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1DVBCWFS1 ;ALB/CMM CHRONIC FATIGUE SYNDROME WKS TEXT - 1 ; 6 MARCH 1997
2 ;;2.7;AMIE;**12**;Apr 10, 1995
3 ;
4 ;
5TXT ;
6 ;;Narrative: Chronic fatigue syndrome (CFS) is an illness characterized
7 ;;by debilitating fatigue and several flu-like symptoms. It may have
8 ;;both physical and psychiatric manifestations and closely resembles
9 ;;neurasthenia, neurocirculatory asthenia, fibrositis, or fibromyalgia.
10 ;;
11 ;; FOR VA PURPOSES, A DIAGNOSIS OF CFS MUST MEET BOTH OF THE FOLLOWING
12 ;; CRITERIA:
13 ;; 1. New onset of debilitating fatigue that is severe enough to
14 ;; reduce or impair average daily activity below 50 percent of the
15 ;; patient's pre-illness activity level for a period of 6 months,
16 ;; and
17 ;;
18 ;;
19 ;; 2. Other clinical conditions that may produce similar symptoms
20 ;; must be excluded by thorough evaluation, based on history,
21 ;; physical examination, and appropriate laboratory tests.
22 ;;
23 ;;
24 ;; IT MUST ALSO MEET SIX OR MORE OF THE FOLLOWING TEN CRITERIA:
25 ;; 1. Describe in detail:
26 ;; a. Acute onset of the condition.
27 ;;
28 ;;
29 ;; b. Low grade fever.
30 ;;
31 ;;
32 ;; c. Nonexudative pharyngitis.
33 ;;
34 ;;
35 ;; d. Palpable or tender cervical or axillary lymph nodes.
36 ;;
37 ;;
38 ;; e. Generalized muscle aches or weakness.
39 ;;
40 ;;
41 ;; f. Fatigue following lasting 24 hours or longer after exercise.
42 ;;
43 ;;
44 ;; g. Headaches (of a type, severity or pattern that is different
45 ;; from headaches in the premorbid state.
46 ;;
47 ;;
48 ;; h. Migratory joint pains.
49 ;;
50 ;;
51 ;; i. Neuropsychologic symptoms.
52 ;;
53 ;;
54 ;; j. Sleep disturbance.
55 ;;
56 ;;
57 ;;A. Review of Medical Records:
58 ;;
59 ;; Comment on:
60 ;; 1. Date diagnosis established.
61 ;;
62 ;;
63 ;; 2. Does it meet the requirements outlined above?
64 ;;
65 ;;
66 ;;B. Medical History (Subjective Complaints):
67 ;;
68 ;; Comment on:
69 ;; 1. Estimate the amount of routine daily activities that are
70 ;; restricted due to CFS. Give specific examples.
71 ;;
72 ;;
73 ;; 2. If there are incapacitating episodes (requiring bed rest and
74 ;; treatment by a physician), what is their frequency and duration?.
75 ;;
76 ;;
77 ;; 3. Does the patient require continuous medication for CFS?
78 ;;
79 ;;
80 ;;C. Physical Examination (Objective Findings):
81 ;;
82 ;;
83 ;;D. Diagnostic and Clinical Tests:
84 ;;
85 ;; 1. Include results of all diagnostic and clinical tests conducted
86 ;; in the examination report.
87 ;;
88 ;;
89 ;;E. Diagnosis:
90 ;;
91 ;;
92 ;;Signature: Date:
93 ;;END
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