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Routine: DVBCWAC3

DVBCWAC3.m

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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