DVBCWHD1 ;ALB/CMM HEMIC DISORDERS WKS TEXT ; 5 MARCH 1997
 ;;2.7;AMIE;**12**;Apr 10, 1995
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TXT ;
 ;;A.  Review of Medical Records: 
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 ;;B.  Medical History (Subjective Complaints):
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 ;;    Comment on:
 ;;    1.  Frequency and duration of crisis if sickle cell disease.
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 ;;    2.  Fatigability and/or weakness?  (Is light manual labor precluded?)
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 ;;    3.  Headaches?
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 ;;    4.  History of infections?  If yes, frequency and response to therapy?
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 ;;    5.  Shortness of breath?  If yes, with what degree of exertion?
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 ;;    6.  Chest pain?  Symptoms of claudication?
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 ;;    7.  History and frequency of transfusions, phlebotomy, bone marrow
 ;;        transplant, myelo-suppressant therapy.
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 ;;    8.  Symptoms of other end organ pathology?
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 ;;    9.  Disease activity (exacerbations/remission)?  If there were 
 ;;        exacerbations, what was the state of the veteran's health 
 ;;        between exacerbations?
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 ;;   10.  Current and past treatment history including date and type of
 ;;        last treatment?
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 ;;   11.  Syncope, lightheadedness.
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 ;;TOF
 ;;C.  Physical Examination (Objective Findings):
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 ;;    Address each of the following as appropriate to the condition 
 ;;    being examined and fully describe current findings:
 ;;    1.  Swelling of hands and/or feet (edema)?
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 ;;    2.  Presence of pallor (nail beds, mucosal surfaces, and skin)?
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 ;;    3.  Any other significant physical exam findings?
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 ;;    4.  Residuals of bone or other vascular infarction.
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 ;;    5.  Congestive heart failure?
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 ;;D.  Diagnostic and Clinical Tests:
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 ;;    1.  Hemoglobin level, platelet count, CBC.
 ;;    2.  X-rays of bones or joints as indicated.
 ;;    3.  Include results of all diagnostic and clinical tests conducted
 ;;        in the examination report.
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 ;;E.  Diagnosis:
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 ;;    1.  Is the disease active?
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 ;;Signature:                             Date:
 ;;END