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1 | DVBCWML1 ;ALB/CMM MOUTH, LIPS AND TONGUE 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 | ;;
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13 | ;;
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14 | ;;C. Physical Examination (Objective Findings):
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15 | ;;
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16 | ;; Address each of the following and fully describe current findings:
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17 | ;; 1. Disfigurement - if present, order COLOR PHOTOGRAPHS.
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18 | ;;
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19 | ;;
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20 | ;; 2. Interference with mastication.
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21 | ;;
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22 | ;;
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23 | ;; 3. Interference with speech - state extent.
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24 | ;;
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25 | ;;
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26 | ;; 4. Absence of all or part of tongue - describe.
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27 | ;;
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28 | ;;
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29 | ;;D. Diagnostic and Clinical Tests:
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30 | ;;
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31 | ;; 1. Include results of all diagnostic and clinical tests conducted
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32 | ;; in the examination report.
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33 | ;;
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34 | ;;
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35 | ;;E. Diagnosis:
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36 | ;;
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37 | ;;
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38 | ;;Signature: Date:
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39 | ;;END
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