RT Book, Section A1 Gulick, Dawn SR Print(0) ID 1162209931 T1 Alerts/Alarms T2 Screening Notes: Rehabilitation Specialist's Pocket Guide YR 2006 FD 2006 PB F. A. Davis Company PP New York, NY SN 9780803615731 LK fadavispt.mhmedical.com/content.aspx?aid=1162209931 RD 2024/11/13 AB Table Graphic Jump Location|Download (.pdf)|PrintHave you ever experienced or been told you have any of the following conditions?CancerChronic bronchitisDiabetesPneumoniaHigh blood pressureEmphysemaFainting or dizzinessMigraine headachesChest painAnemiaShortness of breathStomach ulcersBlood clotAIDS/HIVStrokeHemophiliaKidney diseaseGuillain-Barré syndromeUrinary tract infectionGoutAllergies (latex, food, drug)Thyroid problemsAsthmaMultiple sclerosisOsteoporosisTuberculosisRheumatic/scarlet feverFibromyalgiaHepatitis/jaundicePregnancyPolioHerniaHead injury/concussionDepressionEpilepsy or seizuresFrequent fallsParkinson's diseaseBowel/bladder problemsArthritis Have you ever had any of the following procedures?X-rayBlood test(s)CT scanBiopsyMRIEMG or NCVBone scanECG or stress testUrine analysisSurgeryScreening for domestic violence:Do you feel unsafe at home?Has anyone in your home injured or tried to injure you?