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Routine: DVBCWFS3

DVBCWFS3.m

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  1. DVBCWFS3 ;ALB/RLC CHRONIC FATIGUE SYNDROME WKS TEXT - 1 ; 12 FEB 2007
  1. ;;2.7;AMIE;**121**;Apr 10, 1995;Build 9
  1. ;
  1. ;
  1. TXT ;
  1. ;;Narrative: Chronic fatigue syndrome (CFS) is an illness characterized
  1. ;;by debilitating fatigue and several flu-like symptoms. It may have
  1. ;;both physical and psychiatric manifestations and closely resembles
  1. ;;neurasthenia, neurocirculatory asthenia, fibrositis, or fibromyalgia.
  1. ;;
  1. ;; FOR VA PURPOSES, A DIAGNOSIS OF CFS MUST MEET BOTH OF THE FOLLOWING CRITERIA:
  1. ;;
  1. ;; 1. New onset of debilitating fatigue that is severe enough to
  1. ;; reduce or impair average daily activity below 50 percent of the
  1. ;; patient's pre-illness activity level for a period of 6 months, and
  1. ;; 2. Other clinical conditions that may produce similar symptoms
  1. ;; must be excluded by thorough evaluation, based on history,
  1. ;; physical examination, and appropriate laboratory tests.
  1. ;;
  1. ;; IT MUST ALSO MEET SIX OR MORE OF THE FOLLOWING TEN CRITERIA:
  1. ;;
  1. ;; 1. Describe in detail:
  1. ;;
  1. ;; a. Acute onset of the condition.
  1. ;; b. Low grade fever.
  1. ;; c. Nonexudative pharyngitis.
  1. ;; d. Palpable or tender cervical or axillary lymph nodes.
  1. ;; e. Generalized muscle aches or weakness.
  1. ;; f. Fatigue lasting 24 hours or longer after exercise.
  1. ;; g. Headaches (of a type, severity or pattern that is different
  1. ;; from headaches in the premorbid state).
  1. ;; h. Migratory joint pains.
  1. ;; i. Neuropsychologic symptoms.
  1. ;; j. Sleep disturbance.
  1. ;;
  1. ;;A. Review of Medical Records:
  1. ;;
  1. ;; Comment on:
  1. ;;
  1. ;; 1. Date diagnosis established.
  1. ;; 2. Does it meet the requirements outlined above?
  1. ;; 3. History of hospitalizations, dates and location, if known, reason.
  1. ;;
  1. ;;B. Medical History (Subjective Complaints):
  1. ;;
  1. ;; Comment on:
  1. ;;
  1. ;; 1. Estimate the amount of routine daily activities, including employment
  1. ;; if applicable, that are restricted due to CFS. Give specific examples.
  1. ;; 2. Is there debilitating fatigue? Constant or nearly so; wax and wane.
  1. ;; 3. Are there incapacitating episodes (defined as requiring bed rest
  1. ;; and treatment by a physician), what are their frequency and duration.
  1. ;; 4. Cognitive impairment - constant or nearly so; wax and wane.
  1. ;; 5. Any other current symptoms - constant or nearly so; wax and wane.
  1. ;; 6. Does the patient require continuous medication for CFS?
  1. ;;
  1. ;;C. Physical Examination (Objective Findings):
  1. ;;
  1. ;; 1. General appearance.
  1. ;; 2. Throat.
  1. ;; 3. Cervical/axillary lymphadenopathy.
  1. ;;
  1. ;;D. Diagnostic and Clinical Tests:
  1. ;;
  1. ;; 1. Include results of all diagnostic and clinical tests conducted
  1. ;; in the examination report.
  1. ;;
  1. ;;E. Diagnosis:
  1. ;;
  1. ;;
  1. ;;Signature: Date:
  1. ;;END