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 Dec 13, 2024@01:49:24 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
