DVBCWED1 ;ALB/CMM EAR DISEASE WKS TEXT - 1 ; 6 MARCH 1997 ;;2.7;AMIE;**12**;Apr 10, 1995 ; ; TXT ; ;;A. Review of Medical Records: ;; ;; ;; ;;B. Medical History (Subjective Complaints): ;; ;; ;; ;;C. Physical Examination (Objective Findings): ;; ;; 1. Address each of the following and describe current findings, ;; including abnormalities of size, shape, or form: ;; ;; a. Auricle. ;; ;; ;; b. External canal. ;; ;; ;; ;; c. Tympanic membrane. ;; ;; ;; d. The tympanum. ;; ;; ;; e. The mastoid. ;; ;; ;; f. All conditions secondary to ear disease, such as disturbance ;; of balance, upper respiratory disease, hearing loss, etc. ;; ;; ;; 2. State whether an active ear disease is present. ;; ;; ;; 3. Infections of the middle or inner ear. ;; ;; ;;D. Diagnostic and Clinical Tests: ;; ;; 1. Include results of all diagnostic and clinical tests conducted ;; in the examination report. ;; ;; ;;E. Diagnosis: ;; ;; ;;Signature: Date: ;;END