| Document Date: 2012-02-05 22:31:01
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/ IndustryTerm food / / MedicalCondition Health Maintenance/cancer / urine Foamy urine Neurologic Headache Migraine Weakness Numbness / Rheumatic Fever Scarlet fever Tuberculosis Histoplasmosis Urine infection Pneumonia Lyme disease Urethritis Mononucleosis Diverticulitis Other infections / pain / ALLERGIES / allergic reaction / peptic ulcer / Chest pain / Manifestations Treatment Infections / hay fever / hives / High blood pressure / HPV / e.g. high blood pressure / rash / Skin tightness Lungs Cough Chest pain / pleurisy / Ear pain / Coughing / Illness Rheumatoid arthritis Systemic lupus / asthma / / MedicalTreatment Immunization / Surgery / Immunizations / surgeries / / Organization FACP Physician-in-Chief Emeritus Hospital for Special Surgery / / Person Pneumovax Herpes Zoster / Stephen A. Paget / / / Position psychiatrist / cardiologist / Surgery Surgeon / / Region West New York / / Technology cellular telephone / /
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Pre-operative medical evaluation questionnaire