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1DVBCWDI1 ;ALB/CMM DIABETES MELLITUS 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. Age of onset.
14 ;;
15 ;;
16 ;; 2. Frequency of ketoacidosis or hypoglycemic reactions
17 ;; (hospitalization required?).
18 ;;
19 ;;
20 ;; 3. Restricted diet, weight loss or gain since last exam.
21 ;;
22 ;;
23 ;; 4. Describe any restriction of activities.
24 ;;
25 ;;
26 ;; 5. Visual problems.
27 ;;
28 ;;
29 ;; 6. Vascular or cardiac symptoms.
30 ;;
31 ;;
32 ;; 7. Neurologic symptoms.
33 ;;
34 ;;
35 ;; 8. Treatment - oral hypoglycemic, insulin (frequency of injections).
36 ;;
37 ;;
38 ;; 9. Frequency of visits to diabetic care provider.
39 ;;
40 ;;
41 ;; 10. Other symptoms, such as anal pruritus, loss of strength.
42 ;;
43 ;;
44 ;;C. Physical Examination (Objective Findings):
45 ;;
46 ;; Address each of the following and fully describe current findings:
47 ;; 1. Blood pressure, other cardiovascular findings, including
48 ;; status of peripheral vessels.
49 ;;
50 ;;
51 ;; 2. Neurologic examination.
52 ;;
53 ;;
54 ;; 3. Eye examination.
55 ;;
56 ;;
57 ;; 4. Skin examination.
58 ;;
59 ;;
60 ;; 5. Examination of extremities, including feet.
61 ;;
62 ;;
63 ;; 6. State if the veteran has bladder or bowel functional impairment.
64 ;; If present, state whether partial or total, intermittent or
65 ;; constant, and what measures are taken as a result of the impairment.
66 ;;
67 ;;
68 ;;D. Diagnostic and Clinical Tests:
69 ;;
70 ;; Provide to establish diagnosis (Previously done test results should
71 ;; be given to establish diagnosis.):
72 ;; 1. Renal function tests, including 24 hour urine test for protein
73 ;; if renal involvement is uncertain.
74 ;; 2. Blood sugar.
75 ;; 3. Urinalysis.
76 ;; 4. Glucose tolerance test, if necessary to establish the diagnosis.
77 ;; 5. Include results of all diagnostic and clinical tests conducted
78 ;; in the examination report.
79 ;;
80 ;;
81 ;;E. Diagnosis:
82 ;;
83 ;; Comment on:
84 ;; 1. All complications noted - visual, cardiac, vascular, nephrologic,
85 ;; neurologic (including both peripheral neuropathy and cerebral
86 ;; effects), amputations. See examination worksheets for the
87 ;; conditions found.
88 ;;
89 ;;
90 ;;Signature: Date:
91 ;;END
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