Home   Package List   Routine Alphabetical List   Global Alphabetical List   FileMan Files List   FileMan Sub-Files List   Package Component Lists   Package-Namespace Mapping  
Routine: DVBCWCS5

DVBCWCS5.m

Go to the documentation of this file.
  1. DVBCWCS5 ;ALB/RLC CUSHING'S SYNDROME WKS TEXT - 1 ; 12 FEB 2007
  1. ;;2.7;AMIE;**164**;Apr 10, 1995;Build 2
  1. ;
  1. ;
  1. TXT ;
  1. ;;A. Review of Medical Records:
  1. ;;
  1. ;;B. Medical History (Subjective Complaints):
  1. ;;
  1. ;; Comment on:
  1. ;;
  1. ;; 1. Date diagnosis established.
  1. ;; 2. Current symptoms: bone or muscle weakness, generalized weakness,
  1. ;; fatigue, weight gain, vision problems, increased thirst, increased
  1. ;; urination, headache, poor wound healing, erectile dysfunction,
  1. ;; irregular menstrual periods, fragile skin, acne, mental changes, etc.
  1. ;; 3. History of glucose intolerance?
  1. ;; 4. Course of condition since onset.
  1. ;; 5. Treatments: surgery, medication (including cortisol-inhibiting drugs
  1. ;; and post-surgical hormone replacement), etc. Include dose, frequency,
  1. ;; response, side effects.
  1. ;; 6. History of related hospitalizations or surgery, dates and location, if
  1. ;; known, reason or type of surgery.
  1. ;; 7. History of neoplasm:
  1. ;;
  1. ;; a. Date of diagnosis, exact diagnosis, location.
  1. ;; b. Benign or malignant.
  1. ;; c. Types of treatment and dates.
  1. ;; d. Last date of treatment.
  1. ;; e. State whether treatment has been completed.
  1. ;;
  1. ;;C. Physical Examination (Objective Findings):
  1. ;;
  1. ;; Address each of the following and fully describe current findings:
  1. ;;
  1. ;; 1. Muscle strength examination.
  1. ;; 2. Vascular fragility.
  1. ;; 3. Blood Pressure X 3.
  1. ;; 4. Skin abnormalities (striae, acne, abnormal thinning, plethora, etc.).
  1. ;; 5. Percent weight gain or loss compared to baseline (average weight in 2
  1. ;; years preceding onset of disease), presence of obesity.
  1. ;; 6. Moonface, buffalo hump, hirsutism (applies to women).
  1. ;; 7. Vision abnormalities (signs or symptoms of a vision abnormality)
  1. ;; requires an examination by an eye specialist.
  1. ;; 8. Gastrointestinal abnormalities.
  1. ;; 9. Report evidence of any of the following complications: diabetes
  1. ;; mellitus, osteoporosis, kidney stones. Follow appropriate examination
  1. ;; worksheets.
  1. ;; 10. If Cushing's syndrome has been controlled, describe adrenal
  1. ;; insufficiency, cardiovascular, psychiatric, skin, or skeletal
  1. ;; complications or residuals. Follow appropriate examination worksheets.
  1. ;; 11. If there is or was a related neoplasm, report residuals of the neoplasm
  1. ;; and its treatment.
  1. ;;
  1. ;;D. Diagnostic and Clinical Tests:
  1. ;;
  1. ;; Provide, as indicated:
  1. ;;
  1. ;; 1. CT of brain or X-ray of sella turcica, unless of record.
  1. ;; 2. Serum and urine cortisol levels, unless of record.
  1. ;; 3. High and low dose dexamethasone suppression test, unless of record.
  1. ;; 4. Imaging studies for size of adrenals, unless of record.
  1. ;; 5. Glucose tolerance test, if needed, to confirm glucose intolerance.
  1. ;; 6. Imaging study, if osteoporosis is suspected.
  1. ;; 7. Include results of all diagnostic and clinical tests conducted
  1. ;; in the examination report.
  1. ;;
  1. ;;E. Diagnosis:
  1. ;;
  1. ;; Comment on:
  1. ;;
  1. ;; 1. Is the disease active or in remission? Is it progressive?
  1. ;; 2. What is the etiology? Is it iatrogenic?
  1. ;; 3. Report enlargement of pituitary or adrenal gland, glucose intolerance.
  1. ;; 4. List complications of Cushing's syndrome and follow appropriate
  1. ;; examination worksheets.
  1. ;; 5. Effects of the condition on occupational functioning and daily
  1. ;; activities.
  1. ;;
  1. ;;
  1. ;;Signature: Date:
  1. ;;END