Last change
on this file since 1606 was 628, checked in by George Lilly, 15 years ago |
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[628] | 1 | DVBCWAW1 ;ALB/CMM ARRHYTHMIAS WKS TEXT - 1 ; 5 MARCH 1997
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| 2 | ;;2.7;AMIE;**12**;Apr 10, 1995
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| 3 | ;
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| 4 | ;
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| 5 | TXT ;
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| 6 | ;;A. Review of Medical Records:
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| 7 | ;;
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| 8 | ;;
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| 9 | ;;B. Medical History (Subjective Complaints):
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| 10 | ;;
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| 11 | ;; Comment on:
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| 12 | ;; 1. Syncope, Stokes-Adams attacks - frequency?, precipitating factors?
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| 13 | ;;
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| 14 | ;;
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| 15 | ;; 2. Other symptoms related to arrhythmia or its treatment.
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| 16 | ;;
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| 17 | ;;
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| 18 | ;; 3. Current treatment, response, side effects.
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| 19 | ;;
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| 20 | ;;
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| 21 | ;; 4. Describe the effects of the condition on the veteran's usual
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| 22 | ;; occupation and daily activities.
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| 23 | ;;
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| 24 | ;;
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| 25 | ;;C. Physical Examination (Objective Findings):
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| 26 | ;;
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| 27 | ;; Address each of the following and fully describe current findings:
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| 28 | ;; 1. Heart rate and rhythm.
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| 29 | ;;
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| 30 | ;;
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| 31 | ;; 2. If arrhythmia is paroxysmal, what is frequency? Severity?
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| 32 | ;; What are precipitating factors?
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| 33 | ;;
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| 34 | ;;
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| 35 | ;; 3. Pacemaker present? If so, when inserted, effectiveness, side effects.
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| 36 | ;;
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| 37 | ;;
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| 38 | ;;D. Diagnostic and Clinical Tests:
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| 39 | ;;
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| 40 | ;; 1. EKG.
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| 41 | ;; 2. Holter monitor, other tests as indicated.
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| 42 | ;; 3. Include results of all diagnostic and clinical tests conducted
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| 43 | ;; in the examination report.
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| 44 | ;;
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| 45 | ;;
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| 46 | ;;E. Diagnosis:
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| 47 | ;;
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| 48 | ;;
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| 49 | ;;Signature: Date:
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| 50 | ;;END
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