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Routine: DVBCGMC1

DVBCGMC1.m

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