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Routine: DVBCWAC3

DVBCWAC3.m

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  1. DVBCWAC3 ;ALB/RLC ACROMEGALY WKS TEXT - 1 ; 5 MARCH 1997
  1. ;;2.7;AMIE;**183**;Apr 10, 1995;Build 8
  1. ;
  1. ;
  1. TXT ;
  1. ;;A. Review of Medical Records:
  1. ;;
  1. ;;B. Medical History (Subjective Complaints):
  1. ;;
  1. ;; Comment on:
  1. ;;
  1. ;; 1. Date diagnosis established.
  1. ;; 2. History of surgery or hospitalizations for acromegaly. If acromegaly
  1. ;; is due to a neoplasm, report exact type, location, and types and dates
  1. ;; of treatment.
  1. ;; 3. Joint pains.
  1. ;; 4. Changes in vision.
  1. ;; 5. Headaches (severity and frequency).
  1. ;; 6. Cardiac symptoms.
  1. ;; 7. Change in shoe, glove, or hat size.
  1. ;; 8. Symptoms of glucose intolerance.
  1. ;; 9. Other complaints: voice changes; paresthesias; fatigue; depression;
  1. ;; muscle weakness; enlarged jaw, lips, nose, tongue; skin changes;
  1. ;; in men, erectile dysfunction; in women, breast discharge or menstrual
  1. ;; cycle abnormalities.
  1. ;; 10. History of colon polyps.
  1. ;; 11. Treatment other than for neoplasm.
  1. ;;
  1. ;;C. Physical Examination (Objective Findings):
  1. ;;
  1. ;; Address each of the following and fully describe current findings:
  1. ;;
  1. ;; 1. Vital signs, blood pressure X3, percent of weight gained or lost
  1. ;; compared to baseline (average weight in the 2 years preceding onset
  1. ;; of disease).
  1. ;; 2. Acromegalic facial or skin abnormalities.
  1. ;; 3. Arthropathy.
  1. ;; 4. Cardiac or pulmonary abnormalities.
  1. ;; 5. Evidence of increased intracranial pressure.
  1. ;; 6. Enlargement of acral parts or long bones.
  1. ;; 7. Visual impairment, including visual fields.
  1. ;; 8. Other: hirsutism in women, macroglossia, peripheral neuropathy,
  1. ;; evidence of sleep apnea.
  1. ;;
  1. ;;D. Diagnostic and Clinical Tests:
  1. ;;
  1. ;; Provide:
  1. ;;
  1. ;; As indicated:
  1. ;;
  1. ;; 1. Imaging study of sella turcica.
  1. ;; 2. Glucose tolerance test.
  1. ;; 3. Include results of all diagnostic and clinical tests conducted
  1. ;; in the examination report.
  1. ;;
  1. ;;
  1. ;;E. Diagnosis:
  1. ;;
  1. ;; Comment on:
  1. ;;
  1. ;; 1. Is the disease active or in remission?
  1. ;;
  1. ;;
  1. ;;Signature: Date:
  1. ;;END