英文病历示范.docxVIP

History taking of cough Patient Name : Mrs. Penny Age: 35 History conducted by : Doctor Zhang History conducted on : 31/08/2014 4:00pm. Source: The patient gives her own history and appears to be a reliable source Chief complaint : Productive cough History of present illness Mrs. Penny is a 40-year-old yellow Chinese female who works in No.1 middle school as a teacher. She has been noticing worsening cough for 1 week, which is from dry to be with white sputum, and the volume of sputum is about 1 tea spoon per time. There is no accompanying chest pain or any other symptoms. The cough is rela