source: WorldVistAEHR/trunk/r/AUTOMATED_MED_INFO_EXCHANGE-DVBA-DVBC/DVBCWSW1.m@ 1036

DVBCWSW1 ;ALB/CMM SCARS WKS TEXT - 1 ; 6 MARCH 1997
 ;;2.7;AMIE;**12**;Apr 10, 1995
 ;
 ;
TXT ;
 ;;A.  Review of Medical Records:
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 ;;
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 ;;B.  Medical History (Subjective Complaints):
 ;;
 ;;    1.  Type of injury or infection causing the wound or scar, its 
 ;;        date, the treatment used and the response to such treatment.
 ;;
 ;;
 ;;    2.  Current symptoms.
 ;;
 ;;
 ;;C.  Physical Examination (Objective Findings):
 ;;
 ;;    Address each of the following and fully describe current findings
 ;;    (for each scar):
 ;;    1.  Location, measurements (cm. x cm.), and shape of each scar.
 ;;
 ;;
 ;;    2.  Tenderness.
 ;;
 ;;
 ;;    3.  Adherence.
 ;;
 ;;
 ;;    4.  Texture.
 ;;
 ;;
 ;;    5.  Ulceration or breakdown of skin.
 ;;
 ;;
 ;;    6.  Elevation or depression of scar.
 ;;
 ;;
 ;;    7.  Extent of underlying tissue loss.
 ;;
 ;;
 ;;    8.  Inflammation, edema, or keloid formation.
 ;;
 ;;
 ;;    9.  Color of scar compared to normal areas of skin.
 ;;
 ;;
 ;;   10.  Disfigurement.
 ;;
 ;;
 ;;   11.  For each burn scar, state if due to a 2nd or 3rd degree burn.
 ;;
 ;;
 ;;   12.  Limitation of function by scar.
 ;;
 ;;
 ;;   13.  An attachment is provided in the Handout of Instructions for 
 ;;        Compensation and Pension Examinations for plotting the 
 ;;        location of scars.
 ;;
 ;;
 ;;D.  Diagnostic and Clinical Tests:
 ;;
 ;;    1.  With disfigurement or disfiguring scar of head, face, or neck,
 ;;        submit COLOR PHOTOGRAPHS.
 ;;    2.  Include results of all diagnostic and clinical tests conducted
 ;;        in the examination report.
 ;;
 ;;
 ;;E.  Diagnosis:
 ;;
 ;;
 ;;Signature:                             Date:
 ;;END