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CASE HISTORY FOR ACNB 2014 PERFORMANCE EXAM Please fill out this Patient History Form 1. Please tell us about yourself. Name: John Donut City/Town: Bakersville
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Document Date: 2014-03-09 12:46:43


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City

John Donut City / /

/

IndustryTerm

low energy / car accident / mail carrier / /

MedicalCondition

allergies / congestive heart failure / pneumonia / pain in that toe / Headaches / convulsions / sudden heart attack / Headache / flu / cerebral aneurysm / Measles / Chicken Pox / foot Nausea / erectile dysfunction / sinus headache / Nausea / food poisoning / diabetes / Allergy / pain / Numbness / vomiting / Fatigue / heart attacks / injury / diseases / spinal injury / epilepsy / toe injury / depression / Neck pain / infections / breast cancer / injuries / disorders / head injury / /

MedicalTreatment

knee replacement / hip surgery / surgery / lumpectomy / /

Person

Dad / Mom / /

/

Technology

X-ray / diagnostic tests / MRI / /