DVBCWAV1 ;ALB/CMM ARTERIES AND VEINS WKS TEXT - 1 ; 5 MARCH 1997
;;2.7;AMIE;**12**;Apr 10, 1995
;
;
TXT ;
;;A. Review of Medical Records:
;;
;;
;;
;;B. Medical History (Subjective Complaints):
;;
;; Comment on:
;; 1. Symptoms due to aortic aneurysm, other large or small artery
;; aneurysm, or arteriovenous aneurysm.
;;
;;
;; 2. Current and past treatment, including surgery - e.g., aortic
;; aneurysm grafting, varicose vein stripping, angioplasty of
;; peripheral vessels, etc. Date and response, side effects.
;;
;;
;; 3. Pain, cramping, claudication on exertion? standing? pain at
;; rest? Give frequency, severity, level of exercise that
;; precipitates pain, duration.
;;
;;
;; 4. Paresthesias or other abnormal sensations.
;;
;;
;; 5. Attacks of angioneurotic edema - severity, location, frequency,
;; duration?
;;
;;
;; 6. Cold sensitivity.
;;
;;
;; 7. If treated for malignancy, state type of treatment and dates,
;; including date of last treatment. Describe any residual
;; or recurrent symptoms if treated has been completed.
;;
;;
;; 8. Is exercise and exertion precluded by the condition?
;;
;;
;; 9. Is veteran confined to house or bed because of the condition?
;;
;;
;; 10. Describe the effects of the condition(s) on the veteran's
;; usual occupation and daily activities.
;;
;;
;;C. Physical Examination (Objective Findings):
;;
;; Address each of the following and fully describe current findings:
;; 1. Nutrition, general state of health.
;;
;;
;; 2. Renal, cardiac, or cerebral arteriosclerotic foci.
;;
;;
;; 3. Cardiac status - size, function.
;;
;;
;; 4. Evidence and size of aneurysm.
;;
;;
;; 5. Extremities:
;; a. Temperature.
;;
;;
;;
;; b. Evidence of superficial phlebitis.
;;
;;
;;
;; c. Ulceration or tissue loss.
;;
;;
;;
;; d. Edema (constant or intermittent, relieved by elevation?).
;;
;;
;; e. Scar.
;;
;;
;;
;; f. Color.
;;
;;
;; g. Eczema.
;;
;;
;; h. Tenderness.
;;
;;
;; 6. If there are attacks of blanching or flushing, or blanching,
;; rubor, and cyanosis, indicate their frequency and duration.
;;
;;
;; 7. If evidence or history of erythromelalgia - severity, frequency,
;; duration?
;;
;;
;; 8. If varicosities are present, indicate their size (diameter?),
;; location, appearance, and if deep circulation is involved.
;;
;;
;;D. Diagnostic and Clinical Tests:
;;
;; 1. X-rays, Doppler vascular studies, angiogram, etc., as
;; appropriate, and if indicated.
;; 2. Include results of all diagnostic and clinical tests conducted
;; in the examination report.
;;
;;
;;E. Diagnosis:
;;
;;
;;Signature: Date:
;;END
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCWAV1 3087 printed Aug 26, 2025@22:05:34 Page 2
DVBCWAV1 ;ALB/CMM ARTERIES AND VEINS WKS TEXT - 1 ; 5 MARCH 1997
+1 ;;2.7;AMIE;**12**;Apr 10, 1995
+2 ;
+3 ;
TXT ;
+1 ;;A. Review of Medical Records:
+2 ;;
+3 ;;
+4 ;;
+5 ;;B. Medical History (Subjective Complaints):
+6 ;;
+7 ;; Comment on:
+8 ;; 1. Symptoms due to aortic aneurysm, other large or small artery
+9 ;; aneurysm, or arteriovenous aneurysm.
+10 ;;
+11 ;;
+12 ;; 2. Current and past treatment, including surgery - e.g., aortic
+13 ;; aneurysm grafting, varicose vein stripping, angioplasty of
+14 ;; peripheral vessels, etc. Date and response, side effects.
+15 ;;
+16 ;;
+17 ;; 3. Pain, cramping, claudication on exertion? standing? pain at
+18 ;; rest? Give frequency, severity, level of exercise that
+19 ;; precipitates pain, duration.
+20 ;;
+21 ;;
+22 ;; 4. Paresthesias or other abnormal sensations.
+23 ;;
+24 ;;
+25 ;; 5. Attacks of angioneurotic edema - severity, location, frequency,
+26 ;; duration?
+27 ;;
+28 ;;
+29 ;; 6. Cold sensitivity.
+30 ;;
+31 ;;
+32 ;; 7. If treated for malignancy, state type of treatment and dates,
+33 ;; including date of last treatment. Describe any residual
+34 ;; or recurrent symptoms if treated has been completed.
+35 ;;
+36 ;;
+37 ;; 8. Is exercise and exertion precluded by the condition?
+38 ;;
+39 ;;
+40 ;; 9. Is veteran confined to house or bed because of the condition?
+41 ;;
+42 ;;
+43 ;; 10. Describe the effects of the condition(s) on the veteran's
+44 ;; usual occupation and daily activities.
+45 ;;
+46 ;;
+47 ;;C. Physical Examination (Objective Findings):
+48 ;;
+49 ;; Address each of the following and fully describe current findings:
+50 ;; 1. Nutrition, general state of health.
+51 ;;
+52 ;;
+53 ;; 2. Renal, cardiac, or cerebral arteriosclerotic foci.
+54 ;;
+55 ;;
+56 ;; 3. Cardiac status - size, function.
+57 ;;
+58 ;;
+59 ;; 4. Evidence and size of aneurysm.
+60 ;;
+61 ;;
+62 ;; 5. Extremities:
+63 ;; a. Temperature.
+64 ;;
+65 ;;
+66 ;;
+67 ;; b. Evidence of superficial phlebitis.
+68 ;;
+69 ;;
+70 ;;
+71 ;; c. Ulceration or tissue loss.
+72 ;;
+73 ;;
+74 ;;
+75 ;; d. Edema (constant or intermittent, relieved by elevation?).
+76 ;;
+77 ;;
+78 ;; e. Scar.
+79 ;;
+80 ;;
+81 ;;
+82 ;; f. Color.
+83 ;;
+84 ;;
+85 ;; g. Eczema.
+86 ;;
+87 ;;
+88 ;; h. Tenderness.
+89 ;;
+90 ;;
+91 ;; 6. If there are attacks of blanching or flushing, or blanching,
+92 ;; rubor, and cyanosis, indicate their frequency and duration.
+93 ;;
+94 ;;
+95 ;; 7. If evidence or history of erythromelalgia - severity, frequency,
+96 ;; duration?
+97 ;;
+98 ;;
+99 ;; 8. If varicosities are present, indicate their size (diameter?),
+100 ;; location, appearance, and if deep circulation is involved.
+101 ;;
+102 ;;
+103 ;;D. Diagnostic and Clinical Tests:
+104 ;;
+105 ;; 1. X-rays, Doppler vascular studies, angiogram, etc., as
+106 ;; appropriate, and if indicated.
+107 ;; 2. Include results of all diagnostic and clinical tests conducted
+108 ;; in the examination report.
+109 ;;
+110 ;;
+111 ;;E. Diagnosis:
+112 ;;
+113 ;;
+114 ;;Signature: Date:
+115 ;;END
