DVBCWLY3 ;ALB/RLC LYMPHATIC DISORDERS WKS TEXT - 1 ; 12 FEB 2007 ;;2.7;AMIE;**121**;Apr 10, 1995;Build 9 ; ; TXT ; ;;A. Review of Medical Records: ;; ;;B. Medical History (Subjective Complaints): ;; ;; Comment on: ;; ;; 1. If there are exacerbations/remissions, what is the state of the ;; veteran's health, during remissions? ;; 2. Current and past treatment history including date and type of ;; last treatment, response, side effects. ;; 3. If malignant neoplasm need diagnosis, date of diagnosis, dates of ;; treatment, or if treatment ended, date of last treatment. ;; 4. Current symptoms - lymphadenopathy, bleeding tendency, gastrointestinal ;; symptoms, constitutional symptoms. ;; 5. History of hospitalizations or surgery, reason or type of surgery, ;; location and dates, if known. ;; 6. Effects of condition on occupational functioning and daily activities. ;; ;;C. Physical Examination (Objective Findings): ;; ;; Describe the residuals of each body system affected and follow additional ;; worksheets as appropriate. Comment on the following: ;; ;; 1. Lymphadenopathy. ;; 2. Splenomegaly. ;; 3. Hepatomegaly, jaundice. ;; 4. Signs of bleeding. ;; 5. Signs of anemia - Presence of Pallor (nail beds, mucosal surfaces and ;; skin), tachycardia, systolic murmur. ;; 6. Evidence of superior vena cava syndrome. ;; ;;D. Diagnostic and Clinical Tests: ;; ;; 1. Include results of all diagnostic and clinical tests conducted in ;; the examination report. ;; ;;E. Diagnosis: ;; ;; 1. Is the disease active? ;; ;; ;; ;;Signature: Date: ;;END