- DVBCWML1 ;ALB/CMM MOUTH, LIPS AND TONGUE WKS TEXT - 1 ; 5 MARCH 1997
- ;;2.7;AMIE;**12**;Apr 10, 1995
- ;
- ;
- TXT ;
- ;;A. Review of Medical Records:
- ;;
- ;;
- ;;
- ;;B. Medical History (Subjective Complaints):
- ;;
- ;;
- ;;
- ;;C. Physical Examination (Objective Findings):
- ;;
- ;; Address each of the following and fully describe current findings:
- ;; 1. Disfigurement - if present, order COLOR PHOTOGRAPHS.
- ;;
- ;;
- ;; 2. Interference with mastication.
- ;;
- ;;
- ;; 3. Interference with speech - state extent.
- ;;
- ;;
- ;; 4. Absence of all or part of tongue - describe.
- ;;
- ;;
- ;;D. Diagnostic and Clinical Tests:
- ;;
- ;; 1. Include results of all diagnostic and clinical tests conducted
- ;; in the examination report.
- ;;
- ;;
- ;;E. Diagnosis:
- ;;
- ;;
- ;;Signature: Date:
- ;;END
- --- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCWML1 875 printed Jan 18, 2025@02:53:54 Page 2
- DVBCWML1 ;ALB/CMM MOUTH, LIPS AND TONGUE WKS TEXT - 1 ; 5 MARCH 1997
- +1 ;;2.7;AMIE;**12**;Apr 10, 1995
- +2 ;
- +3 ;
- TXT ;
- +1 ;;A. Review of Medical Records:
- +2 ;;
- +3 ;;
- +4 ;;
- +5 ;;B. Medical History (Subjective Complaints):
- +6 ;;
- +7 ;;
- +8 ;;
- +9 ;;C. Physical Examination (Objective Findings):
- +10 ;;
- +11 ;; Address each of the following and fully describe current findings:
- +12 ;; 1. Disfigurement - if present, order COLOR PHOTOGRAPHS.
- +13 ;;
- +14 ;;
- +15 ;; 2. Interference with mastication.
- +16 ;;
- +17 ;;
- +18 ;; 3. Interference with speech - state extent.
- +19 ;;
- +20 ;;
- +21 ;; 4. Absence of all or part of tongue - describe.
- +22 ;;
- +23 ;;
- +24 ;;D. Diagnostic and Clinical Tests:
- +25 ;;
- +26 ;; 1. Include results of all diagnostic and clinical tests conducted
- +27 ;; in the examination report.
- +28 ;;
- +29 ;;
- +30 ;;E. Diagnosis:
- +31 ;;
- +32 ;;
- +33 ;;Signature: Date:
- +34 ;;END