Last change
on this file since 1582 was 613, checked in by George Lilly, 15 years ago |
initial load of WorldVistAEHR
|
File size:
1.1 KB
|
Rev | Line | |
---|
[613] | 1 | DVBCWLY1 ;ALB/CMM LYMPHATIC DISORDERS WKS TEXT - 1 ; 5 MARCH 1997
|
---|
| 2 | ;;2.7;AMIE;**12**;Apr 10, 1995
|
---|
| 3 | ;
|
---|
| 4 | ;
|
---|
| 5 | TXT ;
|
---|
| 6 | ;;A. Review of Medical Records:
|
---|
| 7 | ;;
|
---|
| 8 | ;;
|
---|
| 9 | ;;
|
---|
| 10 | ;;B. Medical History (Subjective Complaints):
|
---|
| 11 | ;;
|
---|
| 12 | ;; Comment on:
|
---|
| 13 | ;; 1. Disease activity (exacerbations/remission)? If there were
|
---|
| 14 | ;; exacerbations, what was the state of the veteran's health
|
---|
| 15 | ;; between exacerbations?
|
---|
| 16 | ;;
|
---|
| 17 | ;;
|
---|
| 18 | ;; 2. Current and past treatment history including date and type of
|
---|
| 19 | ;; last treatment, response, side effects.
|
---|
| 20 | ;;
|
---|
| 21 | ;;
|
---|
| 22 | ;; 3. If malignant neoplasm need date of diagnosis, date of
|
---|
| 23 | ;; treatment, or if treatment stopped when did it end.
|
---|
| 24 | ;;
|
---|
| 25 | ;;
|
---|
| 26 | ;; 4. Location of disease.
|
---|
| 27 | ;;
|
---|
| 28 | ;;
|
---|
| 29 | ;; 5. Current symptoms.
|
---|
| 30 | ;;
|
---|
| 31 | ;;
|
---|
| 32 | ;;C. Physical Examination (Objective Findings):
|
---|
| 33 | ;;
|
---|
| 34 | ;; Describe the residuals of each body system affected.
|
---|
| 35 | ;;
|
---|
| 36 | ;;
|
---|
| 37 | ;;D. Diagnostic and Clinical Tests:
|
---|
| 38 | ;;
|
---|
| 39 | ;; Include results of all diagnostic and clinical tests conducted in
|
---|
| 40 | ;; the examination report.
|
---|
| 41 | ;;
|
---|
| 42 | ;;
|
---|
| 43 | ;;E. Diagnosis:
|
---|
| 44 | ;;
|
---|
| 45 | ;;
|
---|
| 46 | ;;Signature: Date:
|
---|
| 47 | ;;END
|
---|
Note:
See
TracBrowser
for help on using the repository browser.