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c. Achilles tendonitis or Achilles tendon rupture. If checked, indicate side affected: Right Left Both ... (thumb to index finger): Right: 5/5 4/5 3/5 2/5 1/5 0/5. Left: 5/5 4/5 3/5 2/5 1/5 0/5 ... Implanted automatic implantable cardioverter defibrillator (AICD) ICD code: _____ Date of diagnosis: _____ ... ................
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