DVBCGMC1 ;ALB ISC/THM-TEXT FOR GEN MED EXAM ; 5/21/91 9:47 AM
;;2.7;AMIE;;Apr 10, 1995
;
PTXT F AW=0:1 S AX=$T(@TXT+AW) S AY=$P(AX,";;",2) W:AY="END" !! Q:AY="END" W AY,!
Q
;
TXT2 ;;(describe type, area, extent of lesions and
;; report injuries, including burns in the MUSCULOSKELETAL section of this
;; form):
;;END
;
TXT3 ;;(describe local or generalized adenopathy,
;; enlargement, tenderness, suppuration blocking of lymphatic circulation,
;; etc..):
;;END
;
TXT4 ;;(describe findings on inspection and palpation,
;; enlargements, masses, tenderness or rigidity, hemorrhoids (internal/external
;; fissures, bowel movements - control or lack of):
;;END
;
TXT5 ;;(describe type, location, size, whether complete, reducible, recurrent,
;; supported by truss or belt, and whether operable):
;;END
;
TXT6 ;;(describe kidneys, bladder, frequency
;; of urination and control or lack thereof, prostate, seminal
;; vesicles, testes, cord, penis, and appendages; evidence of
;; past or present venereal disease; for females report pelvic
;; exam, if indicated):
;;END
;
TXT7 ;; 1. Diseases and injuries (include effect of gunshot wounds and other
;; injuries on skin and underlying structures) -
;;
;;
;;
;;
;; 2. Scars (describe location, measurements, depression, type oftissue
;; loss adherence, disfiguration and tenderness) -
;;
;;
;;
;;
;; 3. Functional effects (describe location, swelling, atrophy, tenderness,
;; degree of limitation of flexion and extension, angle of fixation, fracture
;; or disease, fibrous or bony residual and specify mechanical aid used and
;; benefit) -
;;
;;
;;
;;
;; 4. Feet (describe objective evidence of pain at rest and on manipulation,
;; rigidity, spasm, circulatory disturbance, swelling, callus, strength,
;; mobility of ankles, feet, toes and limitation in degrees and indicate
;; whether right or left, acquired or congenital) -
;;
;;
;;
;;
;; 5. Burns (indicate degree, shape and dimension, specifying inches
;; or centimeters)-
;;
;;
;;END
TXT8 ;; 1. Neurological (describe motor status, coordination, reflexes, sensory
;; status equilibrium and give level of lesion) -
;;
;;
;;
;;
;; 2. Psychiatric and Personality (describe behavior, comprehension,
;; coherence of response, emotional reaction, orientation, memory, signs
;; of tension and response as to social and industrial capacity) -
;;
;;
;;
;;
;;
;; 3. State whether the veteran is capable of managing his/her benefit payments
;; in the individual's own best interests without restriction (a physicial
;; disability which prevents the veteran from attending to financial
;; matters in person is not proper basis for a finding of incompetency
;; unless the veteran is, by reason of that disability, incapable of
;; directing someone else in handling the individual's financial affairs) -
;;
;;
;;
;;
;;END
;
TXT9 ;;(describe cough, expectoration, mobility, palpation,
;; percussion, and auscultation and specify the area as well as
;; the veteran's tolerance for exercise, such as how far can he
;; walk, how many flights of stairs can he climb, etc.):
;;END
;
TXT10 ;;In many cases, this general examination will be the only examination conducted.
;;Accordingly, it is vital that all significant functional deficits should
;;be identified and described, including, but not limited to, the body systems
;;and parts involved in the history and present complaints. If the examiner deems
;;that additional special studies and/or examinations are necessary for proper
;;diagnosis and/or evaluation, specific recommendations should be made.
;;
;;Negative results may be summarized as "negative" or "normal".
;;END
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCGMC1 3941 printed Nov 22, 2024@16:54:22 Page 2
DVBCGMC1 ;ALB ISC/THM-TEXT FOR GEN MED EXAM ; 5/21/91 9:47 AM
+1 ;;2.7;AMIE;;Apr 10, 1995
+2 ;
PTXT FOR AW=0:1
SET AX=$TEXT(@TXT+AW)
SET AY=$PIECE(AX,";;",2)
if AY="END"
WRITE !!
if AY="END"
QUIT
WRITE AY,!
+1 QUIT
+2 ;
TXT2 ;;(describe type, area, extent of lesions and
+1 ;; report injuries, including burns in the MUSCULOSKELETAL section of this
+2 ;; form):
+3 ;;END
+4 ;
TXT3 ;;(describe local or generalized adenopathy,
+1 ;; enlargement, tenderness, suppuration blocking of lymphatic circulation,
+2 ;; etc..):
+3 ;;END
+4 ;
TXT4 ;;(describe findings on inspection and palpation,
+1 ;; enlargements, masses, tenderness or rigidity, hemorrhoids (internal/external
+2 ;; fissures, bowel movements - control or lack of):
+3 ;;END
+4 ;
TXT5 ;;(describe type, location, size, whether complete, reducible, recurrent,
+1 ;; supported by truss or belt, and whether operable):
+2 ;;END
+3 ;
TXT6 ;;(describe kidneys, bladder, frequency
+1 ;; of urination and control or lack thereof, prostate, seminal
+2 ;; vesicles, testes, cord, penis, and appendages; evidence of
+3 ;; past or present venereal disease; for females report pelvic
+4 ;; exam, if indicated):
+5 ;;END
+6 ;
TXT7 ;; 1. Diseases and injuries (include effect of gunshot wounds and other
+1 ;; injuries on skin and underlying structures) -
+2 ;;
+3 ;;
+4 ;;
+5 ;;
+6 ;; 2. Scars (describe location, measurements, depression, type oftissue
+7 ;; loss adherence, disfiguration and tenderness) -
+8 ;;
+9 ;;
+10 ;;
+11 ;;
+12 ;; 3. Functional effects (describe location, swelling, atrophy, tenderness,
+13 ;; degree of limitation of flexion and extension, angle of fixation, fracture
+14 ;; or disease, fibrous or bony residual and specify mechanical aid used and
+15 ;; benefit) -
+16 ;;
+17 ;;
+18 ;;
+19 ;;
+20 ;; 4. Feet (describe objective evidence of pain at rest and on manipulation,
+21 ;; rigidity, spasm, circulatory disturbance, swelling, callus, strength,
+22 ;; mobility of ankles, feet, toes and limitation in degrees and indicate
+23 ;; whether right or left, acquired or congenital) -
+24 ;;
+25 ;;
+26 ;;
+27 ;;
+28 ;; 5. Burns (indicate degree, shape and dimension, specifying inches
+29 ;; or centimeters)-
+30 ;;
+31 ;;
+32 ;;END
TXT8 ;; 1. Neurological (describe motor status, coordination, reflexes, sensory
+1 ;; status equilibrium and give level of lesion) -
+2 ;;
+3 ;;
+4 ;;
+5 ;;
+6 ;; 2. Psychiatric and Personality (describe behavior, comprehension,
+7 ;; coherence of response, emotional reaction, orientation, memory, signs
+8 ;; of tension and response as to social and industrial capacity) -
+9 ;;
+10 ;;
+11 ;;
+12 ;;
+13 ;;
+14 ;; 3. State whether the veteran is capable of managing his/her benefit payments
+15 ;; in the individual's own best interests without restriction (a physicial
+16 ;; disability which prevents the veteran from attending to financial
+17 ;; matters in person is not proper basis for a finding of incompetency
+18 ;; unless the veteran is, by reason of that disability, incapable of
+19 ;; directing someone else in handling the individual's financial affairs) -
+20 ;;
+21 ;;
+22 ;;
+23 ;;
+24 ;;END
+25 ;
TXT9 ;;(describe cough, expectoration, mobility, palpation,
+1 ;; percussion, and auscultation and specify the area as well as
+2 ;; the veteran's tolerance for exercise, such as how far can he
+3 ;; walk, how many flights of stairs can he climb, etc.):
+4 ;;END
+5 ;
TXT10 ;;In many cases, this general examination will be the only examination conducted.
+1 ;;Accordingly, it is vital that all significant functional deficits should
+2 ;;be identified and described, including, but not limited to, the body systems
+3 ;;and parts involved in the history and present complaints. If the examiner deems
+4 ;;that additional special studies and/or examinations are necessary for proper
+5 ;;diagnosis and/or evaluation, specific recommendations should be made.
+6 ;;
+7 ;;Negative results may be summarized as "negative" or "normal".
+8 ;;END
