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Chapter 2

sections of health records

TermDefinition
Chief complaint Main reason for the patients visit
History of present illness The story of the patients problem
Review of sympotoms Description of individual body systems in order to discover any symptoms not directly related to the main problem
Past medical history Other significant past illnesses
Past surgical history Any of the patients past surgeries
Family history Any significant illnesses that run in the patients family
Social history A record of habits like smoking, drinking, and sexual practices that can impact health
Created by: XLIAX
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