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VOMITING HISTORY FORM
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    • 10
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    • 30
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    • 50
    PM
    • AM
    • PM
    Pick a Date
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  • 3
    • Better
    • Worse
    • No Change
    • Indoor
    • Outdoor
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  • 4
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  • 5
    • More
    • Less
    • No change
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  • 6
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  • 7
    • Pile of undigested food
    • Tube of undigested food
    • Partially digested food
    • Contains bright blood
    • White foam
    • Yellow liquid
    • Watery
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  • 8
    • Increased
    • Decreased
    • The same
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  • 9
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  • 10
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    TextSizeCreated with Sketch.
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    BoldCreated with Sketch.
    ItalicCreated with Sketch.
    UnderlineCreated with Sketch.
    Underline CopyCreated with Sketch.
    Ok
    NumberList Copy 2Created with Sketch.
    quoteCreated with Sketch.
    BreakCreated with Sketch.
    ImageCreated with Sketch.
    Ok
    SmileyCreated with Sketch.
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  • 12
    TextSizeCreated with Sketch.
    • Huge
    • Large
    • Normal
    • Small
    BoldCreated with Sketch.
    ItalicCreated with Sketch.
    UnderlineCreated with Sketch.
    Underline CopyCreated with Sketch.
    Ok
    NumberList Copy 2Created with Sketch.
    quoteCreated with Sketch.
    BreakCreated with Sketch.
    ImageCreated with Sketch.
    Ok
    SmileyCreated with Sketch.
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