DVBCWFI1 ;ALB/CMM FIBROMYALGIA WKS TEXT - 1 ; 6 MARCH 1997
;;2.7;AMIE;**12**;Apr 10, 1995
;
;
TXT ;
;;Narrative: For VA compensation purposes, the diagnosis of fibromyalgia
;;(sometimes called fibrositis, primary fibromyalgia syndrome, or
;;myofascial pain syndrome) requires the presence of widespread
;;musculoskeletal pain and tender points. Additional findings may also
;;be present: fatigue, sleep disturbance, stiffness, paresthesias,
;;headache, irritable bowel symptoms, depression, anxiety, or Raynaud's
;;-like symptoms. Widespread pain is defined as pain in both the left
;;and right sides of the body, that is both above and below the waist,
;;and that affects both the axial skeleton (i.e., cervical spine,
;;anterior chest, thoracic spine, or low back) and the extremities.
;;Rule out other diagnostic entities that may be responsible for the
;;symptomatology presented.
;;
;;A. Review of Medical Records:
;;
;;
;;
;;B. Medical History (Subjective Complaints):
;;
;; Comment on:
;; 1. Date of onset of symptoms, date of diagnosis (if known).
;;
;;
;; 2. What precipitates and alleviates symptoms?
;;
;;
;; 3. Location, severity, frequency of any musculoskeletal pain,
;; stiffness, or muscle weakness, whether episodic or constant,
;; and what their effects are on daily activities.
;;
;;
;; 4. Unexplained fatigue, sleep disturbances.
;;
;;
;; 5. GI symptoms.
;;
;;
;; 6. Treatment, (type, duration, response). Has treatment been
;; continuous?
;;
;;
;; 7. Is there depression or anxiety?
;;
;;
;; 8. Lost time from work?
;;
;;
;;
;;C. Physical Examination (Objective Findings):
;;
;; Address each of the following and fully describe current findings:
;; (Please incorporate all ancillary study results into the final
;; diagnosis.)
;;
;; 1. Is the condition currently active or in remission?
;;
;;
;; 2. Musculoskeletal areas involved.
;;
;;
;; 3. Trigger or tender points.
;;
;;
;; 4. Muscle strength in involved areas.
;;
;;
;;D. Diagnostic and Clinical Tests:
;;
;; 1. Include results of all diagnostic and clinical tests conducted
;; in the examination report.
;;
;;
;;
;;E. Diagnosis:
;;
;;
;;
;;Signature: Date:
;;END
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCWFI1 2452 printed Dec 13, 2024@01:51:02 Page 2
DVBCWFI1 ;ALB/CMM FIBROMYALGIA WKS TEXT - 1 ; 6 MARCH 1997
+1 ;;2.7;AMIE;**12**;Apr 10, 1995
+2 ;
+3 ;
TXT ;
+1 ;;Narrative: For VA compensation purposes, the diagnosis of fibromyalgia
+2 ;;(sometimes called fibrositis, primary fibromyalgia syndrome, or
+3 ;;myofascial pain syndrome) requires the presence of widespread
+4 ;;musculoskeletal pain and tender points. Additional findings may also
+5 ;;be present: fatigue, sleep disturbance, stiffness, paresthesias,
+6 ;;headache, irritable bowel symptoms, depression, anxiety, or Raynaud's
+7 ;;-like symptoms. Widespread pain is defined as pain in both the left
+8 ;;and right sides of the body, that is both above and below the waist,
+9 ;;and that affects both the axial skeleton (i.e., cervical spine,
+10 ;;anterior chest, thoracic spine, or low back) and the extremities.
+11 ;;Rule out other diagnostic entities that may be responsible for the
+12 ;;symptomatology presented.
+13 ;;
+14 ;;A. Review of Medical Records:
+15 ;;
+16 ;;
+17 ;;
+18 ;;B. Medical History (Subjective Complaints):
+19 ;;
+20 ;; Comment on:
+21 ;; 1. Date of onset of symptoms, date of diagnosis (if known).
+22 ;;
+23 ;;
+24 ;; 2. What precipitates and alleviates symptoms?
+25 ;;
+26 ;;
+27 ;; 3. Location, severity, frequency of any musculoskeletal pain,
+28 ;; stiffness, or muscle weakness, whether episodic or constant,
+29 ;; and what their effects are on daily activities.
+30 ;;
+31 ;;
+32 ;; 4. Unexplained fatigue, sleep disturbances.
+33 ;;
+34 ;;
+35 ;; 5. GI symptoms.
+36 ;;
+37 ;;
+38 ;; 6. Treatment, (type, duration, response). Has treatment been
+39 ;; continuous?
+40 ;;
+41 ;;
+42 ;; 7. Is there depression or anxiety?
+43 ;;
+44 ;;
+45 ;; 8. Lost time from work?
+46 ;;
+47 ;;
+48 ;;
+49 ;;C. Physical Examination (Objective Findings):
+50 ;;
+51 ;; Address each of the following and fully describe current findings:
+52 ;; (Please incorporate all ancillary study results into the final
+53 ;; diagnosis.)
+54 ;;
+55 ;; 1. Is the condition currently active or in remission?
+56 ;;
+57 ;;
+58 ;; 2. Musculoskeletal areas involved.
+59 ;;
+60 ;;
+61 ;; 3. Trigger or tender points.
+62 ;;
+63 ;;
+64 ;; 4. Muscle strength in involved areas.
+65 ;;
+66 ;;
+67 ;;D. Diagnostic and Clinical Tests:
+68 ;;
+69 ;; 1. Include results of all diagnostic and clinical tests conducted
+70 ;; in the examination report.
+71 ;;
+72 ;;
+73 ;;
+74 ;;E. Diagnosis:
+75 ;;
+76 ;;
+77 ;;
+78 ;;Signature: Date:
+79 ;;END
