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 ---[H[J[2J[HDVBCWCS3 2436 printed Dec 13, 2024@01:50:10 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
