- 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 Feb 18, 2025@23:17:35 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