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1DVBCWFI1 ;ALB/CMM FIBROMYALGIA WKS TEXT - 1 ; 6 MARCH 1997
2 ;;2.7;AMIE;**12**;Apr 10, 1995
3 ;
4 ;
5TXT ;
6 ;;Narrative: For VA compensation purposes, the diagnosis of fibromyalgia
7 ;;(sometimes called fibrositis, primary fibromyalgia syndrome, or
8 ;;myofascial pain syndrome) requires the presence of widespread
9 ;;musculoskeletal pain and tender points. Additional findings may also
10 ;;be present: fatigue, sleep disturbance, stiffness, paresthesias,
11 ;;headache, irritable bowel symptoms, depression, anxiety, or Raynaud's
12 ;;-like symptoms. Widespread pain is defined as pain in both the left
13 ;;and right sides of the body, that is both above and below the waist,
14 ;;and that affects both the axial skeleton (i.e., cervical spine,
15 ;;anterior chest, thoracic spine, or low back) and the extremities.
16 ;;Rule out other diagnostic entities that may be responsible for the
17 ;;symptomatology presented.
18 ;;
19 ;;A. Review of Medical Records:
20 ;;
21 ;;
22 ;;
23 ;;B. Medical History (Subjective Complaints):
24 ;;
25 ;; Comment on:
26 ;; 1. Date of onset of symptoms, date of diagnosis (if known).
27 ;;
28 ;;
29 ;; 2. What precipitates and alleviates symptoms?
30 ;;
31 ;;
32 ;; 3. Location, severity, frequency of any musculoskeletal pain,
33 ;; stiffness, or muscle weakness, whether episodic or constant,
34 ;; and what their effects are on daily activities.
35 ;;
36 ;;
37 ;; 4. Unexplained fatigue, sleep disturbances.
38 ;;
39 ;;
40 ;; 5. GI symptoms.
41 ;;
42 ;;
43 ;; 6. Treatment, (type, duration, response). Has treatment been
44 ;; continuous?
45 ;;
46 ;;
47 ;; 7. Is there depression or anxiety?
48 ;;
49 ;;
50 ;; 8. Lost time from work?
51 ;;
52 ;;
53 ;;
54 ;;C. Physical Examination (Objective Findings):
55 ;;
56 ;; Address each of the following and fully describe current findings:
57 ;; (Please incorporate all ancillary study results into the final
58 ;; diagnosis.)
59 ;;
60 ;; 1. Is the condition currently active or in remission?
61 ;;
62 ;;
63 ;; 2. Musculoskeletal areas involved.
64 ;;
65 ;;
66 ;; 3. Trigger or tender points.
67 ;;
68 ;;
69 ;; 4. Muscle strength in involved areas.
70 ;;
71 ;;
72 ;;D. Diagnostic and Clinical Tests:
73 ;;
74 ;; 1. Include results of all diagnostic and clinical tests conducted
75 ;; in the examination report.
76 ;;
77 ;;
78 ;;
79 ;;E. Diagnosis:
80 ;;
81 ;;
82 ;;
83 ;;Signature: Date:
84 ;;END
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