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Routine: DVBCWIW1

DVBCWIW1.m

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  1. DVBCWIW1 ;ALB/CMM INTESTINES (LARGE AND SMALL) WKS TEXT - 1 ; 5 MARCH 1997
  1. ;;2.7;AMIE;**12**;Apr 10, 1995
  1. ;
  1. ;
  1. TXT ;
  1. ;;A. Review of Medical Records:
  1. ;;
  1. ;;
  1. ;;
  1. ;;B. Medical History (Subjective Complaints):
  1. ;;
  1. ;; Comment on:
  1. ;; 1. Weight gain or loss.
  1. ;;
  1. ;;
  1. ;; 2. Nausea and/or vomiting.
  1. ;;
  1. ;;
  1. ;; 3. Constipation, diarrhea (frequency, severity, duration, and
  1. ;; episodic or not?).
  1. ;;
  1. ;;
  1. ;; 4. For fistula - frequency, duration, and amount of fecal discharge.
  1. ;;
  1. ;;
  1. ;;C. Physical Examination (Objective Findings):
  1. ;;
  1. ;; Address each of the following and fully describe current findings:
  1. ;; 1. Malnutrition, anemia, other evidence of debility.
  1. ;;
  1. ;;
  1. ;; 2. Abdominal pain - location, type, frequency, and duration.
  1. ;;
  1. ;;
  1. ;; 3. Current treatment - type, duration, response, and side effects.
  1. ;;
  1. ;; 4. For fistula - location.
  1. ;;
  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. ;;
  1. ;;E. Diagnosis:
  1. ;;
  1. ;;
  1. ;;Signature: Date:
  1. ;;END