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Routine: DVBCWLY3

DVBCWLY3.m

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DVBCWLY3 ;ALB/RLC LYMPHATIC DISORDERS WKS TEXT - 1 ; 12 FEB 2007

 ;;2.7;AMIE;**121**;Apr 10, 1995;Build 9

 ;

 ;

TXT ;

 ;;A.  Review of Medical Records:

 ;;

 ;;B.  Medical History (Subjective Complaints):

 ;;

 ;;    Comment on:

 ;;

 ;;    1.  If there are exacerbations/remissions, what is the state of the

 ;;        veteran's health, during remissions?

 ;;    2.  Current and past treatment history including date and type of

 ;;        last treatment, response, side effects.

 ;;    3.  If malignant neoplasm need diagnosis, date of diagnosis, dates of

 ;;        treatment, or if treatment ended, date of last treatment.

 ;;    4.  Current symptoms - lymphadenopathy, bleeding tendency, gastrointestinal

 ;;        symptoms, constitutional symptoms.

 ;;    5.  History of hospitalizations or surgery, reason or type of surgery,

 ;;        location and dates, if known.

 ;;    6.  Effects of condition on occupational functioning and daily activities.

 ;;

 ;;C.  Physical Examination (Objective Findings):

 ;;

 ;;    Describe the residuals of each body system affected and follow additional

 ;;    worksheets as appropriate.  Comment on the following:

 ;;

 ;;    1.  Lymphadenopathy.

 ;;    2.  Splenomegaly.

 ;;    3.  Hepatomegaly, jaundice.

 ;;    4.  Signs of bleeding.

 ;;    5.  Signs of anemia - Presence of Pallor (nail beds, mucosal surfaces and

 ;;        skin), tachycardia, systolic murmur.

 ;;    6.  Evidence of superior vena cava syndrome.

 ;;

 ;;D.  Diagnostic and Clinical Tests:

 ;;

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

 ;;        the examination report.

 ;;

 ;;E.  Diagnosis:

 ;;

 ;;    1.  Is the disease active?

 ;;

 ;;

 ;;

 ;;Signature:                             Date:

 ;;END