source: FOIAVistA/trunk/r/AUTOMATED_MED_INFO_EXCHANGE-DVBA-DVBC/DVBCWED1.m@ 1535

DVBCWED1 ;ALB/CMM EAR DISEASE WKS TEXT - 1 ; 6 MARCH 1997
 ;;2.7;AMIE;**12**;Apr 10, 1995
 ;
 ;
TXT ;
 ;;A.  Review of Medical Records:
 ;;
 ;;
 ;;
 ;;B.  Medical History (Subjective Complaints):
 ;;
 ;;
 ;;
 ;;C.  Physical Examination (Objective Findings):
 ;;
 ;;    1.  Address each of the following and describe current findings, 
 ;;        including abnormalities of size, shape, or form:
 ;;
 ;;        a.  Auricle.
 ;;
 ;;
 ;;        b.  External canal.
 ;;
 ;;
 ;;
 ;;        c.  Tympanic membrane.
 ;;
 ;;
 ;;        d.  The tympanum.
 ;;
 ;;
 ;;        e.  The mastoid.
 ;;
 ;;
 ;;        f.  All conditions secondary to ear disease, such as disturbance 
 ;;            of balance, upper respiratory disease, hearing loss, etc.
 ;;
 ;;
 ;;    2.  State whether an active ear disease is present.
 ;;
 ;;
 ;;    3.  Infections of the middle or inner ear.
 ;;
 ;;
 ;;D.  Diagnostic and Clinical Tests:
 ;; 
 ;;    1.  Include results of all diagnostic and clinical tests conducted
 ;;        in the examination report.
 ;;
 ;;
 ;;E.  Diagnosis:
 ;;
 ;;
 ;;Signature:                             Date:
 ;;END