DVBCWGE5	;ALB/RLC GENITOURINARY EXAMINATION WKS TEXT - 1 ; 5 MARCH 1997
	;;2.7;AMIE;**128**;Apr 10, 1995;Build 5
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TXT	;
	;;A.  Review of Medical Records: 
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	;;B.  Medical History (Subjective Complaints):
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	;;    Comment on:
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	;;    1.  For renal dysfunctions, state whether each of the following symptoms
	;;        are present or absent: lethargy, weakness, anorexia and weight loss
	;;        or gain.
	;;    2.  Urinary flow: frequency (day or night, indicate voiding intervals
	;;        during the day and number of times during the night), hesitancy,
	;;        stream, dysuria.
	;;    3.  Incontinence - if present, describe required frequency of changing
	;;        absorbent material/day and/or whether or not an appliance is needed.
	;;    4.  Provide details of any history of:
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	;;        a.  Surgery on any part of the urinary tract.  Residuals?  
	;;            Impotence?
	;;        b.  Recurrent urinary tract infections.
	;;        c.  Renal colic or bladder stones.
	;;        d.  Acute nephritis.
	;;        e.  Hospitalization for urinary tract disease, if so, diagnosis,
	;;            how many in the past year?
	;;        f.  Neoplasm-diagnosis, date of diagnosis, benign or malignant,
	;;            type and date of last treatment.
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	;;    5.  Treatments.
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	;;        a.  Is catheterization needed?  Intermittent or continuous?
	;;        b.  Dilations - Frequency of dilations?
	;;        c.  Drainage procedures.
	;;        d.  Diet therapy - specify.
	;;        e.  Medications.
	;;        f.  Frequency per year of invasive and noninvasive procedures.
	;;            Type of procedure.
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	;;    6.  Describe the effects of the condition(s) on the
	;;        veteran's usual occupation and daily activities.
	;;    7.  If on dialysis, how often?
	;;    8.  For Males-Erectile dysfunction
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	;;        Comment on:
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	;;        a. Presence or absence.
	;;        b. Trauma/surgery affecting penis/testicles (e.g. vasectomy?).
	;;        c. Local and/or systemic diseases affecting sexual function.
	;;             i.   Endocrine.
	;;             ii.  Neurologic.
	;;             iii. Infections.
	;;             iv.  Vascular.
	;;             v.   Psychological.
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	;;        d. Symptoms: Vaginal penetration with ejaculation possible?  Is
	;;           ejaculation retrograde?
	;;        e. Past treatment:
	;;             i.   Medications, injections, implants, pump, counseling.
	;;             ii.  Effective in allowing intercourse.
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	;;C.  Physical Examination (Objective Findings):
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	;;    Address each of the following, as appropriate, to the condition 
	;;    being examined and fully describe current findings:
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	;;    1.  Blood pressure, describe edema, to include persistence.
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	;;        a. Cardiovascular examination, if indicated.
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	;;    2.  For males: inspection and palpation of penis, testicles, epididymis,
	;;        and spermatic cord.  If there is penis deformity, state whether
	;;        there is loss of erectile power.  Inspection of anus and digital
	;;        exam of rectal walls, prostate, and seminal vesicles.
	;;    3.  Sensation and reflexes.
	;;    4.  Peripheral pulses.
	;;    5.  Fistula.
	;;    6.  Testicular atrophy - size and consistency.
	;;    7.  Any other residuals of genitourinary disease, including post-
	;;        treatment residuals of malignancy.
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	;;D.  Diagnostic and Clinical Tests:
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	;;    1.  CBC.
	;;    2.  UA, including microscopic analysis to assess for presence or
	;;        absence of hyaline casts, granular casts, and red blood cells.
	;;    3.  Creatinine, BUN, minimum, if renal dysfunction is an issue.
	;;    4.  Uroflowmetry, if indicated.
	;;    5.  Measurement of post-void residual, if indicated.
	;;    6.  Semen analysis, including sperm count and interpretation of 
	;;        results, if applicable.
	;;    7.  Endocrine evaluation (glucose, TSH, testosterone, LH, FSH, 
	;;        prolactin), if applicable.
	;;    8.  Psychiatric evaluation, if applicable.
	;;    9.  Include results of all diagnostic and clinical tests conducted
	;;        in the examination report.
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	;;E.  Diagnosis:
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	;;Signature:                             Date:
	;;END