DVBCWLW1.m

DVBCWLW1 ;ALB/CMM LIVER, GALL BLADDER AND PANCREAS WKS TEXT - 1 ; 5 MARCH 1997

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

 ;

 ;

TXT ;

 ;;A.  Review of Medical Records:

 ;;

 ;;

 ;;

 ;;B.  Medical History (Subjective Complaints):

 ;;

 ;;    Comment on:

 ;;    1.  Vomiting, hematemesis or melena.

 ;;

 ;;

 ;;    2.  Current treatment - type (medication, diet, enzymes, etc.), 

 ;;        duration, response, side effects.

 ;;

 ;;

 ;;    3.  Episodes of colic or other abdominal pain, distention, nausea,

 ;;        vomiting - duration, frequency, severity, treatment, and 

 ;;        response to treatment.

 ;;

 ;;

 ;;    4.  Fatigue, weakness, depression, or anxiety.

 ;;

 ;;

 ;;C.  Physical Examination (Objective Findings):

 ;;

 ;;    Address each of the following as appropriate, and fully describe 

 ;;    current findings:

 ;;    1.  Ascites.

 ;;

 ;;

 ;;    2.  Weight gain or loss, steatorrhea, malabsorption, malnutrition.

 ;;

 ;;

 ;;    3.  Hematemesis or melena (describe any episodes).

 ;;

 ;;

 ;;    4.  Pain or tenderness - location, type, precipitating factors.

 ;;

 ;;

 ;;    5.  Liver size, superficial abdominal veins.

 ;;

 ;;

 ;;    6.  Muscle strength and wasting.

 ;;

 ;;TOF

 ;;D.  Diagnostic and Clinical Tests:

 ;;

 ;;    1.  For esophageal varices, X-ray, endoscopy, etc.

 ;;    2.  For adhesions, X-ray to show partial obstruction, delayed motility.

 ;;    3.  For gall bladder disease, X-ray or other objective confirmation.

 ;;    4.  Liver function tests.

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

 ;;        in the examination report.

 ;;

 ;;

 ;;E.  Diagnosis:

 ;;

 ;;

 ;;Signature:                             Date:

 ;;END

--- Routine Detail   --- with STRUCTURED ROUTINE LISTING ---DVBCWLW1   1735     printed  Apr 23, 2025@18:06:55                                                                                                                                                                                                    Page 2

DVBCWLW1  ;ALB/CMM LIVER, GALL BLADDER AND PANCREAS WKS TEXT - 1 ; 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.  Vomiting, hematemesis or melena.

 +9       ;;

 +10      ;;

 +11      ;;    2.  Current treatment - type (medication, diet, enzymes, etc.), 

 +12      ;;        duration, response, side effects.

 +13      ;;

 +14      ;;

 +15      ;;    3.  Episodes of colic or other abdominal pain, distention, nausea,

 +16      ;;        vomiting - duration, frequency, severity, treatment, and 

 +17      ;;        response to treatment.

 +18      ;;

 +19      ;;

 +20      ;;    4.  Fatigue, weakness, depression, or anxiety.

 +21      ;;

 +22      ;;

 +23      ;;C.  Physical Examination (Objective Findings):

 +24      ;;

 +25      ;;    Address each of the following as appropriate, and fully describe 

 +26      ;;    current findings:

 +27      ;;    1.  Ascites.

 +28      ;;

 +29      ;;

 +30      ;;    2.  Weight gain or loss, steatorrhea, malabsorption, malnutrition.

 +31      ;;

 +32      ;;

 +33      ;;    3.  Hematemesis or melena (describe any episodes).

 +34      ;;

 +35      ;;

 +36      ;;    4.  Pain or tenderness - location, type, precipitating factors.

 +37      ;;

 +38      ;;

 +39      ;;    5.  Liver size, superficial abdominal veins.

 +40      ;;

 +41      ;;

 +42      ;;    6.  Muscle strength and wasting.

 +43      ;;

 +44      ;;TOF

 +45      ;;D.  Diagnostic and Clinical Tests:

 +46      ;;

 +47      ;;    1.  For esophageal varices, X-ray, endoscopy, etc.

 +48      ;;    2.  For adhesions, X-ray to show partial obstruction, delayed motility.

 +49      ;;    3.  For gall bladder disease, X-ray or other objective confirmation.

 +50      ;;    4.  Liver function tests.

 +51      ;;    5.  Include results of all diagnostic and clinical tests conducted

 +52      ;;        in the examination report.

 +53      ;;

 +54      ;;

 +55      ;;E.  Diagnosis:

 +56      ;;

 +57      ;;

 +58      ;;Signature:                             Date:

 +59      ;;END