DVBCWSC1 ;ALB/CMM INFEC, IMM, NUTRITIONSL DIS WKS TEXT - 1 ; 6 MARCH 1997 ;;2.7;AMIE;**12**;Apr 10, 1995 ; ; TXT ; ;;Narrative: Many infectious diseases, immune disorders, and ;;nutritional deficiencies have acute phases at onset and ;;accompanying recurrences but leave little or no residual ;;disability beyond the acute phase. Other such conditions may ;;present with slow progression and show significant residual ;;disability. The examiner must diligently search for residual ;;disabilities upon which adjudication of the case may be made. ;; ;;A. Review of Medical Records: ;; ;; ;; ;;B. Medical History (Subjective Complaints): ;; ;; Comment on: ;; 1. Date of symptom onset. ;; ;; ;; 2. Date of diagnosis. ;; ;; ;; 3. Clinical manifestations. ;; ;; ;; 4. Treatment (type, frequency, duration, response, side effects). ;; ;; ;; 5. Disease activity (exacerbations and/or remissions)? If there ;; were exacerbations, what was the state of the veteran's health ;; between exacerbations? Frequency and duration of exacerbations. ;; ;; ;; 6. Current symptoms. ;; ;; ;; ;;C. Physical Examination (Objective Findings): ;; ;; Address each of the following and fully describe current findings: ;; 1. Is the condition still present? ;; ;; ;; 2. Current weight, nutrition. Any residuals of malnutrition, ;; vitamin deficiency? ;; ;; ;; 3. General appearance. ;; ;; ;; 4. Describe findings of all organ systems involved. See ;; appropriate examination worksheets - respiratory, joints, ;; cardiovascular, etc. ;; ;; ;;D. Diagnostic and Clinical Tests: ;; ;; 1. Include results of all diagnostic and clinical tests conducted ;; in the examination report. ;; ;; NOTE: If an infectious etiology is documented, specify the organism. ;; ;; ;;E. Diagnosis: ;; ;; ;;Signature: Date: ;;END