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1DVBCWLY1 ;ALB/CMM LYMPHATIC DISORDERS WKS TEXT - 1 ; 5 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 ;; 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
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