DVBCWTD1 ;ALB/CMM THYROID DISEASES WKS TEXT - 1 ; 5 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.  Date diagnosis established.
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 ;;    2.  Fatigability.
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 ;;    3.  Mental assessment.
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 ;;    4.  Neurologic, cardiovascular, or gastrointestinal symptoms.
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 ;;    5.  Treatments (surgery, medications, hormones), including dose, 
 ;;        frequency, response, side effects.  For C-cell hyperplasia, 
 ;;        provide date of completion of any treatment for malignancy.
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 ;;    6.  Symptoms due to pressure (on larynx, esophagus, etc.).
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 ;;    7.  Cold or heat intolerance.
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 ;;    8.  Constipation.
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 ;;    9.  Weight gain or loss.
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 ;;C.  Physical Examination (Objective Findings):
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 ;;    Address each of the following and fully describe current findings:
 ;;    1.  Thyroid size.
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 ;;    2.  Pulse and blood pressure.
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 ;;    3.  Eye and vision abnormalities.
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 ;;    4.  Muscle strength.
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 ;;    5.  Tremor.
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 ;;    6.  Myxedema.
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 ;;    7.  All other residuals of thyroid disease or its treatment.
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 ;;D.  Diagnostic and Clinical Tests:
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 ;;    Provide:
 ;;    1.  T4, T3, TSH, and/or other thyroid function tests, if needed.
 ;;    2.  If thyroidectomy scar is disfiguring, order color photograph.
 ;;    3.  Thyroid scan, if indicated.
 ;;    4.  Include results of all diagnostic and clinical tests conducted
 ;;        in the examination report.
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 ;;E.  Diagnosis:
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 ;;    Comment on:
 ;;    1.  Is the disease active or in remission? 
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 ;;Signature:                             Date:
 ;;END