DVBCWIW1 ;ALB/CMM INTESTINES (LARGE AND SMALL) 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. Weight gain or loss. ;; ;; ;; 2. Nausea and/or vomiting. ;; ;; ;; 3. Constipation, diarrhea (frequency, severity, duration, and ;; episodic or not?). ;; ;; ;; 4. For fistula - frequency, duration, and amount of fecal discharge. ;; ;; ;;C. Physical Examination (Objective Findings): ;; ;; Address each of the following and fully describe current findings: ;; 1. Malnutrition, anemia, other evidence of debility. ;; ;; ;; 2. Abdominal pain - location, type, frequency, and duration. ;; ;; ;; 3. Current treatment - type, duration, response, and side effects. ;; ;; 4. For fistula - location. ;; ;; ;;D. Diagnostic and Clinical Tests: ;; ;; 1. Include results of all diagnostic and clinical tests conducted ;; in the examination report. ;; ;; ;;E. Diagnosis: ;; ;; ;;Signature: Date: ;;END