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 ---[H[J[2J[HDVBCWFS1 2681 printed Apr 09, 2024@20:54:45 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
