DVBCWFS3 ;ALB/RLC CHRONIC FATIGUE SYNDROME WKS TEXT - 1 ; 12 FEB 2007
;;2.7;AMIE;**121**;Apr 10, 1995;Build 9
;
;
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 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?
;; 3. History of hospitalizations, dates and location, if known, reason.
;;
;;B. Medical History (Subjective Complaints):
;;
;; Comment on:
;;
;; 1. Estimate the amount of routine daily activities, including employment
;; if applicable, that are restricted due to CFS. Give specific examples.
;; 2. Is there debilitating fatigue? Constant or nearly so; wax and wane.
;; 3. Are there incapacitating episodes (defined as requiring bed rest
;; and treatment by a physician), what are their frequency and duration.
;; 4. Cognitive impairment - constant or nearly so; wax and wane.
;; 5. Any other current symptoms - constant or nearly so; wax and wane.
;; 6. Does the patient require continuous medication for CFS?
;;
;;C. Physical Examination (Objective Findings):
;;
;; 1. General appearance.
;; 2. Throat.
;; 3. Cervical/axillary lymphadenopathy.
;;
;;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[HDVBCWFS3 2984 printed Sep 23, 2025@19:27:13 Page 2
DVBCWFS3 ;ALB/RLC CHRONIC FATIGUE SYNDROME WKS TEXT - 1 ; 12 FEB 2007
+1 ;;2.7;AMIE;**121**;Apr 10, 1995;Build 9
+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 CRITERIA:
+7 ;;
+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, and
+11 ;; 2. Other clinical conditions that may produce similar symptoms
+12 ;; must be excluded by thorough evaluation, based on history,
+13 ;; physical examination, and appropriate laboratory tests.
+14 ;;
+15 ;; IT MUST ALSO MEET SIX OR MORE OF THE FOLLOWING TEN CRITERIA:
+16 ;;
+17 ;; 1. Describe in detail:
+18 ;;
+19 ;; a. Acute onset of the condition.
+20 ;; b. Low grade fever.
+21 ;; c. Nonexudative pharyngitis.
+22 ;; d. Palpable or tender cervical or axillary lymph nodes.
+23 ;; e. Generalized muscle aches or weakness.
+24 ;; f. Fatigue lasting 24 hours or longer after exercise.
+25 ;; g. Headaches (of a type, severity or pattern that is different
+26 ;; from headaches in the premorbid state).
+27 ;; h. Migratory joint pains.
+28 ;; i. Neuropsychologic symptoms.
+29 ;; j. Sleep disturbance.
+30 ;;
+31 ;;A. Review of Medical Records:
+32 ;;
+33 ;; Comment on:
+34 ;;
+35 ;; 1. Date diagnosis established.
+36 ;; 2. Does it meet the requirements outlined above?
+37 ;; 3. History of hospitalizations, dates and location, if known, reason.
+38 ;;
+39 ;;B. Medical History (Subjective Complaints):
+40 ;;
+41 ;; Comment on:
+42 ;;
+43 ;; 1. Estimate the amount of routine daily activities, including employment
+44 ;; if applicable, that are restricted due to CFS. Give specific examples.
+45 ;; 2. Is there debilitating fatigue? Constant or nearly so; wax and wane.
+46 ;; 3. Are there incapacitating episodes (defined as requiring bed rest
+47 ;; and treatment by a physician), what are their frequency and duration.
+48 ;; 4. Cognitive impairment - constant or nearly so; wax and wane.
+49 ;; 5. Any other current symptoms - constant or nearly so; wax and wane.
+50 ;; 6. Does the patient require continuous medication for CFS?
+51 ;;
+52 ;;C. Physical Examination (Objective Findings):
+53 ;;
+54 ;; 1. General appearance.
+55 ;; 2. Throat.
+56 ;; 3. Cervical/axillary lymphadenopathy.
+57 ;;
+58 ;;D. Diagnostic and Clinical Tests:
+59 ;;
+60 ;; 1. Include results of all diagnostic and clinical tests conducted
+61 ;; in the examination report.
+62 ;;
+63 ;;E. Diagnosis:
+64 ;;
+65 ;;
+66 ;;Signature: Date:
+67 ;;END
