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 ---[H[J[2J[HDVBCWCN1 1381 printed Nov 22, 2024@17:00:16 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
