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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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