- 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 Jan 18, 2025@02:45:24 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