source: FOIAVistA/tag/r/AUTOMATED_MED_INFO_EXCHANGE-DVBA-DVBC/DVBCWAC1.m@ 628

DVBCWAC1 ;ALB/CMM ACROMEGALY WKS TEXT - 1 ; 5 MARCH 1997
 ;;2.7;AMIE;**12**;Apr 10, 1995
 ;
 ;
TXT ;
 ;;A.  Review of Medical Records:
 ;;
 ;;
 ;;
 ;;B.  Medical History (Subjective Complaints):
 ;;
 ;;    Comment on:
 ;;    1.  Date diagnosis established.
 ;;
 ;;
 ;;    2.  Joint pains.
 ;;
 ;;
 ;;    3.  Changes in vision.
 ;;
 ;;
 ;;    4.  Headaches (severity and frequency).
 ;;
 ;;
 ;;    5.  Cardiac symptoms.
 ;;
 ;;
 ;;    6.  Change in shoe, glove, or hat size.
 ;;
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 ;;    7.  Symptoms of glucose intolerance.
 ;;
 ;;
 ;;8.  Treatments.
 ;;
 ;;
 ;;C.  Physical Examination (Objective Findings):
 ;;
 ;;    Address each of the following and fully describe current findings:
 ;;    1.  Arthropathy.
 ;;
 ;;
 ;;    2.  Vascular fragility.
 ;;
 ;;
 ;;    3.  Evidence of increased intracranial pressure.
 ;;
 ;;
 ;;    4.  Size of acral parts, long bones.
 ;;
 ;;
 ;;    5.  Visual impairment, including visual fields.
 ;;
 ;;
 ;;D.  Diagnostic and Clinical Tests:
 ;;
 ;;    Provide:
 ;;    1.  CT of brain or X-ray of sella turcica.
 ;;    2.  Glucose tolerance test.
 ;;    3.  Include results of all diagnostic and clinical tests conducted
 ;;        in the examination report.
 ;;
 ;;
 ;;E.  Diagnosis:
 ;;
 ;;    Comment on:
 ;;    1.  Is the disease active or in remission?
 ;;
 ;;
 ;;Signature:                             Date:
 ;;END