Home   Package List   Routine Alphabetical List   Global Alphabetical List   FileMan Files List   FileMan Sub-Files List   Package Component Lists   Package-Namespace Mapping  
Routine: DVBCWIO1

DVBCWIO1.m

Go to the documentation of this file. 
DVBCWIO1 ;ALB/JFP AUDIO WKS TEXT - 1 ; 12 FEB 1998

 ;;2.7;AMIE;**16**;Apr 10, 1995

 ;

TXT ;

 ;;A.  Review of Medical Records:

 ;;

 ;;B.  Medical History (Subjective Complaints):

 ;;      Comment on:

 ;;        1.  Chief complaint.

 ;;        2.  Situation of greatest difficulty.

 ;;        3.  Pertinent service history.

 ;;        4.  History of military, occupational, and recreational noise

 ;;            exposure.

 ;;        5.  Tinnitus - If present, state:

 ;;              a.  Date and circumstances of onset.

 ;;              b.  Whether it is unilateral or bilateral.

 ;;              c.  Whether it is constant or periodic (indicate

 ;;                  frequency).

 ;;              d.  Severity and effect on daily life.

 ;;              e.  Veteran's account of loudness or pitch.

 ;;

 ;;C.  Physical Examination (Objective Findings):

 ;;    1.  Measure puretone thresholds in decibels at the indicated

 ;;        frequencies (air conduction):

 ;;

 ;;    = = = = =RIGHT EAR= = = = = = = = = = = = = LEFT EAR = = = = = = 

 ;;    A*    B    C    D    E    **       A*   B    C   D    E     **

 ;;    500|1000|2000|3000|4000|average   500|1000|2000|3000|4000|average

 ;;       |    |    |    |    |             |    |    |    |    |

 ;;  

 ;;    *  The puretone threshold at 500 Hz is not used in determining the

 ;;       evaluation but is used in determining whether or not a ratable 

 ;;       hearing loss exists.

 ;;    ** The average of B, C, D, and E.

 ;;

 ;;    2.  Speech Recognition Score:

 ;;        a.  Maryland CNC word list  _____% right ear _____% left ear. 

 ;;        b.  W-22 word list (only if specifically requested by the 

 ;;            regional office).       _____% right ear _____% left ear.

 ;;

 ;;    3.  When only puretone results should be used to evaluate hearing

 ;;        loss, the Chief of the Audiology Clinic should certify that 

 ;;        language difficulties or other problems make the combined use

 ;;        of puretone average and speech discrimination inappropriate.

 ;;

 ;;D.  Diagnostic and Clinical Tests:

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

 ;;        in the examination report.

 ;;

 ;;E.  Diagnosis:

 ;;    1.  Summary of audiologic test results.

 ;;    2.  Note whether audiologic results indicate an ear or hearing 

 ;;        problem that requires medical follow-up or a problem which, if

 ;;        treated, might cause a change in hearing threshold levels.

 ;;

 ;;

 ;;Signature:                                        Date:

 ;;END