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Medical Info
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General Health
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Area of Complaint
Left Side of Neck
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Right Side of Neck
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Left Side of Upper Back
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Right Side of Upper Back
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Left Side of Mid Back
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Right Side of Mid Back
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Left Side of Low Back
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Right Side of Low Back
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Chest
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Abdomen
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Left Arm
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Right Arm
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Left Shoulder
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Right Shoulder
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Left Elbow
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Right Elbow
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Left Wrist
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Right Wrist
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Left Hand
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Right Hand
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Left Leg
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Right Leg
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Left Hip
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Right Hip
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Left Knee
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Right Knee
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Left Ankle
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Right Ankle
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Left Foot
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Right Foot
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Headaches
Sinus
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Chronic Daily Headache
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Migraines
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Headaches
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Other Headaches
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Family History
Arthritis
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Cardiovascular
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Respiratory
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Cancer
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Neurological
Cerebral Palsy
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Syringomyelia
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Burning
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Brain Injury
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Stroke
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Parkinsons
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Cerebral-vascular Accident
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Tingling
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Seizure Disorder
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Herniated Disc
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Transient Ischemic Attacks (TIA)
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Shingles
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Dizziness
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Loss of Sensation
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Sciatic Pain
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Vertebral and Spinal Cord Injury
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Chiari Malformation
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Numbness
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Chronic Pain Disorder
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Epilepsy
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Other Neurological
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Hearing
Hearing Loss
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Conductive Hearing Loss
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Motion Sickness
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Tinnitus
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Vertigo
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Other Hearing
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Musculoskeletal
Osgood-Schlatter Disease
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Temporomandibular Joint Dysfunction
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Osteomalacia
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Arthritis
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Degenerative Disk Disease
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Paget Disease
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Carpal Tunnel Syndrome
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Torticollis
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Scoliosis
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Sinus Problems
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Chronic Myofascial Pain Syndrome
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Ankylosing Spondylitis
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Whiplash
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Bone Disease
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Osteoporosis
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Strain/Sprain
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Jaw Pain (TMJD)
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Compartment Syndrome
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Muscular Dystrophy
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Dislocation
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Artificial Joints / Special Equipment
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Spondylolisthesis
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Fracture
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Other Musculoskeletal
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Cardiovascular
Aneurysm
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Varicose Veins
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Hyperlipidemia
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Angina
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Pericarditis
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Cardiovascular Accident
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Atherosclerosis
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Raynaud Disease
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Pacemaker
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Cardiac Arrhythmia
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High Blood Pressure
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Cardiovascular Conditions
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Heart Disease
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Chronic Ischemic Heart Disease
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Low Blood Pressure
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Blood Pressure
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Cold Hands
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Congenital Heart Defect
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Congestive Heart Failure
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Blood Clots
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Cold Feet
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Coronary Artery Disease
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Heart Attack
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Lymphedema
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Phlebitis
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Other Cardiovascular
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Blood
High Cholesterol
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Haemophilia
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Hepatitis
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HIV
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Anemia
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Bleeding Disorder
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Thrombosis/Embolism
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HIV/AIDS
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Other Blood
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Respiratory
Chronic Cough
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Shortness of Breath
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Infectious Respiratory Conditions
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Asthma
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Respiratory Tract Infection
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Cystic Fibrosis
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Tuberculosis
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Other Respiratory
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Endocrine
Hyperthyroidism
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Prostate Condition
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Hypothyroidism
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Diabetes
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Other Endocrine
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Reproductive
Ovarian Cysts/Tumors
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Pelvic Inflammatory Disease
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Uterine Disorder
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Breast Disorder
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Ectopic Pregnancy
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Endometriosis
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Pregnancy
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Menopause
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Gynaecological Conditions
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Menstrual Cycle Disorder
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Other Reproductive
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Kidney
Kidney Stones
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Urinary Incontinence
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Urinary Tract Infection
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Chronic Kidney Disease
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Other Kidney
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Immune
Cancer
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Lupus
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Rheumatoid Arthritis
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Anaphylaxis
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Infectious Mononucleosis
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Allergies
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Leukemia
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Other Immune
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Skin
Infectious Skin Conditions
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Bruise Easily
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Herpes
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Acne
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Eczema
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Athletes Foot
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Psoriasis
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Other Skin
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Gastrointestinal
Celiac Disease
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Digestive Conditions
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Crohn's Disease
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Constipation
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Diarrhea
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Eating Disorder
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Irritable Bowel Syndrome
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Poor Appetite
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Other Gastrointestinal
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Miscellaneous
Insomnia
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ADHD
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Vision Problems
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Liver Disease
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Surgical Pins or Wire
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Autism
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Vision Loss
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Other Medical Conditions
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Other Diagnosed Diseases
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