[613] | 1 | DVBCWHY1 ;ALB/JFP HYPERTENSION WKS TEXT - 1 ; 12 FEB 1998
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| 2 | ;;2.7;AMIE;**16**;Apr 10, 1995
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| 3 | ;
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| 4 | ;
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| 5 | TXT ;
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| 6 | ;;A. Review of Medical Records:
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| 7 | ;;
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| 8 | ;;B. Medical History (Subjective Complaints):
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| 9 | ;; Comment on:
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| 10 | ;; 1. Date of diagnosis.
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| 11 | ;; 2. Symptoms, if any.
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| 12 | ;; 3. Treatment - type, dosage, side effects.
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| 13 | ;;
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| 14 | ;;C. Physical Examination (Objective Findings):
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| 15 | ;; Address each of the following and fully describe current findings:
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| 16 | ;; 1. Blood pressure - If the diagnosis of hypertension has not been
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| 17 | ;; previously established, readings must be taken two or more
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| 18 | ;; times on at least three different days. If hypertension has
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| 19 | ;; been previously diagnosed, take three blood pressure readings
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| 20 | ;; on the day of examination.
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| 21 | ;; 2. Cardiac status - size, function. If there is evidence of
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| 22 | ;; hypertensive heart disease, use Heart Worksheet.
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| 23 | ;; 3. If arteriosclerotic complications of hypertension are present,
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| 24 | ;; use worksheet for the specific condition(s) found.
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| 25 | ;;
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| 26 | ;;D. Diagnostic and Clinical Tests:
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| 27 | ;; 1. X-rays or other tests, as indicated.
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| 28 | ;; 2. Include results of all diagnostic and clinical tests conducted
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| 29 | ;; in the examination report.
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| 30 | ;;
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| 31 | ;;
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| 32 | ;;E. Diagnosis:
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| 33 | ;;
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| 34 | ;;Signature: Date:
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| 35 | ;;END
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