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Get Form 8584 2014-2024

Om medications Sore throats Difficulty speaking Difficulty swallowing Tonsil enlargement Thyroid enlargement No Date: Results: Comments Cardiovascular Y N Y N Y Edema ................................. Cool/Numb extremities ........... Capillary refill less than or equal to two seconds ............... Chest pain ........................... Activities of daily living (ADL) limitations ............................... Compression stockings ........... High/Low blood pressure .

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