DVBCWHI1 ;ALB/CMM HIV-RELATED ILLNESS WKS TEXT - 1 ; 6 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.  Recurrent opportunistic infections.
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 ;;    2.  Recurrent constitutional symptoms.
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 ;;    3.  Diarrhea.
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 ;;    4.  Debility.
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 ;;    5.  Progressive weight loss.
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 ;;    6.  Remissions in any symptomatology.
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 ;;    7.  Depression or memory loss.
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 ;;    8.  Treatment - Is this an approved medication?
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 ;;    9.  Describe the effects of the condition on the veteran's usual 
 ;;        occupation and daily activities.
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 ;;C.  Physical Examination (Objective Findings):
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 ;;    Address each of the following and fully describe:
 ;;    1.  Definitive diagnosis of AIDS.  (Use CDC Definition.)
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 ;;    2.  Secondary diseases affecting multiple body systems - describe.
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 ;;    3.  HIV-related illnesses - describe.
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 ;;    4.  Neoplasm related to HIV-related illness.  Describe.
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 ;;    5.  T4 cell counts.
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 ;;    6.  Hairy cell leukoplakia.
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 ;;    7.  Oral candidiasis.
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 ;;    8.  Use of HIV-related medications.
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 ;;    9.  Lymphadenopathy.
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 ;;D.  Diagnostic and Clinical Tests:
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 ;;    Provide:
 ;;    1.  T4 Cell counts.
 ;;    2.  Include results of all diagnostic and clinical tests conducted
 ;;        in the examination report.
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 ;;E.  Diagnosis:
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 ;;Signature:                             Date:
 ;;END