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Syndromes / Carpal tunnel syndrome / Carpal tunnel / Complex regional pain syndrome / Carpus / Median nerve / Endoscopic carpal tunnel release / Phalen maneuver / Anatomy / Health / Wrist


Med Rec. No………………………………………………………… CONSENT FORM Surname:………………………………………………..……………
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Document Date: 2007-10-11 23:05:54


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File Size: 192,31 KB

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MedicalCondition

light-headedness / carpal tunnel syndrome / scar / pain / cut / needlestick/sharps injury / HIV / reflex sympathetic dystrophy / blood clot / headache / high blood pressure / wound infection / constipation / rash / heart disease / disorders / /

MedicalTreatment

antibiotics / /

Position

Date signature Interpreter / surgeon / neurosurgeon / INTERPRETER / /

Product

PRE-OP / /

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