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Evaluation

Are you evaluating a patient with clinical findings affected the head and/or neck?

Does the patient have?

• an orbital mass?

• a neuropathy involving a cranial nerve?

• unexplained motility of a tooth (not due to periodontal disease or trauma)?

• a persistent nasal obstruction?

• a persistent red or reddish-white patch of the oral mucosa?

Duration of the following findings in weeks (enter 0 if absent):

• hoarseness

weeks

• ulceration of the oral mucosa

weeks

• an oral swelling or mass

weeks

• dysphagia

weeks

• an unresolved neck mass

weeks

Results

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