DVBCWFS1.m

DVBCWFS1 ;ALB/CMM CHRONIC FATIGUE SYNDROME WKS TEXT - 1 ; 6 MARCH 1997

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

 ;

 ;

TXT ;

 ;;Narrative:  Chronic fatigue syndrome (CFS) is an illness characterized

 ;;by debilitating fatigue and several flu-like symptoms.  It may have 

 ;;both physical and psychiatric manifestations and closely resembles 

 ;;neurasthenia, neurocirculatory asthenia, fibrositis, or fibromyalgia. 

 ;;

 ;;   FOR VA PURPOSES, A DIAGNOSIS OF CFS MUST MEET BOTH OF THE FOLLOWING

 ;;   CRITERIA:

 ;;   1.  New onset of debilitating fatigue that is severe enough to 

 ;;       reduce or impair average daily activity below 50 percent of the

 ;;       patient's pre-illness activity level for a period of 6 months,

 ;;       and

 ;;

 ;;

 ;;   2.  Other clinical conditions that may produce similar symptoms 

 ;;       must be excluded by thorough evaluation, based on history, 

 ;;       physical examination, and appropriate laboratory tests.

 ;;

 ;;

 ;;   IT MUST ALSO MEET SIX OR MORE OF THE FOLLOWING TEN CRITERIA:

 ;;   1.  Describe in detail:

 ;;       a.  Acute onset of the condition.

 ;;

 ;;

 ;;       b.  Low grade fever.

 ;;

 ;;

 ;;       c.  Nonexudative pharyngitis.

 ;;

 ;;

 ;;       d.  Palpable or tender cervical or axillary lymph nodes.

 ;;

 ;;

 ;;       e.  Generalized muscle aches or weakness.

 ;;

 ;;

 ;;       f.  Fatigue following lasting 24 hours or longer after exercise.

 ;;

 ;;

 ;;       g.  Headaches (of a type, severity or pattern that is different

 ;;           from headaches in the premorbid state.

 ;;

 ;;

 ;;       h.  Migratory joint pains.

 ;;

 ;;

 ;;       i.  Neuropsychologic symptoms.

 ;;

 ;;

 ;;       j.  Sleep disturbance.

 ;;

 ;;

 ;;A.  Review of Medical Records:

 ;;

 ;;    Comment on:

 ;;    1.  Date diagnosis established.

 ;;

 ;;

 ;;    2.  Does it meet the requirements outlined above?

 ;;

 ;;

 ;;B.  Medical History (Subjective Complaints):

 ;;

 ;;    Comment on:

 ;;    1.  Estimate the amount of routine daily activities that are 

 ;;        restricted due to CFS.  Give specific examples.

 ;;

 ;;

 ;;    2.  If there are incapacitating episodes (requiring bed rest and 

 ;;        treatment by a physician), what is their frequency and duration?.

 ;;

 ;;

 ;;    3.  Does the patient require continuous medication for CFS?

 ;;

 ;;

 ;;C.  Physical Examination (Objective Findings):

 ;;

 ;;

 ;;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 ---DVBCWFS1   2681     printed  Apr 23, 2025@18:05:37                                                                                                                                                                                                    Page 2

DVBCWFS1  ;ALB/CMM CHRONIC FATIGUE SYNDROME WKS TEXT - 1 ; 6 MARCH 1997

 +1       ;;2.7;AMIE;**12**;Apr 10, 1995

 +2       ;

 +3       ;

TXT       ;

 +1       ;;Narrative:  Chronic fatigue syndrome (CFS) is an illness characterized

 +2       ;;by debilitating fatigue and several flu-like symptoms.  It may have 

 +3       ;;both physical and psychiatric manifestations and closely resembles 

 +4       ;;neurasthenia, neurocirculatory asthenia, fibrositis, or fibromyalgia. 

 +5       ;;

 +6       ;;   FOR VA PURPOSES, A DIAGNOSIS OF CFS MUST MEET BOTH OF THE FOLLOWING

 +7       ;;   CRITERIA:

 +8       ;;   1.  New onset of debilitating fatigue that is severe enough to 

 +9       ;;       reduce or impair average daily activity below 50 percent of the

 +10      ;;       patient's pre-illness activity level for a period of 6 months,

 +11      ;;       and

 +12      ;;

 +13      ;;

 +14      ;;   2.  Other clinical conditions that may produce similar symptoms 

 +15      ;;       must be excluded by thorough evaluation, based on history, 

 +16      ;;       physical examination, and appropriate laboratory tests.

 +17      ;;

 +18      ;;

 +19      ;;   IT MUST ALSO MEET SIX OR MORE OF THE FOLLOWING TEN CRITERIA:

 +20      ;;   1.  Describe in detail:

 +21      ;;       a.  Acute onset of the condition.

 +22      ;;

 +23      ;;

 +24      ;;       b.  Low grade fever.

 +25      ;;

 +26      ;;

 +27      ;;       c.  Nonexudative pharyngitis.

 +28      ;;

 +29      ;;

 +30      ;;       d.  Palpable or tender cervical or axillary lymph nodes.

 +31      ;;

 +32      ;;

 +33      ;;       e.  Generalized muscle aches or weakness.

 +34      ;;

 +35      ;;

 +36      ;;       f.  Fatigue following lasting 24 hours or longer after exercise.

 +37      ;;

 +38      ;;

 +39      ;;       g.  Headaches (of a type, severity or pattern that is different

 +40      ;;           from headaches in the premorbid state.

 +41      ;;

 +42      ;;

 +43      ;;       h.  Migratory joint pains.

 +44      ;;

 +45      ;;

 +46      ;;       i.  Neuropsychologic symptoms.

 +47      ;;

 +48      ;;

 +49      ;;       j.  Sleep disturbance.

 +50      ;;

 +51      ;;

 +52      ;;A.  Review of Medical Records:

 +53      ;;

 +54      ;;    Comment on:

 +55      ;;    1.  Date diagnosis established.

 +56      ;;

 +57      ;;

 +58      ;;    2.  Does it meet the requirements outlined above?

 +59      ;;

 +60      ;;

 +61      ;;B.  Medical History (Subjective Complaints):

 +62      ;;

 +63      ;;    Comment on:

 +64      ;;    1.  Estimate the amount of routine daily activities that are 

 +65      ;;        restricted due to CFS.  Give specific examples.

 +66      ;;

 +67      ;;

 +68      ;;    2.  If there are incapacitating episodes (requiring bed rest and 

 +69      ;;        treatment by a physician), what is their frequency and duration?.

 +70      ;;

 +71      ;;

 +72      ;;    3.  Does the patient require continuous medication for CFS?

 +73      ;;

 +74      ;;

 +75      ;;C.  Physical Examination (Objective Findings):

 +76      ;;

 +77      ;;

 +78      ;;D.  Diagnostic and Clinical Tests:

 +79      ;;

 +80      ;;    1.  Include results of all diagnostic and clinical tests conducted

 +81      ;;        in the examination report.

 +82      ;;

 +83      ;;

 +84      ;;E.  Diagnosis:

 +85      ;;

 +86      ;;

 +87      ;;Signature:                             Date:

 +88      ;;END