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Routine: DVBCWEN3

DVBCWEN3.m

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  1. DVBCWEN3 ;ALB/RLC EPILEPSY AND NARCOLEPSY WKS TEXT - 1 ; 6 MARCH 1997
  1.  ;;2.7;AMIE;**170**;Apr 10, 1995;Build 1
  1.  ;
  1.  ;
  1. TXT ;
  1.  ;;A.  Review of Medical Records:
  1.  ;;
  1.  ;;
  1.  ;;B.  Medical History (Subjective Complaints):
  1.  ;;
  1.  ;;    Comment on:
  1.  ;;
  1.  ;;    1.  State date of onset and describe circumstances and initial
  1.  ;;        manifestations.
  1.  ;;    2.  State course since onset.
  1.  ;;    3.  Current treatment, response, side effects.
  1.  ;;    4.  State whether continuous medication is necessary for the control of
  1.  ;;        epilepsy.
  1.  ;;    5.  History of related hospitalizations or surgery, dates and location, if
  1.  ;;        known, reason or type of surgery.
  1.  ;;    6.  History of CNS trauma - include date, location, and type of trauma.
  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.  ;;    8.  Date of last seizure.
  1.  ;;    9.  Basis of diagnosis.
  1.  ;;    10. Report frequency of episodes of narcolepsy, if any, during the past
  1.  ;;        12-month period.
  1.  ;;    11. State types of seizures experienced during the past 12-month period
  1.  ;;        and the frequency of each type.
  1.  ;;    12. If there are psychomotor seizures, state which of the following are
  1.  ;;        characteristic of the seizures (name all that apply):  automatic
  1.  ;;        states; generalized convulsions with unconsciousness; episodes of
  1.  ;;        random motor movements, episodes of hallucinations; episodes of
  1.  ;;        perceptual illusions; episodes of abnormalities of thinking, memory,
  1.  ;;        or mood; episodes of autonomic disturbances.
  1.  ;;    13. State the method of determining the frequency of seizures.
  1.  ;;    14. If possible, record the actual number and type(s) of seizures in each
  1.  ;;        calendar month during the past 12-month period.  If the veteran keeps
  1.  ;;        a seizure diary, record dates of seizures.
  1.  ;;    15. Indicate whether there are symptoms suggesting the presence of, or if
  1.  ;;        there is a history of, an organic brain syndrome or other mental
  1.  ;;        disorder that may be related to epilepsy.  If so, describe.
  1.  ;;    16. State precipitating or aggravating factors for seizures.
  1.  ;;    17. State whether seizures are associated with post-ictal confusion.
  1.  ;;    18. State whether seizures have increased or decreased in frequency during
  1.  ;;        the past 12-month period.
  1.  ;;
  1.  ;;C.  Physical Examination (Objective Findings):
  1.  ;;
  1.  ;;    1.  Order a psychiatric examination if there are indications of a
  1.  ;;        mental disorder associated with the seizure disorder.
  1.  ;;    2.  Report any significant physical findings associated with the disorder
  1.  ;;        or its treatment.
  1.  ;;
  1.  ;;D.  Diagnostic and Clinical Tests:
  1.  ;;
  1.  ;;    1.  EEG, CT scan, MRI as indicated.
  1.  ;;    2.  Include results of all diagnostic and clinical tests conducted
  1.  ;;        in the examination report.
  1.  ;;
  1.  ;;E.  Diagnosis:
  1.  ;;
  1.  ;;    1.  If the diagnosis is NOT established or is questioned, schedule
  1.  ;;        any necessary special studies, including admission for a 
  1.  ;;        period of examination and observation, as appropriate to 
  1.  ;;        provide a definitive diagnosis.
  1.  ;;    2.  Indicate the etiology, if known, and indicate whether a diagnosis of
  1.  ;;        epilepsy is confirmed and there is a history of seizures.
  1.  ;;    3.  For each diagnosis, state effects of the condition on occupational
  1.  ;;        functioning and daily activities.
  1.  ;;
  1.  ;;
  1.  ;;Signature:                              Date:
  1.  ;;END