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Routine: DVBCWDI5

DVBCWDI5.m

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  1. DVBCWDI5 ;ALB/RLC DIABETES MELLITUS WKS TEXT - 2 ; 24 MAY 2004
  1. ;;2.7;AMIE;**131**;Apr 10, 1995;Build 4
  1. ;
  1. ;
  1. TXT ;
  1. ;;E. Diagnosis:
  1. ;;
  1. ;; 1. State whether the veteran has diabetes mellitus. Indicate type.
  1. ;; 2. Specifically list each identified complication of the veteran's
  1. ;; diabetes. Indicate these conditions as complications of the
  1. ;; veteran's diabetes. If the veteran has peripheral edema,
  1. ;; indicate whether it is a consequence of diabetic kidney disease
  1. ;; or other non-diabetic related etiology.
  1. ;; 3. For each identified complication of the veteran's diabetes,
  1. ;; provide a brief rationale for your conclusion. You may base
  1. ;; your rationale on such things as the duration of the veteran's
  1. ;; diabetes, whether the veteran's diabetes has been poorly
  1. ;; controlled, the onset of the condition that you deem to be a
  1. ;; complication of the veteran's diabetes in relation to the onset
  1. ;; of the veteran's diabetes, the severity of the complication, or
  1. ;; anything else you consider relevant.
  1. ;; 4. Where the veteran has visual impairment, cardiovascular disease
  1. ;; (including hypertension), kidney disease, neurologic disease,
  1. ;; amputations, or any other disabilities which, in your opinion,
  1. ;; are not complications of the veteran's diabetes, please state so
  1. ;; and provide a supporting rationale as to the basis for your
  1. ;; conclusion.
  1. ;; 5. Where the veteran has a condition that is worsened or increased
  1. ;; by the veteran's diabetes but may or may not be a diabetic
  1. ;; complication, discuss the relationship between the condition and
  1. ;; the veteran's diabetes. In particular, describe the baseline
  1. ;; disability and the additional manifestations of the disability
  1. ;; that was aggravated/worsened by diabetes. Provide your rationale.
  1. ;; Indicate if this is not possible to do without resorting to
  1. ;; speculation.
  1. ;;
  1. ;;
  1. ;;Signature: Date:
  1. ;;END