Universidad de Guadalajara

Centro Universitario de Ciencias de la Salud (CUCS)

Licenciatura Cultura Física y Deportes

Departamento de Ciencias del Movimiento Humano,
Educación, Deporte, Recreación y Danza
Academia de fundamentos e iniciación deportiva
Alumno:
• Angulo Gil Julio Alejandro 217462547
Correo institucional:
• Julio.angulo4625@alumnos.udg.mx
2023-A Masoterapia y vendajes
Tarea “Historial clínico”
Fecha: 24/02/3023

HISTORIA CLINICA
FICHA DE IDENTIFICACION

Nombre ________________________________________ Edad ____ Sexo ______

Estado Civil _____ Ocupación _________ Procedencia __________ Raza ________

Religión __________ Lugar de Nacimiento y Residencia ______________________

Domicilio____________________________________________________________

Disciplina deportiva /actividad física:

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Lesiones previas y /o actuales:

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Fecha, hora y persona que elabora la Historia Clínica _______________________

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MOTIVO DE CONSULTA

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ANTECEDENTES

Antecedentes heredofamiliares __________________________________________

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Antecedentes personales no patológicos __________________________________

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Antecedentes gineco-obstétricos ________________________________________

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Antecedentes personales patológicos _____________________________________

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PADECIMIENTO ACTUAL

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INTERROGATORIO POR APARATOS Y SISTEMAS

Síntomas generales ________________________________________________

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Sistema musculo-esquelético ________________________________________

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Sistema nervioso ___________________________________________________

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EXPLORACION FISICA

Signos Vitales

T/A _______ FC ______ FR ______ Temperatura ______ Talla ______ Peso ____

I.M.C.______

Inspección general________________________________

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Cabeza y cara ______________________________________________________

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Cuello _____________________________________________________________

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Tórax __________________________________________________

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Abdomen __________________________________________________________

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Extremidades superiores ____________________________________________

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Extremidades inferiores ____________________________________________

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Bibliografía:

Rosetti, D. L. (2011). Historia clínica: La salud de los grandes personajes a través de la historia.
(Fuera de colección). Planeta Argentina.