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Routine: DVBCWEN3

DVBCWEN3.m

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DVBCWEN3 ;ALB/RLC EPILEPSY AND NARCOLEPSY WKS TEXT - 1 ; 6 MARCH 1997

 ;;2.7;AMIE;**170**;Apr 10, 1995;Build 1

 ;

 ;

TXT ;

 ;;A.  Review of Medical Records:

 ;;

 ;;

 ;;B.  Medical History (Subjective Complaints):

 ;;

 ;;    Comment on:

 ;;

 ;;    1.  State date of onset and describe circumstances and initial

 ;;        manifestations.

 ;;    2.  State course since onset.

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

 ;;    4.  State whether continuous medication is necessary for the control of

 ;;        epilepsy.

 ;;    5.  History of related hospitalizations or surgery, dates and location, if

 ;;        known, reason or type of surgery.

 ;;    6.  History of CNS trauma - include date, location, and type of trauma.

 ;;    7.  History of neoplasm:

 ;;

 ;;        a.  Date of diagnosis, exact diagnosis, location.

 ;;        b.  Benign or malignant.

 ;;        c.  Types of treatment and dates.

 ;;        d.  Last date of treatment.

 ;;        e.  State whether treatment has been completed.

 ;;

 ;;    8.  Date of last seizure.

 ;;    9.  Basis of diagnosis.

 ;;    10. Report frequency of episodes of narcolepsy, if any, during the past

 ;;        12-month period.

 ;;    11. State types of seizures experienced during the past 12-month period

 ;;        and the frequency of each type.

 ;;    12. If there are psychomotor seizures, state which of the following are

 ;;        characteristic of the seizures (name all that apply):  automatic

 ;;        states; generalized convulsions with unconsciousness; episodes of

 ;;        random motor movements, episodes of hallucinations; episodes of

 ;;        perceptual illusions; episodes of abnormalities of thinking, memory,

 ;;        or mood; episodes of autonomic disturbances.

 ;;    13. State the method of determining the frequency of seizures.

 ;;    14. If possible, record the actual number and type(s) of seizures in each

 ;;        calendar month during the past 12-month period.  If the veteran keeps

 ;;        a seizure diary, record dates of seizures.

 ;;    15. Indicate whether there are symptoms suggesting the presence of, or if

 ;;        there is a history of, an organic brain syndrome or other mental

 ;;        disorder that may be related to epilepsy.  If so, describe.

 ;;    16. State precipitating or aggravating factors for seizures.

 ;;    17. State whether seizures are associated with post-ictal confusion.

 ;;    18. State whether seizures have increased or decreased in frequency during

 ;;        the past 12-month period.

 ;;

 ;;C.  Physical Examination (Objective Findings):

 ;;

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

 ;;        mental disorder associated with the seizure disorder.

 ;;    2.  Report any significant physical findings associated with the disorder

 ;;        or its treatment.

 ;;

 ;;D.  Diagnostic and Clinical Tests:

 ;;

 ;;    1.  EEG, CT scan, MRI as indicated.

 ;;    2.  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.

 ;;    2.  Indicate the etiology, if known, and indicate whether a diagnosis of

 ;;        epilepsy is confirmed and there is a history of seizures.

 ;;    3.  For each diagnosis, state effects of the condition on occupational

 ;;        functioning and daily activities.

 ;;

 ;;

 ;;Signature:                              Date:

 ;;END