source: FOIAVistA/trunk/r/AUTOMATED_MED_INFO_EXCHANGE-DVBA-DVBC/DVBCWEN1.m@ 1132

DVBCWEN1 ;ALB/CMM EPILEPSY AND NARCOLEPSY WKS TEXT - 1 ; 6 MARCH 1997
 ;;2.7;AMIE;**12**;Apr 10, 1995
 ;
 ;
TXT ;
 ;;A.  Review of Medical Records:
 ;;
 ;;
 ;;B.  Medical History (Subjective Complaints):
 ;;
 ;;    Comment on:
 ;;    1.  Discuss precipitating factors, aggravating factors, 
 ;;        alleviating factors.
 ;;
 ;;
 ;;    2.  Current treatment, response, side effects.
 ;;
 ;;
 ;;    3.  State the frequency and type of seizures or episodes of 
 ;;        narcolepsy during the past 12 months, including any change in
 ;;        frequency pattern.  If possible, record the actual number of 
 ;;        seizures in each calendar month.  If the veteran keeps a 
 ;;        seizure diary, record dates of seizures.
 ;;
 ;;
 ;;    4.  Discuss the effect of epilepsy or narcolepsy on daily 
 ;;        activities, including the effects of medications.
 ;;
 ;;
 ;;C.  Physical Examination (Objective Findings):
 ;;
 ;;    1.  Order a psychiatric examination if there are indications of a
 ;;        mental disorder associated with epilepsy.
 ;;
 ;;D.  Diagnostic and Clinical Tests:
 ;;
 ;;    1.  Include results of all diagnostic and clinical tests conducted
 ;;        in the examination report.
 ;;
 ;;
 ;;E.  Diagnosis:
 ;;
 ;;    1.  If the diagnosis is NOT established or is questioned, schedule
 ;;        any necessary special studies, including admission for a 
 ;;        period of examination and observation, as appropriate to 
 ;;        provide a definitive diagnosis.
 ;;
 ;;
 ;;Signature:                              Date:
 ;;END