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Patient received diagnostic block consisting of
• • •
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with
• • •
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into the__intermetatarsal space
• • •
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Side
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for___ccs total
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Onset of anesthesia
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Patient tolerated the injection well?
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With the onset of anesthesia_relief of pain
• • •
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Pt to keep a log of there foot pain/absence
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Return appointment 1 week
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Return appointment
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