| 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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