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FICHA CLINICA
SAÚDE GERAL
Sangue Cardíaco
Colesterol TA ____/____ _____%O2/ _____ bpm
Anemia - Tempo
__________
Circulação Dor no peito
Digestivo Palpitação
Azia Fadiga
II
Diabetes Tipo I /Tipo Sistema nervoso
Dores abdominais Dor de cabeça
Flatulência
Tontura ou vertigem
__________
Intolerância alimentar Zumbidos
Náusea/ Vómito Alterações da Visão
Obstipação/Diarreia ________________________
Formigueiros
Respiratório Otites
Asma Bronquite Sistema osteo-articular
Dor no peito Dores articulares
Expectoração musculares
Dores
Falta de ar Endócrino
Tosse Alterações de peso
Distúrbios Uro genitais Alterações de humor
Fraqueza muscular
Cólicas renais
Incontinência urinária Mudanças cabelo
Inflamações genitais / urinárias Febres frequente
Peso _______ Kg Altura ________
OBSERVAÇÕES:
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MORFOLOGIA TIPO DE POSTURA
Normal Delgado Encorpado Anterior Posterior Mista
Observações:______________________________________________________________________________________________________________________________
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LINHAS NÃO PARALELAS
AP_______________________________________________________________________________________________
PA ______________________________________________________________________________________________
ARCOS
Estruturais_________________________________________________________________________________________
Funcionais _________________________________________________________________________________________
Fisiológicos ________________________________________________________________________________________
Central____________________________________________________________________________________________
VÉRTEBRAS
Pivôs:
C5________________________________________________________________________________________
D9________________________________________________________________________________________
L5_________________________________________________________________________________________
Centros de oscilação:
C7 ________________________________________________________________________________________
D9 ________________________________________________________________________________________
L5 ________________________________________________________________________________________
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Marque na linha situada abaixo como classifica a dor que sente neste momento
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Sem dor | Dor insuportável
Operador: _______________________________________________________