Patient Identification & Communication

• Confirm patient identity (full name, date of birth, ID number).
• Explain the assessment process and obtain informed consent for preoperative workup.
• Use language appropriate to the patient (interpreter if needed).
• Confirm procedure, side, and site of surgery.

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???? 2. Medical History (Head-to-Toe Review)

System	Key Questions
Cardiovascular	Hypertension, chest pain, heart failure, palpitations, past MI, pacemaker
Respiratory	Asthma, COPD, recent infections, smoking history, dyspnea
Neurological	Stroke, seizures, cognitive status, mobility issues
Renal	Chronic kidney disease, dialysis, uri

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