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The top photo, is a Manduca quinquemaculata moth

doi:10.1525/maq.2001.15.2.147

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Document patient tobacco use utilizing one of the following identification methods: Add tobacco use as a vital sign in the chart or EMR Use ICD-10 codes in the medical record Place a chart stamp in the medical chart If identified as a tobacco product user, discuss smoking cessation regimens (quitting options) with the patient

Talk and listen to the patient about tobacco use