source: FOIAVistA/tag/r/AUTOMATED_MED_INFO_EXCHANGE-DVBA-DVBC/DVBCWSD1.m@ 628

DVBCWSD1 ;ALB/CMM SKIN DISEASES (Other Than Scars) WKS TEXT - 1 ; 6 MARCH 1997
 ;;2.7;AMIE;**12**;Apr 10, 1995
 ;
 ;
TXT ;
 ;;A.  Review of Medical Records:
 ;;
 ;;
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 ;;B.  Medical History (Subjective Complaints):
 ;;
 ;;    Comment on:
 ;;    1.  Onset of disease and course - intermittent, constant.
 ;;
 ;;
 ;;    2.  Current treatment - include side effects.
 ;;
 ;;
 ;;    3.  Symptoms - pruritus, pain, etc.
 ;;
 ;;
 ;;C.  Physical Examination (Objective Findings):
 ;;
 ;;    Address each of the following and fully describe current findings:
 ;;    1.  Extent of disease - specify what exposed areas are involved 
 ;;        and how large they are.
 ;;
 ;;
 ;;    2.  Ulceration, exfoliation, or crusting.
 ;;
 ;;
 ;;    3.  Associated systemic or nervous manifestations.
 ;;
 ;;
 ;;D.  Diagnostic and Clinical Tests:
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 ;;
 ;;    1.  Biopsy, scrapings if indicated.
 ;;    2.  Include results of all diagnostic and clinical tests conducted
 ;;        in the examination report.
 ;;
 ;;
 ;;E.  Diagnosis:
 ;;
 ;;    1.  Take COLOR PHOTOGRAPHS if disfigurement or disfiguring scars 
 ;;        are present.
 ;;
 ;;
 ;;Signature:                             Date:
 ;;END