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General
: Has lost weight before admission and experienced weakness,
fatigue and fever.
Skin
: No observable rashes, lumps or sores or other changes
HEENT
Head : No history of head injury but experiences slight headache,
dizziness or
lightheadedness every after hours of sewing activity
Eyes : Have problems in vision sometimes blurry or double vision
every after hours of
sewing activity. Uses no glasses or contact lenses. No pain,
redness, or excessive tearing. No glaucoma or cataracts.
Ears : Slight problems in hearing but no ringing (tinnitus) vertigo and
infections.
Nose : Occasional mild cold. No hay fever and sinus trouble
Throat
: No significant bleeding. No dentures. Last dental
examination unknown. No
problems with dry mouth.
Neck : No lumps, goiter, pain. No swollen glands.
Breast
: No lumps, pain, discomfort and discharge. Practice breast
self-examination
infrequently.
Respiratory : Moderate cough without wheezing. No shortness of breath.
Chest x-ray, August
2016, at MMMH, Batac City (Normal findings)
Cardiovascular
dyspnea,
symptoms
or history of diabetes. Experiences mild sweating.