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Medical records should contain: General/business info Chief complaint History of present and past illness Consent forms Radiographs Referrals Notes Anesthesia records Op notes Medications Discharge score Review of Systems: General Weight loss, loss of appetite, fatigue, and weakness may indicate metabolic disease (thyroid problems, diabetes) Review of Systems: Skin Bruising, bleeding, discoloration may indicate clotting disorders, liver or adrenal disease Review...

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AAOMS DAANCE Exam Medical records should contain: - ANSWER General/business info Chief complaint History of present and past illness Consent forms Radiographs Referrals Notes Anesthesia records Op notes Medications Discharge score Review of Systems: General - ANSWER Weight loss, loss of appetite, fatigue, and weakness may indicate metabolic disease (thyroid problems, diabetes) Review of Systems: Skin - ANSWER Bruising, bleeding, discoloration may indicate clotting disorders, liv...

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Medical records should contain: - ANSWER General/business info Chief complaint History of present and past illness Consent forms Radiographs Referrals Notes Anesthesia records Op notes Medications Discharge score Review of Systems: General - ANSWER Weight loss, loss of appetite, fatigue, and weakness may indicate metabolic disease (thyroid problems, diabetes) Review of Systems: Skin - ANSWER Bruising, bleeding, discoloration may indicate clotting disorders, liver or adrenal disease...

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Medical records should contain: General/business info Chief complaint History of present and past illness Consent forms Radiographs Referrals Notes Anesthesia records Op notes Medications Discharge score Review of Systems: General Weight loss, loss of appetite, fatigue, and weakness may indicate metabolic disease (thyroid problems, diabetes) Review of Systems: Skin Bruising, bleeding, discoloration may indicate clotting disorders, liver or adrenal disease Review...

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Medical records should contain: General/business info Chief complaint History of present and past illness Consent forms Radiographs Referrals Notes Anesthesia records Op notes Medications Discharge score Review of Systems: General Weight loss, loss of appetite, fatigue, and weakness may indicate metabolic disease (thyroid problems, diabetes) Review of Systems: Skin Bruising, bleeding, discoloration may indicate clotting disorders, liver or adrenal disease Review...

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