Fundus oculi
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Data_____/_____/________
Numeri utili:
118 pronto soccorso
Caro cuore…oggi voglio vederci chiaro!
Istituto “Emilio Biazzi”
Castelvetro Piacentino
10 Giugno 2012
115 Vigili del fuoco
Nome______________Cognome________________
112 Carabinieri
113 Polizia
Firma______________________
Istituto “Emilio Biazzi”
Castelvetro Piacentino- Piazza Biazzi, 329010- Pc
Tel. 0523/825040 fax 0523/824078
e-mail : [email protected]
Vai dove ti porta il cuore e ricorda…
Il suo battito ha le stesse frasi impresse
nei tuoi occhi….
L’Istituto Emilio Biazzi per la salute dei cittadini
Pressione arteriosa
fumo
si
no
?
ipertensione A
si
no
?
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Frequenza Cardiaca
______/minuto
ritmico aritmico
SpO2
_______%
diabete
si
no
?
obesità
si
no
?
famigliarità
si
no
?
no
?
aria ambiente O2 ____l/m
Peso corporeo
______kg.
Circonferenza addominale
______cm.
Consigli
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ipercolesterolemia si
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ECG
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Visita Cardiologia
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data___/___/______
firma________________
