Dr. Kyle Dunning | 8307 University Executive Park Dr #251 Charlotte, NC 28262 (980) 201-9484
REVIEW Of SYSTEMS
Many of the following conditions respond to chiropractic treatment. Are you CURRENTLY experiencing any of these symptoms?
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Musculoskeletal
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Joint Pain/Stiffness/Swelling
Muscle Pain/Stiffness/Spasms
Broken Bones
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Neurological
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Dizziness/Lightheaded
Convulsions/Seizures
Tremors
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Psychiatric (Mind/Stress)
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Nervousness/Anxiety
Depression
Sleep Problems
Memory Loss/Confusion
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Gastrointestinal
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Loss of Appetite
Blood in Stool/Black Stool
Nausea/Vomiting
Abdominal Pain
Frequent Diarrhea
Constipation
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Genitourinary
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Frequent/Painful Urination
Blood in Urine
Incontinence or Bed Wetting
Painful/Irregular Periods
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Cardiovascular & Heart
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Chest Pain/Tightness
Rapid or Heartbeat Changes
Swelling of Hands, Ankles, Feet
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Respiratory
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Difficulty Breathing
Cough
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Eyes & Vision
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Eye Pain
Blurred/Double Vision
Sensitive to Light
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Head, Ears, Nose, Mouth/Throat
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Frequent Headaches
Ear: Ache, Ringing, Drainage
Hearing Loss
Sensitive to Loud Noises
Sinus Problems
Sore Throat
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Endocrine
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Infertility
Recent Weight Change
Eating Disorder
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Hematologic & Lymphatic
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Excessive Thirst/Urination
Cold Extremities
Swollen Glands
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Integumentary
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Rash/Itching
Change in: Skin, Hair, Nails
Non-healing Sores/Lesions
Change in Moles Appearance
Breast: Pain, Lump, Discharge
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List is empty.
Allergic/Immunologic
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Food Allergies
Environmental Allergies
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List is empty.
Review Of Systems Comments
I have answered these questions to the best of my knowledge and certify them to be true and correct.
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