DVBCWFI3 ;ALB/RLC FIBROMYALGIA WKS TEXT - 1 ; 12 FEB 2007
;;2.7;AMIE;**121**;Apr 10, 1995;Build 9
;
;
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. Are symptoms constant or nearly so? If episodic, how often are they
;; present? What precipitates and alleviates symptoms? Are they
;; refractory to therapy?
;; 3. Location, severity, frequency of any musculoskeletal pain,
;; stiffness, or muscle weakness.
;; 4. Unexplained fatigue, sleep disturbances, headaches, paresthesias.
;; 5. GI symptoms.
;; 6. Treatment, (type, duration, response, side effects). Has treatment
;; been continuous?
;; 7. Is there depression or anxiety?
;; 8. Effects of symptoms on daily activities.
;; 9. Lost time from work?
;; 10. History of hospitalizations, dates and location, if known, reason.
;;
;;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. Musculoskeletal areas involved.
;; 2. Trigger or tender points.
;; 3. 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:
;;
;; 1. Is the condition currently active or in remission?
;;
;;
;;
;;Signature: Date:
;;END
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCWFI3 2548 printed Nov 22, 2024@17:01:15 Page 2
DVBCWFI3 ;ALB/RLC FIBROMYALGIA WKS TEXT - 1 ; 12 FEB 2007
+1 ;;2.7;AMIE;**121**;Apr 10, 1995;Build 9
+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 ;;B. Medical History (Subjective Complaints):
+17 ;;
+18 ;; Comment on:
+19 ;;
+20 ;; 1. Date of onset of symptoms, date of diagnosis (if known).
+21 ;; 2. Are symptoms constant or nearly so? If episodic, how often are they
+22 ;; present? What precipitates and alleviates symptoms? Are they
+23 ;; refractory to therapy?
+24 ;; 3. Location, severity, frequency of any musculoskeletal pain,
+25 ;; stiffness, or muscle weakness.
+26 ;; 4. Unexplained fatigue, sleep disturbances, headaches, paresthesias.
+27 ;; 5. GI symptoms.
+28 ;; 6. Treatment, (type, duration, response, side effects). Has treatment
+29 ;; been continuous?
+30 ;; 7. Is there depression or anxiety?
+31 ;; 8. Effects of symptoms on daily activities.
+32 ;; 9. Lost time from work?
+33 ;; 10. History of hospitalizations, dates and location, if known, reason.
+34 ;;
+35 ;;C. Physical Examination (Objective Findings):
+36 ;;
+37 ;; Address each of the following and fully describe current findings:
+38 ;; (Please incorporate all ancillary study results into the final
+39 ;; diagnosis.)
+40 ;;
+41 ;; 1. Musculoskeletal areas involved.
+42 ;; 2. Trigger or tender points.
+43 ;; 3. Muscle strength in involved areas.
+44 ;;
+45 ;;D. Diagnostic and Clinical Tests:
+46 ;;
+47 ;; 1. Include results of all diagnostic and clinical tests conducted
+48 ;; in the examination report.
+49 ;;
+50 ;;E. Diagnosis:
+51 ;;
+52 ;; 1. Is the condition currently active or in remission?
+53 ;;
+54 ;;
+55 ;;
+56 ;;Signature: Date:
+57 ;;END
