source: WorldVistAEHR/trunk/r/AUTOMATED_MED_INFO_EXCHANGE-DVBA-DVBC/DVBCWED1.m@ 846

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[613]1DVBCWED1 ;ALB/CMM EAR DISEASE WKS TEXT - 1 ; 6 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 ;;
13 ;;
14 ;;C. Physical Examination (Objective Findings):
15 ;;
16 ;; 1. Address each of the following and describe current findings,
17 ;; including abnormalities of size, shape, or form:
18 ;;
19 ;; a. Auricle.
20 ;;
21 ;;
22 ;; b. External canal.
23 ;;
24 ;;
25 ;;
26 ;; c. Tympanic membrane.
27 ;;
28 ;;
29 ;; d. The tympanum.
30 ;;
31 ;;
32 ;; e. The mastoid.
33 ;;
34 ;;
35 ;; f. All conditions secondary to ear disease, such as disturbance
36 ;; of balance, upper respiratory disease, hearing loss, etc.
37 ;;
38 ;;
39 ;; 2. State whether an active ear disease is present.
40 ;;
41 ;;
42 ;; 3. Infections of the middle or inner ear.
43 ;;
44 ;;
45 ;;D. Diagnostic and Clinical Tests:
46 ;;
47 ;; 1. Include results of all diagnostic and clinical tests conducted
48 ;; in the examination report.
49 ;;
50 ;;
51 ;;E. Diagnosis:
52 ;;
53 ;;
54 ;;Signature: Date:
55 ;;END
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