1 | DVBCWHY1 ;ALB/JFP HYPERTENSION WKS TEXT - 1 ; 12 FEB 1998
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2 | ;;2.7;AMIE;**16**;Apr 10, 1995
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3 | ;
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4 | ;
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5 | TXT ;
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6 | ;;A. Review of Medical Records:
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7 | ;;
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8 | ;;B. Medical History (Subjective Complaints):
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9 | ;; Comment on:
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10 | ;; 1. Date of diagnosis.
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11 | ;; 2. Symptoms, if any.
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12 | ;; 3. Treatment - type, dosage, side effects.
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13 | ;;
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14 | ;;C. Physical Examination (Objective Findings):
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15 | ;; Address each of the following and fully describe current findings:
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16 | ;; 1. Blood pressure - If the diagnosis of hypertension has not been
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17 | ;; previously established, readings must be taken two or more
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18 | ;; times on at least three different days. If hypertension has
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19 | ;; been previously diagnosed, take three blood pressure readings
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20 | ;; on the day of examination.
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21 | ;; 2. Cardiac status - size, function. If there is evidence of
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22 | ;; hypertensive heart disease, use Heart Worksheet.
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23 | ;; 3. If arteriosclerotic complications of hypertension are present,
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24 | ;; use worksheet for the specific condition(s) found.
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25 | ;;
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26 | ;;D. Diagnostic and Clinical Tests:
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27 | ;; 1. X-rays or other tests, as indicated.
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28 | ;; 2. Include results of all diagnostic and clinical tests conducted
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29 | ;; in the examination report.
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30 | ;;
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31 | ;;
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32 | ;;E. Diagnosis:
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33 | ;;
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34 | ;;Signature: Date:
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35 | ;;END
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