DVBCWEH1 ;ALB/CMM ESOPHAGUS AND HIATAL HERNIA 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. Dysphagia - for solids, liquids (frequency and extent).
;;
;;
;; 2. Pyrosis, epigastric or other pain, including associated
;; substernal or arm pain (frequency and severity).
;;
;;
;; 3. Hematemesis or melena (describe any episodes).
;;
;;
;; 4. Reflux or regurgitation (frequency); for regurgitation, contents.
;;
;;
;; 5. Nausea, vomiting (frequency, precipitants).
;;
;;
;; 6. Current treatment - if dilatation, give frequency.
;;
;;
;;C. Physical Examination (Objective Findings):
;;
;; Address each of the following and fully describe current findings:
;; 1. General state of health, anemia.
;;
;;
;; 2. Nutrition, weight gain or loss.
;;
;;
;;D. Diagnostic and Clinical Tests:
;;
;; 1. X-ray or endoscopic confirmation of obstruction, abnormal
;; motility, esophagitis, reflux, etc.
;; 2. Include results of all diagnostic and clinical tests conducted
;; in the examination report.
;;
;;TOF
;;E. Diagnosis:
;;
;; 1. With obstruction or spasm, amenable to dilatation?
;;
;;
;;Signature: Date:
;;END
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCWEH1 1445 printed Oct 16, 2024@17:51:37 Page 2
DVBCWEH1 ;ALB/CMM ESOPHAGUS AND HIATAL HERNIA 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. Dysphagia - for solids, liquids (frequency and extent).
+9 ;;
+10 ;;
+11 ;; 2. Pyrosis, epigastric or other pain, including associated
+12 ;; substernal or arm pain (frequency and severity).
+13 ;;
+14 ;;
+15 ;; 3. Hematemesis or melena (describe any episodes).
+16 ;;
+17 ;;
+18 ;; 4. Reflux or regurgitation (frequency); for regurgitation, contents.
+19 ;;
+20 ;;
+21 ;; 5. Nausea, vomiting (frequency, precipitants).
+22 ;;
+23 ;;
+24 ;; 6. Current treatment - if dilatation, give frequency.
+25 ;;
+26 ;;
+27 ;;C. Physical Examination (Objective Findings):
+28 ;;
+29 ;; Address each of the following and fully describe current findings:
+30 ;; 1. General state of health, anemia.
+31 ;;
+32 ;;
+33 ;; 2. Nutrition, weight gain or loss.
+34 ;;
+35 ;;
+36 ;;D. Diagnostic and Clinical Tests:
+37 ;;
+38 ;; 1. X-ray or endoscopic confirmation of obstruction, abnormal
+39 ;; motility, esophagitis, reflux, etc.
+40 ;; 2. Include results of all diagnostic and clinical tests conducted
+41 ;; in the examination report.
+42 ;;
+43 ;;TOF
+44 ;;E. Diagnosis:
+45 ;;
+46 ;; 1. With obstruction or spasm, amenable to dilatation?
+47 ;;
+48 ;;
+49 ;;Signature: Date:
+50 ;;END
