Chief Complaint – the reason why the patient came to see the physician. History of Present Illness – explanation of the CC to determine the onset of the illness. Past,family,and social hi... story – summary of personal and family health problems as well as social to include marital status, occupation, use of drugs, etc. Body Processes necessary for life: - Body Temperature, Respiration, Heart Function Vital Signs of body function: - temperature, pulse, respiration, blood pressure Febrile – presence of fever afebrile – absence of fever intermittent fever – fluctuating fever that returns to or below baseline remittent fever – fluctuating fever that remains elevated and does not return to baseline continuous fever – fever that remains constant; does not fluctuate axillary temperature – least accurate; taken under the arm tympanic temperature – useful for children; placed in the ear rectal temperature – per rectum; most effective normal adult pulse range – between 60-100 bpm [Show More]
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