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1DVBCWML1 ;ALB/CMM MOUTH, LIPS AND TONGUE WKS TEXT - 1 ; 5 MARCH 1997
2 ;;2.7;AMIE;**12**;Apr 10, 1995
3 ;
4 ;
5TXT ;
6 ;;A. Review of Medical Records:
7 ;;
8 ;;
9 ;;
10 ;;B. Medical History (Subjective Complaints):
11 ;;
12 ;;
13 ;;
14 ;;C. Physical Examination (Objective Findings):
15 ;;
16 ;; Address each of the following and fully describe current findings:
17 ;; 1. Disfigurement - if present, order COLOR PHOTOGRAPHS.
18 ;;
19 ;;
20 ;; 2. Interference with mastication.
21 ;;
22 ;;
23 ;; 3. Interference with speech - state extent.
24 ;;
25 ;;
26 ;; 4. Absence of all or part of tongue - describe.
27 ;;
28 ;;
29 ;;D. Diagnostic and Clinical Tests:
30 ;;
31 ;; 1. Include results of all diagnostic and clinical tests conducted
32 ;; in the examination report.
33 ;;
34 ;;
35 ;;E. Diagnosis:
36 ;;
37 ;;
38 ;;Signature: Date:
39 ;;END
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