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] Exposures [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="http://www.fpnotebook.com" memo="website"][/conditional]
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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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