Abu Ali ibn Sino nomidagi Buxoro Davlat tibbiyot instituti



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Kasallik tarixi shablon

Asosiy shikoyatlar: ___________________________________________________________________ _____________________________________________________________________________________

Ikkinchi darajali shikoyatlar: _________________________________________________________ _____________________________________________________________________________________



  1. Anamnesis morbi:


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  1. Anamnesis vitae:




  1. Go’daklik, bolalik va o’smirlik davri:________________________________________________

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  1. Jinsiy va oilaviy xayoti:___________________________________________________________

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  1. Turmush sharoiti:

Uy sharoiti: ___________________________________________________________________ __________________________________________________________________________________

Moddiy sharoiti: _______________________________________________________________

Ovqatlanishi:____________________________________________________________________________________________________________________________________________________


  1. Mexnat faoliyati: _________________________________________________________________

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  1. Zararli odatlari: _________________________________________________________________




  1. Bemorning boshidan kechirgan kasalliklari: __________________________________________

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Nasliy ma’lumotlar: ____________________________________________________________ __________________________________________________________________________________



  1. Allergologik anamnez:______________________________________________________________

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8. Epidemiologik anamnez: _____________________________________________________________ _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

  1. Status praesens:

  • Bemorning umumiy axvoli __________________________________________________________

  • Bemorning xushi va psixikasi _______________________________________________________

  • Bemorning xolati _________________________________________________________________

  • Bemorning yuz ifodasi _____________________________________________________________

_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

  • Bemorning gavda tuzilishi ____________________ bo’yi_____sm, og’irligi _____kg

  • Bemorning konstitutsiyasi __________________________________________________________

  • Bemorning tana xarorati ____________ C0.(kelgandagi), kuratsiya davomida ____________Co

  • Bemorning terisi va ko’rinadigan shilliq qavatlar______________________ Terida_______________________________teri namligi_________________________________ Teri osti yog’ kletchatkasi ___________________________________________________________ shilliq kavatlar __________________________________________________________________

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  • Bemorda oyoqlarida_________________________________________________________________

  • Bemorning mushaklari______________________________________________________________

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  • Bemorning suyak va bo’g’imlari _______________________________________________________ __________________________________________________________________________________

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  • Bemorning limfa tugunlarining xolati ______________________________________________

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  1. Nafas olish sistemasi:

Bemorning shikoyatlari: __________________________________________________________ _____________________________________________________________________________________


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