DVBCWHD1.m

DVBCWHD1 ;ALB/CMM HEMIC DISORDERS WKS TEXT ; 5 MARCH 1997

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

 ;

 ;

TXT ;

 ;;A.  Review of Medical Records: 

 ;;

 ;;

 ;;

 ;;B.  Medical History (Subjective Complaints):

 ;;

 ;;    Comment on:

 ;;    1.  Frequency and duration of crisis if sickle cell disease.

 ;;

 ;;

 ;;    2.  Fatigability and/or weakness?  (Is light manual labor precluded?)

 ;;

 ;;

 ;;    3.  Headaches?

 ;;

 ;;

 ;;    4.  History of infections?  If yes, frequency and response to therapy?

 ;;

 ;;

 ;;    5.  Shortness of breath?  If yes, with what degree of exertion?

 ;;

 ;;

 ;;    6.  Chest pain?  Symptoms of claudication?

 ;;

 ;;

 ;;    7.  History and frequency of transfusions, phlebotomy, bone marrow

 ;;        transplant, myelo-suppressant therapy.

 ;;

 ;;

 ;;    8.  Symptoms of other end organ pathology?

 ;;

 ;;

 ;;    9.  Disease activity (exacerbations/remission)?  If there were 

 ;;        exacerbations, what was the state of the veteran's health 

 ;;        between exacerbations?

 ;;

 ;;

 ;;   10.  Current and past treatment history including date and type of

 ;;        last treatment?

 ;;

 ;;

 ;;   11.  Syncope, lightheadedness.

 ;;

 ;;TOF

 ;;C.  Physical Examination (Objective Findings):

 ;;

 ;;    Address each of the following as appropriate to the condition 

 ;;    being examined and fully describe current findings:

 ;;    1.  Swelling of hands and/or feet (edema)?

 ;;

 ;;

 ;;    2.  Presence of pallor (nail beds, mucosal surfaces, and skin)?

 ;;

 ;;

 ;;    3.  Any other significant physical exam findings?

 ;;

 ;;

 ;;    4.  Residuals of bone or other vascular infarction.

 ;;

 ;;

 ;;    5.  Congestive heart failure?

 ;;

 ;;

 ;;D.  Diagnostic and Clinical Tests:

 ;;

 ;;    1.  Hemoglobin level, platelet count, CBC.

 ;;    2.  X-rays of bones or joints as indicated.

 ;;    3.  Include results of all diagnostic and clinical tests conducted

 ;;        in the examination report.

 ;;

 ;;

 ;;E.  Diagnosis:

 ;;

 ;;    1.  Is the disease active?

 ;;

 ;;

 ;;Signature:                             Date:

 ;;END

--- Routine Detail   --- with STRUCTURED ROUTINE LISTING ---DVBCWHD1   2125     printed  Apr 23, 2025@18:06:07                                                                                                                                                                                                    Page 2

DVBCWHD1  ;ALB/CMM HEMIC DISORDERS WKS TEXT ; 5 MARCH 1997

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

 +2       ;

 +3       ;

TXT       ;

 +1       ;;A.  Review of Medical Records: 

 +2       ;;

 +3       ;;

 +4       ;;

 +5       ;;B.  Medical History (Subjective Complaints):

 +6       ;;

 +7       ;;    Comment on:

 +8       ;;    1.  Frequency and duration of crisis if sickle cell disease.

 +9       ;;

 +10      ;;

 +11      ;;    2.  Fatigability and/or weakness?  (Is light manual labor precluded?)

 +12      ;;

 +13      ;;

 +14      ;;    3.  Headaches?

 +15      ;;

 +16      ;;

 +17      ;;    4.  History of infections?  If yes, frequency and response to therapy?

 +18      ;;

 +19      ;;

 +20      ;;    5.  Shortness of breath?  If yes, with what degree of exertion?

 +21      ;;

 +22      ;;

 +23      ;;    6.  Chest pain?  Symptoms of claudication?

 +24      ;;

 +25      ;;

 +26      ;;    7.  History and frequency of transfusions, phlebotomy, bone marrow

 +27      ;;        transplant, myelo-suppressant therapy.

 +28      ;;

 +29      ;;

 +30      ;;    8.  Symptoms of other end organ pathology?

 +31      ;;

 +32      ;;

 +33      ;;    9.  Disease activity (exacerbations/remission)?  If there were 

 +34      ;;        exacerbations, what was the state of the veteran's health 

 +35      ;;        between exacerbations?

 +36      ;;

 +37      ;;

 +38      ;;   10.  Current and past treatment history including date and type of

 +39      ;;        last treatment?

 +40      ;;

 +41      ;;

 +42      ;;   11.  Syncope, lightheadedness.

 +43      ;;

 +44      ;;TOF

 +45      ;;C.  Physical Examination (Objective Findings):

 +46      ;;

 +47      ;;    Address each of the following as appropriate to the condition 

 +48      ;;    being examined and fully describe current findings:

 +49      ;;    1.  Swelling of hands and/or feet (edema)?

 +50      ;;

 +51      ;;

 +52      ;;    2.  Presence of pallor (nail beds, mucosal surfaces, and skin)?

 +53      ;;

 +54      ;;

 +55      ;;    3.  Any other significant physical exam findings?

 +56      ;;

 +57      ;;

 +58      ;;    4.  Residuals of bone or other vascular infarction.

 +59      ;;

 +60      ;;

 +61      ;;    5.  Congestive heart failure?

 +62      ;;

 +63      ;;

 +64      ;;D.  Diagnostic and Clinical Tests:

 +65      ;;

 +66      ;;    1.  Hemoglobin level, platelet count, CBC.

 +67      ;;    2.  X-rays of bones or joints as indicated.

 +68      ;;    3.  Include results of all diagnostic and clinical tests conducted

 +69      ;;        in the examination report.

 +70      ;;

 +71      ;;

 +72      ;;E.  Diagnosis:

 +73      ;;

 +74      ;;    1.  Is the disease active?

 +75      ;;

 +76      ;;

 +77      ;;Signature:                             Date:

 +78      ;;END