MedicalHistory-PenileImplantsPenileImplant,GreenLight医学史,阴茎植入阴茎植入,绿光PreviousMedicalHistory:Haveyoueverhadanyofthefollowingconditions?YesNoDateDescriptionHeartAttack,,____________________________________HighBloodPressure,,_______________________________________HighCholesterol,,____________________________________Diabetes,,____________________________________ThyroidDisorder,,____________________________________HormoneImbalance,,____________________________________MultipleSclerosis,,____________________________________ProstateProblems,,____________________________________HeadInjury,,____________________________________SpinalCordInjury,,____________________________________BackInjury,,____________________________________SickleCellorTrait,,____________________________________Cancer,,____________________________________PsychologicalProblems,,____________________________________BrokenBones,,____________________________________HIVorAIDS,,____________________________________Urinaryinfection,,____________________________________Venerealdisease,,____________________________________Penileinjury,,____________________________________Heartmurmur,,____________________________________Hepatitis,,____________________________________Listalloperations,hospitalizations,andothermedicalconditions:Date_______________________________________________________________________________________________________
Medical+History+-+Penile+Implants++Penile+Implant,+GreenLight+医学史，阴茎植入阴茎植入，绿光 来自淘豆网m.daumloan.com转载请标明出处.
