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Accident Information
Describe the accident Anxiety/fear of being in car Headaches Loss/diminished hearing Back pain Hip pain Nausea Blurred vision Jaw pain Neck pain Dizziness Loss of balance Ringing in ears Eating/chewing diffculties Loss of memory Shoulder pain ... Return Document
PERSONAL INJURY QUESTIONNAIRE - Home - Corona Car Accident .com
INFORMATION ABOUT YOUR ACCIDENT 1. Approximate speed of your car _____ mph. Other car _____ mph. 7. Where you knocked unconscious? ( ) Yes Tinnitus (Ringing Ears) Bumping Into Objects in View Hearing Loss Anxiety ... Access Content
Tinnitus (Ringing In The ears)
Tinnitus (Ringing in the ears) DEFINITIONS Tinnitus is the perception of a sound that has no external source. Some of the more common sounds reported are: ringing, ... Access This Document
Whiplash And Whiplash- Associated Disorders - KnowYourBack.org
Gling in the arms, dizziness, ringing in the ears, vision changes, fatigue, poor concentration or memory and difficulty sleeping. If pain does not of neck pain in the days or weeks after a car accident. We know the muscles and ligaments get strained and are probably inflamed, but they ... Fetch This Document
Co S M E T I C A N D Fu N C Toi N A L D St. Lucie County ...
The car accident, the filling procedures were too much for my jaw and I developed tinnitus. “I was really scared because the ringing in my ears was terribly annoying and it was causing pressure in my head, but when I sought the help of an ENT [ear, nose, and ... Fetch Doc
WHIPLASH & WHIPLASH- ASSOCIATED DISORDERS
Of chronic neck pain after a car accident. It may occur alone or along with disc pain. Facet joint pain is usually located to the vision, ringing in the ears, tingling in the face and fatigue. Your health care professional ask you about ... Return Doc
The Phone Call Of Death: 999-999-9999 - About.com Urban Legends
.sounds like when you leave your car door open with the keys inside or everyone was a sleep and at around 4am our phone started ringing very high frequency call and if I ‘d have not cut it immedeately then might be like a magnet i ‘d have struck on my ears and don ... Read Article
Motor Vehicle Accident Health History Form ( 1)
Motor Vehicle Accident Health History Form (Page 1): How many vehicles struck your car/truck? Sensitivity to light. Visual disturbances. Nausea. Vomiting. Muscle weakness. Numbness or tingling. Ringing in ears. Difficulty sleeping. Difficulty with speech. Feelings of depression ... Doc Viewer
WHAT TO EXPECT AFTER A CAR ACCIDENT
WHAT TO EXPECT AFTER A CAR ACCIDENT What might I feel? • Stiffness in your neck, back, • Headaches, dizziness, nausea • Ringing in your ears • Soreness across the chest area from the seat belt • Generalized body aches and pains • Tiredness or cold-like symptoms • Weakness ... Access Doc
PERSONAL INJURY REPORT
Please describe the accident in detail: Were you the: DRIVER PASSENGER PEDESTRIAN Was your car struck: HEAD ON BEHIND RIGHT SIDE LEFT SIDE PARKED Did your car strike the other car Tension Numbness in Fingers Ears Ringing ... Read Full Source
Jeffrey E. Poplarski, D.C. Patient Information Sheet
CAR ACCIDENT / NO-FAULT PERSONAL INJURY QUESTIONNAIRE Name: Ears Ringing Face Flushed Buzzing in Ears Loss of Balance Fainting Loss of Smell Loss of Taste Diarrhea Feet Cold Hands Cold Stomach Upset Constipation Cold Sweats Fever _____ ... Access This Document
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I woke up when a loud ringing echoed through the empty house, ivory and Ian were staying with my mom this weekend. I was all alone again. I looked around me see the house phone lit up. I took it in my hand and brought it to my ears. "hello?" I asked in my raspy voice, what? It was 5 ... View Video
Your Guide To TinniTus
Your Guide to Tinnitus (Ringing in the Ears) Richard Tyler PhD, The University of Iowa, Iowa City, IA Definitions from a car accident or fall), as a side effect of medications (e.g. aspirin). Tinnitus is almost always accompanied by hearing loss. ... View Document
Patient Case History
Car accident ! work injury ! sports injury ! home injury! fall ! slip ! no apparent reason, just started ! pregnancy loss of balance ! ringing in ears ! irritability ! diarrhea ! cold hands ! heart trouble ! memory loss! fainting ! stomach problems ! chest pain ! ... Doc Retrieval
History- Auto Accident
Auto Accident Information Today’s Date: Date of Accident: Which parts of your head or body hit what parts of the inside of the car: Did you see the accident coming? Midback pain/stiffness Nausea Ringing in the ears ... Retrieve Content
NOT TO BE PUBLISHED IN OFFICIAL REPORTS - California
Headaches, a ringing in his ears, severe neck pain, and numbness in his arms and hands. were the result of the more recent car accident. Additionally, Saad admitted he suffered a work-related back injury in 1990, and his physician recommended surgery to repair that ... Fetch Document
NEW ADULT PATIENT HISTORY INTAKE - St Louis Chiropractor - Dr ...
O Sleeping Trouble o Car Accident (s) o Ringing Ears o Facial Pain o Allergies o Fatigue o Balance Trouble o Other _____ Personal Health Habits o Smoker (daily, occasionally) o Poor Diet o Using artificial sweeteners o Yearly flu shot o Alcohol (daily, socially) o ... Fetch Doc
Tinnitus Has No Cure; Some Sufferers Found Relief In New ...
Buzz Kill: Scientists Aim to Stop Ringing Ears Tinnitus Has No Cure; Some Sufferers Found Relief in New Treatments By LAURA ZACCARO, CATHY BECKER and IMAEYEN IBANGA ... Read Full Source
Did you have Blurred vision Ringing in ears Accident Mechanism Were you the Driver Passenger (Front / Rear) Were you at fault? Estimate the speed of the other car involved in the accident _____ mph Were they speeding up slowing down moving at a constant speed ... Access This Document
Auto Accident
Auto Accident Patient Name: Date of Accident: Address: Patient Insurance: Claim others in car [ ] yes [ ] no were ringing in the ears [ ] poor circulation [ ] mental dullness ... Visit Document
Dizziness - Wikipedia, The Free Encyclopedia
Dizziness is an impairment in spatial perception and stability. Because the term dizziness is imprecise, it can refer to vertigo, presyncope, disequilibrium, or a non-specific feeling such as giddiness or foolishness. One can induce dizziness by engaging in disorientating activities such as ... Read Article
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