DVBCGMC1 ;ALB ISC/THM-TEXT FOR GEN MED EXAM ; 5/21/91 9:47 AM ;;2.7;AMIE;;Apr 10, 1995 ; PTXT F AW=0:1 S AX=$T(@TXT+AW) S AY=$P(AX,";;",2) W:AY="END" !! Q:AY="END" W AY,! Q ; TXT2 ;;(describe type, area, extent of lesions and ;; report injuries, including burns in the MUSCULOSKELETAL section of this ;; form): ;;END ; TXT3 ;;(describe local or generalized adenopathy, ;; enlargement, tenderness, suppuration blocking of lymphatic circulation, ;; etc..): ;;END ; TXT4 ;;(describe findings on inspection and palpation, ;; enlargements, masses, tenderness or rigidity, hemorrhoids (internal/external ;; fissures, bowel movements - control or lack of): ;;END ; TXT5 ;;(describe type, location, size, whether complete, reducible, recurrent, ;; supported by truss or belt, and whether operable): ;;END ; TXT6 ;;(describe kidneys, bladder, frequency ;; of urination and control or lack thereof, prostate, seminal ;; vesicles, testes, cord, penis, and appendages; evidence of ;; past or present venereal disease; for females report pelvic ;; exam, if indicated): ;;END ; TXT7 ;; 1. Diseases and injuries (include effect of gunshot wounds and other ;; injuries on skin and underlying structures) - ;; ;; ;; ;; ;; 2. Scars (describe location, measurements, depression, type oftissue ;; loss adherence, disfiguration and tenderness) - ;; ;; ;; ;; ;; 3. Functional effects (describe location, swelling, atrophy, tenderness, ;; degree of limitation of flexion and extension, angle of fixation, fracture ;; or disease, fibrous or bony residual and specify mechanical aid used and ;; benefit) - ;; ;; ;; ;; ;; 4. Feet (describe objective evidence of pain at rest and on manipulation, ;; rigidity, spasm, circulatory disturbance, swelling, callus, strength, ;; mobility of ankles, feet, toes and limitation in degrees and indicate ;; whether right or left, acquired or congenital) - ;; ;; ;; ;; ;; 5. Burns (indicate degree, shape and dimension, specifying inches ;; or centimeters)- ;; ;; ;;END TXT8 ;; 1. Neurological (describe motor status, coordination, reflexes, sensory ;; status equilibrium and give level of lesion) - ;; ;; ;; ;; ;; 2. Psychiatric and Personality (describe behavior, comprehension, ;; coherence of response, emotional reaction, orientation, memory, signs ;; of tension and response as to social and industrial capacity) - ;; ;; ;; ;; ;; ;; 3. State whether the veteran is capable of managing his/her benefit payments ;; in the individual's own best interests without restriction (a physicial ;; disability which prevents the veteran from attending to financial ;; matters in person is not proper basis for a finding of incompetency ;; unless the veteran is, by reason of that disability, incapable of ;; directing someone else in handling the individual's financial affairs) - ;; ;; ;; ;; ;;END ; TXT9 ;;(describe cough, expectoration, mobility, palpation, ;; percussion, and auscultation and specify the area as well as ;; the veteran's tolerance for exercise, such as how far can he ;; walk, how many flights of stairs can he climb, etc.): ;;END ; TXT10 ;;In many cases, this general examination will be the only examination conducted. ;;Accordingly, it is vital that all significant functional deficits should ;;be identified and described, including, but not limited to, the body systems ;;and parts involved in the history and present complaints. If the examiner deems ;;that additional special studies and/or examinations are necessary for proper ;;diagnosis and/or evaluation, specific recommendations should be made. ;; ;;Negative results may be summarized as "negative" or "normal". ;;END