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1DVBCWTD1 ;ALB/CMM THYROID DISEASES WKS TEXT - 1 ; 5 MARCH 1997
2 ;;2.7;AMIE;**12**;Apr 10, 1995
3 ;
4 ;
5TXT ;
6 ;;A. Review of Medical Records:
7 ;;
8 ;;
9 ;;
10 ;;B. Medical History (Subjective Complaints):
11 ;;
12 ;; Comment on:
13 ;; 1. Date diagnosis established.
14 ;;
15 ;;
16 ;; 2. Fatigability.
17 ;;
18 ;;
19 ;; 3. Mental assessment.
20 ;;
21 ;;
22 ;; 4. Neurologic, cardiovascular, or gastrointestinal symptoms.
23 ;;
24 ;;
25 ;; 5. Treatments (surgery, medications, hormones), including dose,
26 ;; frequency, response, side effects. For C-cell hyperplasia,
27 ;; provide date of completion of any treatment for malignancy.
28 ;;
29 ;;
30 ;; 6. Symptoms due to pressure (on larynx, esophagus, etc.).
31 ;;
32 ;;
33 ;; 7. Cold or heat intolerance.
34 ;;
35 ;;
36 ;; 8. Constipation.
37 ;;
38 ;;
39 ;; 9. Weight gain or loss.
40 ;;
41 ;;
42 ;;C. Physical Examination (Objective Findings):
43 ;;
44 ;; Address each of the following and fully describe current findings:
45 ;; 1. Thyroid size.
46 ;;
47 ;;
48 ;; 2. Pulse and blood pressure.
49 ;;
50 ;;
51 ;; 3. Eye and vision abnormalities.
52 ;;
53 ;;
54 ;; 4. Muscle strength.
55 ;;
56 ;;
57 ;; 5. Tremor.
58 ;;
59 ;;
60 ;; 6. Myxedema.
61 ;;
62 ;;
63 ;; 7. All other residuals of thyroid disease or its treatment.
64 ;;
65 ;;
66 ;;D. Diagnostic and Clinical Tests:
67 ;;
68 ;; Provide:
69 ;; 1. T4, T3, TSH, and/or other thyroid function tests, if needed.
70 ;; 2. If thyroidectomy scar is disfiguring, order color photograph.
71 ;; 3. Thyroid scan, if indicated.
72 ;; 4. Include results of all diagnostic and clinical tests conducted
73 ;; in the examination report.
74 ;;
75 ;;
76 ;;E. Diagnosis:
77 ;;
78 ;; Comment on:
79 ;; 1. Is the disease active or in remission?
80 ;;
81 ;;
82 ;;Signature: Date:
83 ;;END
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