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Routine: DVBCWEN1

DVBCWEN1.m

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DVBCWEN1 ;ALB/CMM EPILEPSY AND NARCOLEPSY WKS TEXT - 1 ; 6 MARCH 1997

 ;;2.7;AMIE;**12**;Apr 10, 1995

 ;

 ;

TXT ;

 ;;A.  Review of Medical Records:

 ;;

 ;;

 ;;B.  Medical History (Subjective Complaints):

 ;;

 ;;    Comment on:

 ;;    1.  Discuss precipitating factors, aggravating factors, 

 ;;        alleviating factors.

 ;;

 ;;

 ;;    2.  Current treatment, response, side effects.

 ;;

 ;;

 ;;    3.  State the frequency and type of seizures or episodes of 

 ;;        narcolepsy during the past 12 months, including any change in

 ;;        frequency pattern.  If possible, record the actual number of 

 ;;        seizures in each calendar month.  If the veteran keeps a 

 ;;        seizure diary, record dates of seizures.

 ;;

 ;;

 ;;    4.  Discuss the effect of epilepsy or narcolepsy on daily 

 ;;        activities, including the effects of medications.

 ;;

 ;;

 ;;C.  Physical Examination (Objective Findings):

 ;;

 ;;    1.  Order a psychiatric examination if there are indications of a

 ;;        mental disorder associated with epilepsy.

 ;;

 ;;D.  Diagnostic and Clinical Tests:

 ;;

 ;;    1.  Include results of all diagnostic and clinical tests conducted

 ;;        in the examination report.

 ;;

 ;;

 ;;E.  Diagnosis:

 ;;

 ;;    1.  If the diagnosis is NOT established or is questioned, schedule

 ;;        any necessary special studies, including admission for a 

 ;;        period of examination and observation, as appropriate to 

 ;;        provide a definitive diagnosis.

 ;;

 ;;

 ;;Signature:                              Date:

 ;;END