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Routine: DVBCWLY1

DVBCWLY1.m

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  1. DVBCWLY1 ;ALB/CMM LYMPHATIC DISORDERS 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. Disease activity (exacerbations/remission)? If there were
  1. ;; exacerbations, what was the state of the veteran's health
  1. ;; between exacerbations?
  1. ;;
  1. ;;
  1. ;; 2. Current and past treatment history including date and type of
  1. ;; last treatment, response, side effects.
  1. ;;
  1. ;;
  1. ;; 3. If malignant neoplasm need date of diagnosis, date of
  1. ;; treatment, or if treatment stopped when did it end.
  1. ;;
  1. ;;
  1. ;; 4. Location of disease.
  1. ;;
  1. ;;
  1. ;; 5. Current symptoms.
  1. ;;
  1. ;;
  1. ;;C. Physical Examination (Objective Findings):
  1. ;;
  1. ;; Describe the residuals of each body system affected.
  1. ;;
  1. ;;
  1. ;;D. Diagnostic and Clinical Tests:
  1. ;;
  1. ;; Include results of all diagnostic and clinical tests conducted in
  1. ;; the examination report.
  1. ;;
  1. ;;
  1. ;;E. Diagnosis:
  1. ;;
  1. ;;
  1. ;;Signature: Date:
  1. ;;END