- DVBCWNM1 ;ALB/CMM NEUROLOGICAL MISC. DISORDER WKS TEXT - 1 ; 6 MARCH 1997
- ;;2.7;AMIE;**12**;Apr 10, 1995
- ;
- ;
- TXT ;
- ;;A. Review of Medical Records:
- ;;
- ;;
- ;;
- ;;B. Medical History (Subjective Complaints):
- ;;
- ;; Comment on:
- ;; 1. Onset and course - If flare-ups exist, describe precipitating
- ;; factors, aggravating factors, alleviating factors, alleviating
- ;; medications, frequency, severity, duration, and whether the
- ;; flare-ups include pain, weakness, fatigue, or functional loss.
- ;;
- ;;
- ;; 2. Current treatment, response, side effects.
- ;;
- ;;
- ;;C. Physical Examination (Objective Findings):
- ;;
- ;; 1. If MIGRAINE: - Obtain the history of frequency and duration of
- ;; attacks and description of level of activity the veteran can
- ;; maintain during the attacks. For example, state if the attacks
- ;; are prostrating in nature or if ordinary activity is possible.
- ;;
- ;;
- ;; 2. If TICS AND PARAMYOCLONUS Complex: - Ascertain the muscle
- ;; group(s) involved and obtain the best possible history of
- ;; frequency and severity of attacks. State the effects on daily
- ;; activities.
- ;;
- ;;
- ;; 3. If CHOREA, CHOREIFORM DISORDERS, ETC.: - Describe manifestations
- ;; by impairment of strength, coordination, tremor, etc., with
- ;; particular attention to the effects of the performance of
- ;; ordinary activities of daily living.
- ;;
- ;;
- ;;D. Diagnostic and Clinical Tests:
- ;;
- ;; 1. Include results of all diagnostic and clinical tests conducted
- ;; in the examination report.
- ;;
- ;;TOF
- ;;E. Diagnosis:
- ;;
- ;;
- ;;Signature: Date:
- ;;END
- --- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCWNM1 1774 printed Mar 13, 2025@20:57:29 Page 2
- DVBCWNM1 ;ALB/CMM NEUROLOGICAL MISC. DISORDER WKS TEXT - 1 ; 6 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. Onset and course - If flare-ups exist, describe precipitating
- +9 ;; factors, aggravating factors, alleviating factors, alleviating
- +10 ;; medications, frequency, severity, duration, and whether the
- +11 ;; flare-ups include pain, weakness, fatigue, or functional loss.
- +12 ;;
- +13 ;;
- +14 ;; 2. Current treatment, response, side effects.
- +15 ;;
- +16 ;;
- +17 ;;C. Physical Examination (Objective Findings):
- +18 ;;
- +19 ;; 1. If MIGRAINE: - Obtain the history of frequency and duration of
- +20 ;; attacks and description of level of activity the veteran can
- +21 ;; maintain during the attacks. For example, state if the attacks
- +22 ;; are prostrating in nature or if ordinary activity is possible.
- +23 ;;
- +24 ;;
- +25 ;; 2. If TICS AND PARAMYOCLONUS Complex: - Ascertain the muscle
- +26 ;; group(s) involved and obtain the best possible history of
- +27 ;; frequency and severity of attacks. State the effects on daily
- +28 ;; activities.
- +29 ;;
- +30 ;;
- +31 ;; 3. If CHOREA, CHOREIFORM DISORDERS, ETC.: - Describe manifestations
- +32 ;; by impairment of strength, coordination, tremor, etc., with
- +33 ;; particular attention to the effects of the performance of
- +34 ;; ordinary activities of daily living.
- +35 ;;
- +36 ;;
- +37 ;;D. Diagnostic and Clinical Tests:
- +38 ;;
- +39 ;; 1. Include results of all diagnostic and clinical tests conducted
- +40 ;; in the examination report.
- +41 ;;
- +42 ;;TOF
- +43 ;;E. Diagnosis:
- +44 ;;
- +45 ;;
- +46 ;;Signature: Date:
- +47 ;;END