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 ---[H[J[2J[HDVBCWLW1 1735 printed Oct 16, 2024@17:53:15 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
