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Identificação 
Queixa principal 
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História da doença atual 
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*início (súbito ou gradativo), evolução, localização, duração, intensidade, frequência, tipo, fatores de melhora ou piora, relação 
com outras queixas, como o sintoma está no momento. 
Antecedentes fisiológicos 
º
 
 
Antecedentes patológicos 
 
 
 Antecedentes familiares 
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Hábitos e estilo de vida 
Condições psicossociais, econômicas e culturais 
Expectativa e comportamento perante a doença 
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Interrogatório sintomatológico