DVBCWCN1.m

DVBCWCN1 ;ALB/CMM CRANIAL NERVES WKS TEXT - 1 ; 6 MARCH 1997

 ;;2.7;AMIE;**12**;Apr 10, 1995

 ;

 ;

TXT ;

 ;;A.  Review of Medical Records:

 ;;

 ;;

 ;;B.  Medical History (Subjective Complaints):

 ;;

 ;;    Comment on:

 ;;    1.  If flare-ups exist, describe precipitating factors, aggravating 

 ;;        factors, alleviating factors, alleviating medications, frequency, 

 ;;        severity, duration, and whether the flare-ups include pain, 

 ;;        weakness, fatigue, or functional loss.

 ;;

 ;;

 ;;    2.  Current treatment, response, side effects.

 ;;

 ;;

 ;;C.  Physical Examination (Objective Findings):

 ;;

 ;;    Address each of the following and fully describe current findings:

 ;;    1.  Identify the nerve and the side.

 ;;

 ;;

 ;;    2.  Identify the disorder (i.e., paralysis, neuritis, neuralgia).

 ;;

 ;;

 ;;    3.  Describe in detail specific motor and sensory impairment, 

 ;;        quantifying as much as possible.

 ;;

 ;;

 ;;    4.  If smell or taste is affected, please also complete the 

 ;;        appropriate worksheet.

 ;;

 ;;

 ;;D.  Diagnostic and Clinical Tests:

 ;;

 ;;    1.  Include results of all diagnostic and clinical tests conducted

 ;;        in the examination report.

 ;;

 ;;

 ;;E.  Diagnosis:

 ;;

 ;;    1.  State etiology.

 ;;

 ;;

 ;;Signature:                             Date:

 ;;END

--- Routine Detail   --- with STRUCTURED ROUTINE LISTING ---DVBCWCN1   1381     printed  Apr 09, 2024@20:48:09                                                                                                                                                                                                    Page 2

DVBCWCN1  ;ALB/CMM CRANIAL NERVES WKS TEXT - 1 ; 6 MARCH 1997

 +1       ;;2.7;AMIE;**12**;Apr 10, 1995

 +2       ;

 +3       ;

TXT       ;

 +1       ;;A.  Review of Medical Records:

 +2       ;;

 +3       ;;

 +4       ;;B.  Medical History (Subjective Complaints):

 +5       ;;

 +6       ;;    Comment on:

 +7       ;;    1.  If flare-ups exist, describe precipitating factors, aggravating 

 +8       ;;        factors, alleviating factors, alleviating medications, frequency, 

 +9       ;;        severity, duration, and whether the flare-ups include pain, 

 +10      ;;        weakness, fatigue, or functional loss.

 +11      ;;

 +12      ;;

 +13      ;;    2.  Current treatment, response, side effects.

 +14      ;;

 +15      ;;

 +16      ;;C.  Physical Examination (Objective Findings):

 +17      ;;

 +18      ;;    Address each of the following and fully describe current findings:

 +19      ;;    1.  Identify the nerve and the side.

 +20      ;;

 +21      ;;

 +22      ;;    2.  Identify the disorder (i.e., paralysis, neuritis, neuralgia).

 +23      ;;

 +24      ;;

 +25      ;;    3.  Describe in detail specific motor and sensory impairment, 

 +26      ;;        quantifying as much as possible.

 +27      ;;

 +28      ;;

 +29      ;;    4.  If smell or taste is affected, please also complete the 

 +30      ;;        appropriate worksheet.

 +31      ;;

 +32      ;;

 +33      ;;D.  Diagnostic and Clinical Tests:

 +34      ;;

 +35      ;;    1.  Include results of all diagnostic and clinical tests conducted

 +36      ;;        in the examination report.

 +37      ;;

 +38      ;;

 +39      ;;E.  Diagnosis:

 +40      ;;

 +41      ;;    1.  State etiology.

 +42      ;;

 +43      ;;

 +44      ;;Signature:                             Date:

 +45      ;;END