istory of Present Illness:<br><br>

      What are the symptoms?  <br>

___________________________<br><br>
      How long have they been present?  <br>

___________________________<br><br>
      Who else is sick?  (family members, daycare contacts)  <br>

___________________________<br><br> Has this patient ever had a similar illness?  <br>

___________________________<br><br>
What treatments have been tried for this problem?  <br>

___________________________<br><br>
Include pertinent ROS and past medical history.  <br>

___________________________<br><br>