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[613] | 1 | DVBCWSS1 ;ALB/CMM SENSE OF SMELL AND TASTE WKS TEXT - 1 ; 6 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 | ;;
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| 17 | ;;
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| 18 | ;;D. Diagnostic and Clinical Tests:
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| 19 | ;;
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| 20 | ;; 1. For SENSE OF SMELL, test each side of nose separately. State
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| 21 | ;; results with the following substances recommended for testing
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| 22 | ;; a. Coffee.
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| 23 | ;; b. Soap.
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| 24 | ;; c. Oil of lemon.
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| 25 | ;; d. Other (state substance).
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| 26 | ;;
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| 27 | ;;
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| 28 | ;; 2. For SENSE OF TASTE
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| 29 | ;; a. Using electrogustometry if available, test for:
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| 30 | ;; (1) Sweet.
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| 31 | ;; (2) Sour.
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| 32 | ;; (3) Bitter.
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| 33 | ;; (4) Salt.
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| 34 | ;;
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| 35 | ;;
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| 36 | ;; b. State results with the following substances recommended
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| 37 | ;; for testing:
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| 38 | ;; (1) Sugar.
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| 39 | ;; (2) Diluted acetic acid.
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| 40 | ;; (3) Lemon or Orange.
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| 41 | ;; (4) Salt.
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| 42 | ;;
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| 43 | ;;
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| 44 | ;; 3. Include results of all diagnostic and clinical tests conducted
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| 45 | ;; in the examination report.
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| 46 | ;;
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| 47 | ;;TOF
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| 48 | ;;E. Diagnosis:
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| 49 | ;;
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| 50 | ;; Provide:
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| 51 | ;; 1. State whether loss of sense of smell is partial or complete,
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| 52 | ;; and its basis.
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| 53 | ;; 2. State whether loss of sense of taste is partial or complete,
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| 54 | ;; and its basis.
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| 55 | ;; 3. If a psychiatric basis is suspected, a special psychiatric
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| 56 | ;; examination should be ordered.
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| 57 | ;;
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| 58 | ;;
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| 59 | ;;Signature: Date:
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| 60 | ;;END
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