DVBCWCS1.m

DVBCWCS1 ;ALB/CMM CUSHING'S SYNDROME 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.  Date diagnosis established.

 ;;

 ;;

 ;;    2.  Weakness or fatigability.

 ;;

 ;;

 ;;    3.  Etiology ?  Iatrogenic?

 ;;

 ;;

 ;;    4.  Treatments (surgery, medication, etc.), dose, frequency, 

 ;;        response, side effects.

 ;;

 ;;

 ;;C.  Physical Examination (Objective Findings):

 ;;

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

 ;;    1.  Muscle strength.

 ;;

 ;;

 ;;    2.  Vascular fragility.

 ;;

 ;;

 ;;    3.  Gastrointestinal.

 ;;

 ;;

 ;;    4.  Blood Pressure.

 ;;

 ;;

 ;;    5.  Striae.

 ;;

 ;;

 ;;    6.  Weight gain or loss (weigh patient).

 ;;

 ;;

 ;;    7.  Moonface.

 ;;

 ;;

 ;;    8.  Glucose metabolism.

 ;;

 ;;

 ;;    9.  After control, describe adrenal insufficiency, cardiovascular,

 ;;        psychiatric, skin, or skeletal complications or residuals.

 ;;

 ;;

 ;;D.  Diagnostic and Clinical Tests:

 ;;

 ;;    Provide:

 ;;    1.  CT of brain or X-ray of sella turcica.

 ;;    2.  Serum and urine cortisol levels.

 ;;    3.  High and low dose dexamethasone suppression test.

 ;;    4.  X-rays if osteoporosis suspected.

 ;;    5.  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 ---DVBCWCS1   1658     printed  Mar 13, 2025@20:54:51                                                                                                                                                                                                    Page 2

DVBCWCS1  ;ALB/CMM CUSHING'S SYNDROME 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.  Date diagnosis established.

 +9       ;;

 +10      ;;

 +11      ;;    2.  Weakness or fatigability.

 +12      ;;

 +13      ;;

 +14      ;;    3.  Etiology ?  Iatrogenic?

 +15      ;;

 +16      ;;

 +17      ;;    4.  Treatments (surgery, medication, etc.), dose, frequency, 

 +18      ;;        response, side effects.

 +19      ;;

 +20      ;;

 +21      ;;C.  Physical Examination (Objective Findings):

 +22      ;;

 +23      ;;    Address each of the following and fully describe current findings:

 +24      ;;    1.  Muscle strength.

 +25      ;;

 +26      ;;

 +27      ;;    2.  Vascular fragility.

 +28      ;;

 +29      ;;

 +30      ;;    3.  Gastrointestinal.

 +31      ;;

 +32      ;;

 +33      ;;    4.  Blood Pressure.

 +34      ;;

 +35      ;;

 +36      ;;    5.  Striae.

 +37      ;;

 +38      ;;

 +39      ;;    6.  Weight gain or loss (weigh patient).

 +40      ;;

 +41      ;;

 +42      ;;    7.  Moonface.

 +43      ;;

 +44      ;;

 +45      ;;    8.  Glucose metabolism.

 +46      ;;

 +47      ;;

 +48      ;;    9.  After control, describe adrenal insufficiency, cardiovascular,

 +49      ;;        psychiatric, skin, or skeletal complications or residuals.

 +50      ;;

 +51      ;;

 +52      ;;D.  Diagnostic and Clinical Tests:

 +53      ;;

 +54      ;;    Provide:

 +55      ;;    1.  CT of brain or X-ray of sella turcica.

 +56      ;;    2.  Serum and urine cortisol levels.

 +57      ;;    3.  High and low dose dexamethasone suppression test.

 +58      ;;    4.  X-rays if osteoporosis suspected.

 +59      ;;    5.  Include results of all diagnostic and clinical tests conducted

 +60      ;;        in the examination report.

 +61      ;;

 +62      ;;

 +63      ;;E.  Diagnosis:

 +64      ;;

 +65      ;;    Comment on:

 +66      ;;    1.  Is the disease active or in remission?

 +67      ;;

 +68      ;;

 +69      ;;Signature:                             Date:

 +70      ;;END