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1DVBCWAW1 ;ALB/CMM ARRHYTHMIAS WKS TEXT - 1 ; 5 MARCH 1997
2 ;;2.7;AMIE;**12**;Apr 10, 1995
3 ;
4 ;
5TXT ;
6 ;;A. Review of Medical Records:
7 ;;
8 ;;
9 ;;B. Medical History (Subjective Complaints):
10 ;;
11 ;; Comment on:
12 ;; 1. Syncope, Stokes-Adams attacks - frequency?, precipitating factors?
13 ;;
14 ;;
15 ;; 2. Other symptoms related to arrhythmia or its treatment.
16 ;;
17 ;;
18 ;; 3. Current treatment, response, side effects.
19 ;;
20 ;;
21 ;; 4. Describe the effects of the condition on the veteran's usual
22 ;; occupation and daily activities.
23 ;;
24 ;;
25 ;;C. Physical Examination (Objective Findings):
26 ;;
27 ;; Address each of the following and fully describe current findings:
28 ;; 1. Heart rate and rhythm.
29 ;;
30 ;;
31 ;; 2. If arrhythmia is paroxysmal, what is frequency? Severity?
32 ;; What are precipitating factors?
33 ;;
34 ;;
35 ;; 3. Pacemaker present? If so, when inserted, effectiveness, side effects.
36 ;;
37 ;;
38 ;;D. Diagnostic and Clinical Tests:
39 ;;
40 ;; 1. EKG.
41 ;; 2. Holter monitor, other tests as indicated.
42 ;; 3. Include results of all diagnostic and clinical tests conducted
43 ;; in the examination report.
44 ;;
45 ;;
46 ;;E. Diagnosis:
47 ;;
48 ;;
49 ;;Signature: Date:
50 ;;END
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