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VALORACIÓN DE FISIOTERAPIA
FECHA: ___________________________
NOMBRE: ________________________________________________________
OCUPACION: _________________________________
ANTECEDENTES FAMILIARES
DIABETES: ______________________________________________________________________________________
HTA: ___________________________________________________________________________________________
CANCER: _________________________________________________________________________________________
CARDIOPATÍAS: _____________________________________________________________________________________
CIRUGÍAS: _________________________________________________________________________________________
ALERGIAS: _________________________________________________________________________________________
ACCIDENTES: _______________________________________________________________________________________
FRACTURAS: _______________________________________________________________________________________
EXPLORACION NEUROLOGICA
REFLEJOS:
SENSIBILIDAD:
ORIENTACION:
OTRO:
MARCHA
N° DE HISTORIA_________
NORMAL ANTALGICA
ESPASTICA ATAXICA
CON AYUDA OTRAS:
DOLOR
EVALUACION MUSCULAR
N° DE HISTORIA_________
DIAGNOSTICO FISIOTERAPETICO
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PLAN DE TRATAMIENTO
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EVOLUCION
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