RECLAMAȚII, ANAMNEZE, DATE OBIECTIVE
ȘI METODE DE LABORATOR-INSTRUMETAL
Reclamații: ___________________________________________________________________
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Anamneza bolii: ________________________________________________________
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Anamneza vieții: _____________________________________________________________
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Inspecție generală: _____________________________________________________________
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Sistemul cardiovascular: ________________________________________________
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Sistemul respirator: _______________________________________________________
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Sistemul digestiv (tractul gastrointestinal, ficat, pancreas): __________________
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Sistemul urinar: _________________________________________________
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Sistemul endocrin: _______________________________________________________
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Sistemul musculo-scheletal: ___________________________________________________
Diagnostic preliminar: ___________________________________________________
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METODE DE LABORATOR ȘI INSTRUMENTAL
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Rezultatele sondajului: ____________________________________________________
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Diagnosticul final: _____________________________________________________
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2. Numele de specialitate, curs, grup ___________________________________
3. Tipul de practică de fabricație (pentru practica aptitudinile primare, practica la profilul de specialitate, de pre-diplomă de formare practică la locul de muncă) _______________________________________________
5. Termeni de trecere a practicii _______________________________________________