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[613] | 1 | DVBCWAC1 ;ALB/CMM ACROMEGALY WKS TEXT - 1 ; 5 MARCH 1997
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| 2 | ;;2.7;AMIE;**12**;Apr 10, 1995
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| 3 | ;
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| 4 | ;
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| 5 | TXT ;
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| 6 | ;;A. Review of Medical Records:
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| 7 | ;;
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| 8 | ;;
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| 9 | ;;
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| 10 | ;;B. Medical History (Subjective Complaints):
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| 11 | ;;
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| 12 | ;; Comment on:
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| 13 | ;; 1. Date diagnosis established.
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| 14 | ;;
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| 15 | ;;
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| 16 | ;; 2. Joint pains.
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| 17 | ;;
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| 18 | ;;
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| 19 | ;; 3. Changes in vision.
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| 20 | ;;
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| 21 | ;;
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| 22 | ;; 4. Headaches (severity and frequency).
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| 23 | ;;
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| 24 | ;;
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| 25 | ;; 5. Cardiac symptoms.
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| 26 | ;;
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| 27 | ;;
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| 28 | ;; 6. Change in shoe, glove, or hat size.
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| 29 | ;;
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| 30 | ;;
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| 31 | ;; 7. Symptoms of glucose intolerance.
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| 32 | ;;
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| 33 | ;;
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| 34 | ;;8. Treatments.
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| 35 | ;;
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| 36 | ;;
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| 37 | ;;C. Physical Examination (Objective Findings):
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| 38 | ;;
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| 39 | ;; Address each of the following and fully describe current findings:
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| 40 | ;; 1. Arthropathy.
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| 41 | ;;
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| 42 | ;;
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| 43 | ;; 2. Vascular fragility.
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| 44 | ;;
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| 45 | ;;
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| 46 | ;; 3. Evidence of increased intracranial pressure.
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| 47 | ;;
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| 48 | ;;
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| 49 | ;; 4. Size of acral parts, long bones.
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| 50 | ;;
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| 51 | ;;
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| 52 | ;; 5. Visual impairment, including visual fields.
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| 53 | ;;
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| 54 | ;;
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| 55 | ;;D. Diagnostic and Clinical Tests:
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| 56 | ;;
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| 57 | ;; Provide:
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| 58 | ;; 1. CT of brain or X-ray of sella turcica.
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| 59 | ;; 2. Glucose tolerance test.
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| 60 | ;; 3. Include results of all diagnostic and clinical tests conducted
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| 61 | ;; in the examination report.
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| 62 | ;;
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| 63 | ;;
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| 64 | ;;E. Diagnosis:
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| 65 | ;;
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| 66 | ;; Comment on:
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| 67 | ;; 1. Is the disease active or in remission?
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| 68 | ;;
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| 69 | ;;
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| 70 | ;;Signature: Date:
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| 71 | ;;END
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