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Anamnéza

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OA

Operace

   

Úrazy

   

Alergie




Abusy:

Ženy menstruace

Menopauza:
    , od kdy:

RA

Výskyt dědičných chorob:
:

PA

Směny:
    ,

Možnost ohřátí pokrmů:
    ,   

SA

Soběstačnost

Vaření:
   
V domácnosti s partnerem:
   

Nynější obtíže

Trávící obtíže:
   
- :

Chuť k jídlu:

Četnost jídel:
:

Poslední jídlo:

Pití:

Spánek (můžete kombinovat):

Stolice:

Nehty:

Poznámky a dotazy:


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