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Pregnancy / Puberty / Biology / Breast cancer / Yes / Gestation / Medicine / Genetics / Proband


COST Imprinting Disorder questionnaire and generic examination tool: Health professional to patient versionParticipant’s full name: _____________________________
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Document Date: 2015-02-08 12:12:44


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File Size: 316,31 KB

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IndustryTerm

generic examination tool / food / /

MedicalCondition

intrauterine growth retardation / COST imprinting disorder / Disorder / prolonged starvation / Poor appetite / constipation / Undescended testes / palate Prominent jaw Yes Yes Yes Yes Yes Yes No No No No No No Unknown Unknown Unknown Unknown Unknown Unknown Hypogonadism Hypospadias / Gastroesophageal reflux / Severe nausea / Craniosynostosis / /

MedicalTreatment

Assisted Reproductive Technology / /

MusicGroup

Yes / /

Organization

Primary School / /

Position

Yes No Unknown General / Weight kg Head / /

Product

GH medication / Folic acid / Name medication / /

ProvinceOrState

Oregon / /

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