DVBCMDCK ;ALB/GTS-557/THM-MISCELLANEOUS NEUROLOGICAL DISORDERS EXAM ; 12/10/90 8:36 AM ;;2.7;AMIE;;Apr 10, 1995 ; S PG=1,HD91="Department of Veterans Affairs",HD9=$S($D(CMBN):"Abbreviated",1:"Full")_" Exam Worksheet" EN D:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# 1225 Worksheet" S HD7="MISCELLANEOUS NEUROLOGICAL DISORDERS",HD8="For "_HD7 W !?(40-($L(HD9)\2)),HD9,!?(40-($L(HD8)\2)),HD8,!! W !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",HD7 W !!!!,"Narrative:" S LX="TXT" F I=1:1 S LY=$T(@LX+I) Q:LY["END" W ?13,$P(LY,";;",2),! W !! I '$D(CMBN) W "A. Medical history:",!!!!!!!!!!,"B. Subjective complaints:",!!!!!!!!!!,"C. Objective findings:" D HD2 W $S($D(CMBN):"A. ",1:"D. "),"Specific evaluation information required by the rating board",!?4,"(if the information requested is included elsewhere, do not",!?4,"repeat here):",!!! S LX="TXT1" F I=1:1 S LY=$T(@LX+I) Q:LY["END" W $P(LY,";;",2),! W !!!!!!! S LX="TXT2" F I=1:1 S LY=$T(@LX+I) Q:LY["END" W $P(LY,";;",2),! W !!!!!!!!!!!! D:$D(CMBN) HD2 S LX="TXT3" F I=1:1 S LY=$T(@LX+I) Q:LY["END" W $P(LY,";;",2),! W !!!!!!!!!!!! D:'$D(CMBN) HD2 W $S($D(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!!!!!! W $S($D(CMBN):"C. ",1:"F. "),"Diagnosis:",!!!!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",! K LN,LN1,LN2 Q ; HD2 S PG=PG+1 W @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for ",HD7,!,"for ",NAME,!!! Q ; SETIOF ; ** Set device control var's D HOME^%ZIS Q ; TXT ; ;;If the diagnosis is NOT established or is questioned at some later ;;date, schedule necessary special studies, including admission ;;for a period of examination and observation, as appropriate to ;;provide a definitive diagnosis. ;;END ; TXT1 ; ;; 1. Migraine: Obtain the best possible history of frequency and duration ;; of attacks and description of level of activity the veteran can maintain ;; during the attacks. For example, state if the attacks are prostrating in ;; nature or if ordinary activity is possible - ;;END TXT2 ; ;; 2. Tics and paramyoclonus complex: Ascertain the muscle group(s) ;; involved and obtain the best possible history of frequency and severity ;; of attacks - ;;END TXT3 ; ;; 3. Chorea, choreiform disorders, etc: Describe manifestations by ;; impairment of strength, coordination, tremor, etc., with particular ;; attention to the effects of the performance of ordinary activities ;; of daily living - ;;END