Neurological System (Headaches, head injuries, dizziness, convulsions, tremors, weakness, numbness, tingling, difficulty speaking, difficulty swallowing, etc., medications):
Patient denies any head injuries, headaches, convulsions, tremors, numbness, tingling, difficulty speaking or swallowing. Patient denies taking any medication in correlation to her neurological system. Patient states, “When I get up sudden I have to wait a moment because I get dizzy.” Head and Neck (Pain, headaches, head/neck injury, neck pain, lumps/swelling, surgeries on head/neck, medications):
Patient denies any problems in the head and neck but states, “When I travel I bring a special pillow because my neck gets sore on the wrong pillows.”
Patient denies taking medication.
Eyes
(eye pain, blurred vision, history of crossed eyes, redness/swelling in eyes, watering, tearing, injury/surgery to eye, glaucoma testing, vision test, glasses or contacts, medications):
Patient states she has a history of dry macular degeneration and it is being well controlled. Patient uses special eye drops for her eye disease. Patient wears corrective lenses at all times for both reading and sighting with blurred vision occasionally. Negative glaucoma testing 02/15/2014Eye surgery in relation to the macular degeneration 08/13/2013
Ears
(Earache or other ear pain, history of ear infections, discharge from ears, history of surgery, difficulty hearing, environmental noise exposure, vertigo, medications):
Patient denies any ear problems Last eye infection was over 10 years ago. No discharge noted from ears

Nose, Mouth, and Throat (Discharge, sores or lesions, pain, nosebleeds, bleeding gums, sore throat, allergies, surgeries, usual dental care, medications):
Lips pink, mucous membranes pink and moist No discharge or foul odor noted No history of nosebleeds, bleeding gums, allergies or