display/hide references

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.79, 44 form elements, 152 boilerplate words, 9 text boxes, 1 checkboxes, 32 drop downs, 1 links, 1 conditionals, 42 total clicks
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