| Last change
 on this file since 1507 was             628, checked in by George Lilly, 16 years ago | 
        
          | 
initial load of FOIAVistA 6/30/08 version
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          | File size:
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| 1 | DVBCWSS1 ;ALB/CMM SENSE OF SMELL AND TASTE WKS TEXT - 1 ; 6 MARCH 1997 | 
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| 2 | ;;2.7;AMIE;**12**;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 | ;; | 
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| 9 | ;; | 
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| 10 | ;;B.  Medical History (Subjective Complaints): | 
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| 11 | ;; | 
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| 12 | ;; | 
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| 13 | ;; | 
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| 14 | ;;C.  Physical Examination (Objective Findings): | 
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| 15 | ;; | 
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| 16 | ;; | 
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| 17 | ;; | 
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| 18 | ;;D.  Diagnostic and Clinical Tests: | 
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| 19 | ;; | 
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| 20 | ;;    1.  For SENSE OF SMELL, test each side of nose separately.  State | 
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| 21 | ;;        results with the following substances recommended for testing | 
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| 22 | ;;        a.  Coffee. | 
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| 23 | ;;        b.  Soap. | 
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| 24 | ;;        c.  Oil of lemon. | 
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| 25 | ;;        d.  Other (state substance). | 
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| 26 | ;; | 
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| 27 | ;; | 
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| 28 | ;;    2.  For SENSE OF TASTE | 
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| 29 | ;;        a.  Using electrogustometry if available, test for: | 
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| 30 | ;;            (1)  Sweet. | 
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| 31 | ;;            (2)  Sour. | 
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| 32 | ;;            (3)  Bitter. | 
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| 33 | ;;            (4)  Salt. | 
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| 34 | ;; | 
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| 35 | ;; | 
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| 36 | ;;        b.  State results with the following substances recommended | 
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| 37 | ;;            for testing: | 
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| 38 | ;;            (1)  Sugar. | 
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| 39 | ;;            (2)  Diluted acetic acid. | 
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| 40 | ;;            (3)  Lemon or Orange. | 
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| 41 | ;;            (4)  Salt. | 
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| 42 | ;; | 
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| 43 | ;; | 
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| 44 | ;;    3.  Include results of all diagnostic and clinical tests conducted | 
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| 45 | ;;        in the examination report. | 
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| 46 | ;; | 
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| 47 | ;;TOF | 
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| 48 | ;;E.  Diagnosis: | 
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| 49 | ;; | 
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| 50 | ;;    Provide: | 
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| 51 | ;;    1.  State whether loss of sense of smell is partial or complete, | 
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| 52 | ;;        and its basis. | 
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| 53 | ;;    2.  State whether loss of sense of taste is partial or complete, | 
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| 54 | ;;        and its basis. | 
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| 55 | ;;    3.  If a psychiatric basis is suspected, a special psychiatric | 
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| 56 | ;;        examination should be ordered. | 
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| 57 | ;; | 
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| 58 | ;; | 
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| 59 | ;;Signature:                             Date: | 
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| 60 | ;;END | 
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