Académique Documents
Professionnel Documents
Culture Documents
I. DATOS FAMILIARES
(SI) (NO)
(SI) (NO)
Otros: _______________________________________________________________________
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(SI) (NO)
(SI) (NO)
Otros: _______________________________________________________________________
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III. ANAMNESIS
Otros: ___________________________________________________________________________
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III.5HIPERQUERATOSIS
Interfalangico SI NO 2 3 4 2 3 4
dorsal
Dorsal del 5 SI NO
dedo
III.6ALTERACIONES DIGITALES
Quinto de SI NO SI NO
varo
Dedos de SI NO 2 3 4 2 3 4 SI NO
garra
SI NO SI NO
III.7ONICOPATAS
ANONIQUIA SI NO 1 2 3 4 5 1 2 3 4 5
MICRONIQUIA SI NO 1 2 3 4 5 1 2 3 4 5
ONICOLISIS: SI NO 1 2 3 4 5 1 2 3 4 5
ONICAUXIS SI NO 1 2 3 4 5 1 2 3 4 5
ONICOCRIPTOSIS SI NO 1 2 3 4 5 1 2 3 4 5
ONICOGRIPTOSIS SI NO 1 2 3 4 5 1 2 3 4 5
ONICOFOSIS SI NO 1 2 3 4 5 1 2 3 4 5
PAQUIONIQUIA SI NO 1 2 3 4 5 1 2 3 4 5
ONICOMICOSIS: SI NO 1 2 3 4 5 1 2 3 4 5
SI NO 1 2 3 4 5 1 2 3 4 5
SI NO 1 2 3 4 5 1 2 3 4 5
FECHA: ______/_______/________
DIAGNSTICO ________________________________________________________________________
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TRATAMIENTO ________________________________________________________________________
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INDICACIONES ________________________________________________________________________
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PODLOGO
FECHA: ______/_______/________
DIAGNSTICO ________________________________________________________________________
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TRATAMIENTO ________________________________________________________________________
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INDICACIONES ________________________________________________________________________
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PODLOGO