source: FOIAVistA/trunk/r/AUTOMATED_MED_INFO_EXCHANGE-DVBA-DVBC/DVBCWDM1.m@ 1607

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1DVBCWDM1 ;ALB/CMM DIGESTIVE, MISC. DISEASES 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 ;; 1. Describe all hernia surgery and results.
12 ;;
13 ;;
14 ;; 2. For malignancy, state type of treatment, dates of treatment,
15 ;; including last date treatment if it has ended.
16 ;;
17 ;;
18 ;; 3. For peritoneal tuberculosis, state date of diagnosis, treatment,
19 ;; and date on which inactivity was established.
20 ;;
21 ;;
22 ;;C. Physical Examination (Objective Findings):
23 ;;
24 ;; Address each of the following and fully describe current findings:
25 ;; 1. For inguinal or ventral hernia, state whether reducible, how
26 ;; well supported by truss or belt, and whether irremediable or
27 ;; inoperable.
28 ;;
29 ;;
30 ;; 2. For ventral hernia, state size of hernia, extent of diastasis
31 ;; of recti muscles, status of muscles and fascia of abdominal wall.
32 ;;
33 ;;
34 ;; 3. All residuals of malignancy, including residuals from treatment.
35 ;;
36 ;;
37 ;;D. Diagnostic and Clinical Tests:
38 ;;
39 ;;1. Include results of all diagnostic and clinical tests conducted in
40 ;; the examination report.
41 ;;
42 ;;
43 ;;E. Diagnosis:
44 ;;
45 ;;
46 ;;Signature: Date:
47 ;;END
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