- DVBCWAC3 ;ALB/RLC ACROMEGALY WKS TEXT - 1 ; 5 MARCH 1997
- ;;2.7;AMIE;**183**;Apr 10, 1995;Build 8
- ;
- ;
- TXT ;
- ;;A. Review of Medical Records:
- ;;
- ;;B. Medical History (Subjective Complaints):
- ;;
- ;; Comment on:
- ;;
- ;; 1. Date diagnosis established.
- ;; 2. History of surgery or hospitalizations for acromegaly. If acromegaly
- ;; is due to a neoplasm, report exact type, location, and types and dates
- ;; of treatment.
- ;; 3. Joint pains.
- ;; 4. Changes in vision.
- ;; 5. Headaches (severity and frequency).
- ;; 6. Cardiac symptoms.
- ;; 7. Change in shoe, glove, or hat size.
- ;; 8. Symptoms of glucose intolerance.
- ;; 9. Other complaints: voice changes; paresthesias; fatigue; depression;
- ;; muscle weakness; enlarged jaw, lips, nose, tongue; skin changes;
- ;; in men, erectile dysfunction; in women, breast discharge or menstrual
- ;; cycle abnormalities.
- ;; 10. History of colon polyps.
- ;; 11. Treatment other than for neoplasm.
- ;;
- ;;C. Physical Examination (Objective Findings):
- ;;
- ;; Address each of the following and fully describe current findings:
- ;;
- ;; 1. Vital signs, blood pressure X3, percent of weight gained or lost
- ;; compared to baseline (average weight in the 2 years preceding onset
- ;; of disease).
- ;; 2. Acromegalic facial or skin abnormalities.
- ;; 3. Arthropathy.
- ;; 4. Cardiac or pulmonary abnormalities.
- ;; 5. Evidence of increased intracranial pressure.
- ;; 6. Enlargement of acral parts or long bones.
- ;; 7. Visual impairment, including visual fields.
- ;; 8. Other: hirsutism in women, macroglossia, peripheral neuropathy,
- ;; evidence of sleep apnea.
- ;;
- ;;D. Diagnostic and Clinical Tests:
- ;;
- ;; Provide:
- ;;
- ;; As indicated:
- ;;
- ;; 1. Imaging study of sella turcica.
- ;; 2. Glucose tolerance test.
- ;; 3. Include results of all diagnostic and clinical tests conducted
- ;; in the examination report.
- ;;
- ;;
- ;;E. Diagnosis:
- ;;
- ;; Comment on:
- ;;
- ;; 1. Is the disease active or in remission?
- ;;
- ;;
- ;;Signature: Date:
- ;;END
- --- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCWAC3 2249 printed Feb 18, 2025@23:15:51 Page 2
- DVBCWAC3 ;ALB/RLC ACROMEGALY WKS TEXT - 1 ; 5 MARCH 1997
- +1 ;;2.7;AMIE;**183**;Apr 10, 1995;Build 8
- +2 ;
- +3 ;
- TXT ;
- +1 ;;A. Review of Medical Records:
- +2 ;;
- +3 ;;B. Medical History (Subjective Complaints):
- +4 ;;
- +5 ;; Comment on:
- +6 ;;
- +7 ;; 1. Date diagnosis established.
- +8 ;; 2. History of surgery or hospitalizations for acromegaly. If acromegaly
- +9 ;; is due to a neoplasm, report exact type, location, and types and dates
- +10 ;; of treatment.
- +11 ;; 3. Joint pains.
- +12 ;; 4. Changes in vision.
- +13 ;; 5. Headaches (severity and frequency).
- +14 ;; 6. Cardiac symptoms.
- +15 ;; 7. Change in shoe, glove, or hat size.
- +16 ;; 8. Symptoms of glucose intolerance.
- +17 ;; 9. Other complaints: voice changes; paresthesias; fatigue; depression;
- +18 ;; muscle weakness; enlarged jaw, lips, nose, tongue; skin changes;
- +19 ;; in men, erectile dysfunction; in women, breast discharge or menstrual
- +20 ;; cycle abnormalities.
- +21 ;; 10. History of colon polyps.
- +22 ;; 11. Treatment other than for neoplasm.
- +23 ;;
- +24 ;;C. Physical Examination (Objective Findings):
- +25 ;;
- +26 ;; Address each of the following and fully describe current findings:
- +27 ;;
- +28 ;; 1. Vital signs, blood pressure X3, percent of weight gained or lost
- +29 ;; compared to baseline (average weight in the 2 years preceding onset
- +30 ;; of disease).
- +31 ;; 2. Acromegalic facial or skin abnormalities.
- +32 ;; 3. Arthropathy.
- +33 ;; 4. Cardiac or pulmonary abnormalities.
- +34 ;; 5. Evidence of increased intracranial pressure.
- +35 ;; 6. Enlargement of acral parts or long bones.
- +36 ;; 7. Visual impairment, including visual fields.
- +37 ;; 8. Other: hirsutism in women, macroglossia, peripheral neuropathy,
- +38 ;; evidence of sleep apnea.
- +39 ;;
- +40 ;;D. Diagnostic and Clinical Tests:
- +41 ;;
- +42 ;; Provide:
- +43 ;;
- +44 ;; As indicated:
- +45 ;;
- +46 ;; 1. Imaging study of sella turcica.
- +47 ;; 2. Glucose tolerance test.
- +48 ;; 3. Include results of all diagnostic and clinical tests conducted
- +49 ;; in the examination report.
- +50 ;;
- +51 ;;
- +52 ;;E. Diagnosis:
- +53 ;;
- +54 ;; Comment on:
- +55 ;;
- +56 ;; 1. Is the disease active or in remission?
- +57 ;;
- +58 ;;
- +59 ;;Signature: Date:
- +60 ;;END