DVBCWCS3.m

DVBCWCS3 ;ALB/RLC CUSHING'S SYNDROME WKS TEXT - 1 ; 12 FEB 2007

 ;;2.7;AMIE;**121**;Apr 10, 1995;Build 9

 ;

 ;

TXT ;

 ;;A.  Review of Medical Records:

 ;;

 ;;B.  Medical History (Subjective Complaints):

 ;;

 ;;    Comment on:

 ;;

 ;;    1.  Date diagnosis established.

 ;;    2.  Current symptoms:  weakness, fatigue, weight change, acne, mental

 ;;        changes, vision problems.

 ;;    3.  History of glucose intolerance?

 ;;    4.  Etiology?  Latrogenic?

 ;;    5.  Treatments (surgery, medication, etc.), dose, frequency, response,

 ;;        side effects.

 ;;    6.  Effects of the condition on occupational functioning and daily

 ;;        activities.

 ;;    7.  History of hospitalizations or surgery, dates and location, if known,

 ;;        reason or type of surgery.

 ;;    8.  History of neoplasm:

 ;;        

 ;;        a.  Date of diagnosis, diagnosis.

 ;;        b.  Benign or malignant.

 ;;        c.  Types of treatment and dates.

 ;;        d.  Last date of treatment.

 ;;

 ;;C.  Physical Examination (Objective Findings):

 ;;

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

 ;;

 ;;    1.  Muscle strength.

 ;;    2.  Vascular fragility.

 ;;    3.  Blood Pressure.

 ;;    4.  Striae, skin thinning.

 ;;    5.  Weight gain or loss, presence of obesity.

 ;;    6.  Moonface, buffalo hump.

 ;;    7.  Vision abnormalities, presence of abnormalities requires evaluation

 ;;        by vision specialist.

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

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

 ;;        appropriate worksheets.

 ;;

 ;;D.  Diagnostic and Clinical Tests:

 ;;

 ;;    Provide:

 ;;

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

 ;;    2.  Serum and urine cortisol levels, unless of record.

 ;;    3.  High and low dose dexamethasone suppression test, unless of record.

 ;;    4.  Imaging studies for size of adrenals, unless of record.

 ;;    5.  Glucose tolerance test, if needed, to confirm glucose intolerance.

 ;;    6.  X-rays if osteoporosis suspected.

 ;;    7.  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 ---DVBCWCS3   2436     printed  Feb 18, 2025@23:16:36                                                                                                                                                                                                    Page 2

DVBCWCS3  ;ALB/RLC CUSHING'S SYNDROME WKS TEXT - 1 ; 12 FEB 2007

 +1       ;;2.7;AMIE;**121**;Apr 10, 1995;Build 9

 +2       ;

 +3       ;

TXT       ;

 +1       ;;A.  Review of Medical Records:

 +2       ;;

 +3       ;;B.  Medical History (Subjective Complaints):

 +4       ;;

 +5       ;;    Comment on:

 +6       ;;

 +7       ;;    1.  Date diagnosis established.

 +8       ;;    2.  Current symptoms:  weakness, fatigue, weight change, acne, mental

 +9       ;;        changes, vision problems.

 +10      ;;    3.  History of glucose intolerance?

 +11      ;;    4.  Etiology?  Latrogenic?

 +12      ;;    5.  Treatments (surgery, medication, etc.), dose, frequency, response,

 +13      ;;        side effects.

 +14      ;;    6.  Effects of the condition on occupational functioning and daily

 +15      ;;        activities.

 +16      ;;    7.  History of hospitalizations or surgery, dates and location, if known,

 +17      ;;        reason or type of surgery.

 +18      ;;    8.  History of neoplasm:

 +19      ;;        

 +20      ;;        a.  Date of diagnosis, diagnosis.

 +21      ;;        b.  Benign or malignant.

 +22      ;;        c.  Types of treatment and dates.

 +23      ;;        d.  Last date of treatment.

 +24      ;;

 +25      ;;C.  Physical Examination (Objective Findings):

 +26      ;;

 +27      ;;    Address each of the following and fully describe current findings:

 +28      ;;

 +29      ;;    1.  Muscle strength.

 +30      ;;    2.  Vascular fragility.

 +31      ;;    3.  Blood Pressure.

 +32      ;;    4.  Striae, skin thinning.

 +33      ;;    5.  Weight gain or loss, presence of obesity.

 +34      ;;    6.  Moonface, buffalo hump.

 +35      ;;    7.  Vision abnormalities, presence of abnormalities requires evaluation

 +36      ;;        by vision specialist.

 +37      ;;    8.  After control, describe adrenal insufficiency, cardiovascular,

 +38      ;;        psychiatric, skin, or skeletal complications or residuals, follow

 +39      ;;        appropriate worksheets.

 +40      ;;

 +41      ;;D.  Diagnostic and Clinical Tests:

 +42      ;;

 +43      ;;    Provide:

 +44      ;;

 +45      ;;    1.  CT of brain or X-ray of sella turcica, unless of record.

 +46      ;;    2.  Serum and urine cortisol levels, unless of record.

 +47      ;;    3.  High and low dose dexamethasone suppression test, unless of record.

 +48      ;;    4.  Imaging studies for size of adrenals, unless of record.

 +49      ;;    5.  Glucose tolerance test, if needed, to confirm glucose intolerance.

 +50      ;;    6.  X-rays if osteoporosis suspected.

 +51      ;;    7.  Include results of all diagnostic and clinical tests conducted

 +52      ;;        in the examination report.

 +53      ;;

 +54      ;;E.  Diagnosis:

 +55      ;;

 +56      ;;    Comment on:

 +57      ;;

 +58      ;;    1.  Is the disease active or in remission?

 +59      ;;

 +60      ;;

 +61      ;;Signature:                             Date:

 +62      ;;END