[613] | 1 | DVBCWNM1 ;ALB/CMM NEUROLOGICAL MISC. DISORDER WKS TEXT - 1 ; 6 MARCH 1997
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| 2 | ;;2.7;AMIE;**12**;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 | ;;
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| 9 | ;;
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| 10 | ;;B. Medical History (Subjective Complaints):
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| 11 | ;;
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| 12 | ;; Comment on:
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| 13 | ;; 1. Onset and course - If flare-ups exist, describe precipitating
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| 14 | ;; factors, aggravating factors, alleviating factors, alleviating
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| 15 | ;; medications, frequency, severity, duration, and whether the
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| 16 | ;; flare-ups include pain, weakness, fatigue, or functional loss.
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| 17 | ;;
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| 18 | ;;
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| 19 | ;; 2. Current treatment, response, side effects.
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| 20 | ;;
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| 21 | ;;
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| 22 | ;;C. Physical Examination (Objective Findings):
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| 23 | ;;
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| 24 | ;; 1. If MIGRAINE: - Obtain the history of frequency and duration of
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| 25 | ;; attacks and description of level of activity the veteran can
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| 26 | ;; maintain during the attacks. For example, state if the attacks
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| 27 | ;; are prostrating in nature or if ordinary activity is possible.
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| 28 | ;;
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| 29 | ;;
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| 30 | ;; 2. If TICS AND PARAMYOCLONUS Complex: - Ascertain the muscle
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| 31 | ;; group(s) involved and obtain the best possible history of
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| 32 | ;; frequency and severity of attacks. State the effects on daily
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| 33 | ;; activities.
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| 34 | ;;
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| 35 | ;;
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| 36 | ;; 3. If CHOREA, CHOREIFORM DISORDERS, ETC.: - Describe manifestations
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| 37 | ;; by impairment of strength, coordination, tremor, etc., with
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| 38 | ;; particular attention to the effects of the performance of
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| 39 | ;; ordinary activities of daily living.
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| 40 | ;;
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| 41 | ;;
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| 42 | ;;D. Diagnostic and Clinical Tests:
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| 43 | ;;
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| 44 | ;; 1. Include results of all diagnostic and clinical tests conducted
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| 45 | ;; in the examination report.
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| 46 | ;;
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| 47 | ;;TOF
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| 48 | ;;E. Diagnosis:
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| 49 | ;;
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| 50 | ;;
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| 51 | ;;Signature: Date:
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| 52 | ;;END
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