[613] | 1 | DVBCWST1 ;ALB/CMM STOMACH, DUODENUM, AND PERITONEAL ADHESIONS WKS TEXT - 1 ; 5 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 | ;; 1. Vomiting.
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| 13 | ;;
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| 14 | ;;
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| 15 | ;; 2. Hematemesis or melena (describe any episodes).
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| 16 | ;;
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| 17 | ;;
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| 18 | ;; 3. Treatment - type, duration, response, side effects.
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| 19 | ;;
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| 20 | ;;
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| 21 | ;; 4. Circulatory disturbance after meals, hypoglycemic reactions
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| 22 | ;; (state time of onset in relation to meals, frequency).
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| 23 | ;;
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| 24 | ;;
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| 25 | ;; 5. Diarrhea, constipation.
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| 26 | ;;
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| 27 | ;;
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| 28 | ;; 6. Episodes of colic, distention, nausea, and/or vomiting -
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| 29 | ;; frequency, duration, and severity.
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| 30 | ;;
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| 31 | ;;
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| 32 | ;;C. Physical Examination (Objective Findings):
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| 33 | ;;
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| 34 | ;; Address each of the following and fully describe current findings:
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| 35 | ;; 1. Specific site of any ulcer disease.
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| 36 | ;;
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| 37 | ;;
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| 38 | ;; 2. Weight gain or loss.
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| 39 | ;;
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| 40 | ;;
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| 41 | ;; 3. Signs of anemia.
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| 42 | ;;
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| 43 | ;;
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| 44 | ;; 4. Pain or tenderness - location, type, precipitating factors.
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| 45 | ;;
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| 46 | ;;
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| 47 | ;;D. Diagnostic and Clinical Tests:
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| 48 | ;;
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| 49 | ;; 1. For gastritis, endoscopic evidence - describe hemorrhage,
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| 50 | ;; ulcerated or eroded areas.
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| 51 | ;; 2. For adhesions, X-ray to show partial obstruction, delayed
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| 52 | ;; motility.
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| 53 | ;; 3. Include results of all diagnostic and clinical tests conducted
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| 54 | ;; in the examination report.
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| 55 | ;;
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| 56 | ;;
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| 57 | ;;E. Diagnosis:
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| 58 | ;;
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| 59 | ;;
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| 60 | ;;Signature: Date:
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| 61 | ;;END
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