DVBCWRO1 ;ALB/ESW RESPIRATORY WKS TEXT - 1 ; 6 OCT 2000
;;2.7;AMIE;**34**;Apr 10, 1995
;
;
TXT ;
;;A. Review of Medical Records:
;;
;;B. Medical History (Subjective Complaints):
;; Comment on:
;;
;; 1. Productive cough, sputum, hemoptysis, and/or anorexia.
;; 2. Extent of dyspnea on exertion.
;; 3. If veteran is asthmatic, report frequency of attacks and
;; baseline functional status between attacks.
;; 4. Treatment (type, frequency and duration including a need for
;; oxygen), response, side effects.
;; 5. Describe frequency and duration of any periods of incapacitation
;; (defined as requiring bed rest and treatment by a physician).
;;
;;C. Physical Examination (Objective Findings):
;;
;; Address each of the following as appropriate to the condition
;; being examined and fully describe current findings:
;;
;; 1. Presence of cor pulmonale, RVH, or pulmonary hypertension.
;; 2. Weight loss or gain.
;; 3. For restrictive disease, describe condition underlying restrictive
;; disease, e.g., kyphoscoliosis, pectus excavatum, etc., unless already
;; of record.
;;
;;D. Diagnostic and Clinical Tests:
;;Provide:
;;
;;1. PULMONARY FUNCTION TESTS (unless carried out within past six months and
;; the report is either in the claims folder or will be attached to this
;; examination report, e.g., PFT's were in VAMC records at your facility).
;; Spirometric pulmonary function testing should include FVC,FEV-1, and
;; the FEV-1/FVC ratio. Both pre- and post-bronchodilatation test results should
;; be reported. If post-bronchodilatation testing is not conducted
;; in a particular case, please provide an explanation of why not. A DLCO may
;; or may not be done routinely as part of pulmonary function testing
;; at a particular facility. If there is a disparity between the results of
;; different tests, please indicate which tests are more likely to accurately
;; reflect the severity of the condition.
;;TOF
;; DLCO note:
;; If the DLCO was not done as a routine part of pulmonary function testing,
;; the examiner should use his or her judgment, based on the specific
;; condition (e.g., whether it is obstructive, interstitial, etc.) and
;; other available information about the condition, as to whether a DLCO test
;; is needed, since it is not useful in all situations. If it may provide
;; useful information about the severity of the condition, it should be
;; requested and reviewed before the examination report is submitted.
;; If the examiner determines that the DLCO test is not needed, a statement
;; as to why not (e.g., there are decreased lung volumes that would not yield
;; valid test results) should be included in the report. Such a statement
;; could avoid a remand from BVA when the test is not done. However,
;; in the case of a BVA remand in which the DLCO is requested, the DLCO MUST
;; be done unless there is a medical contraindication.
;;
;;2. Chest X-ray (if no recent results available).
;;3. 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[HDVBCWRO1 3387 printed Dec 13, 2024@01:53:48 Page 2
DVBCWRO1 ;ALB/ESW RESPIRATORY WKS TEXT - 1 ; 6 OCT 2000
+1 ;;2.7;AMIE;**34**;Apr 10, 1995
+2 ;
+3 ;
TXT ;
+1 ;;A. Review of Medical Records:
+2 ;;
+3 ;;B. Medical History (Subjective Complaints):
+4 ;; Comment on:
+5 ;;
+6 ;; 1. Productive cough, sputum, hemoptysis, and/or anorexia.
+7 ;; 2. Extent of dyspnea on exertion.
+8 ;; 3. If veteran is asthmatic, report frequency of attacks and
+9 ;; baseline functional status between attacks.
+10 ;; 4. Treatment (type, frequency and duration including a need for
+11 ;; oxygen), response, side effects.
+12 ;; 5. Describe frequency and duration of any periods of incapacitation
+13 ;; (defined as requiring bed rest and treatment by a physician).
+14 ;;
+15 ;;C. Physical Examination (Objective Findings):
+16 ;;
+17 ;; Address each of the following as appropriate to the condition
+18 ;; being examined and fully describe current findings:
+19 ;;
+20 ;; 1. Presence of cor pulmonale, RVH, or pulmonary hypertension.
+21 ;; 2. Weight loss or gain.
+22 ;; 3. For restrictive disease, describe condition underlying restrictive
+23 ;; disease, e.g., kyphoscoliosis, pectus excavatum, etc., unless already
+24 ;; of record.
+25 ;;
+26 ;;D. Diagnostic and Clinical Tests:
+27 ;;Provide:
+28 ;;
+29 ;;1. PULMONARY FUNCTION TESTS (unless carried out within past six months and
+30 ;; the report is either in the claims folder or will be attached to this
+31 ;; examination report, e.g., PFT's were in VAMC records at your facility).
+32 ;; Spirometric pulmonary function testing should include FVC,FEV-1, and
+33 ;; the FEV-1/FVC ratio. Both pre- and post-bronchodilatation test results should
+34 ;; be reported. If post-bronchodilatation testing is not conducted
+35 ;; in a particular case, please provide an explanation of why not. A DLCO may
+36 ;; or may not be done routinely as part of pulmonary function testing
+37 ;; at a particular facility. If there is a disparity between the results of
+38 ;; different tests, please indicate which tests are more likely to accurately
+39 ;; reflect the severity of the condition.
+40 ;;TOF
+41 ;; DLCO note:
+42 ;; If the DLCO was not done as a routine part of pulmonary function testing,
+43 ;; the examiner should use his or her judgment, based on the specific
+44 ;; condition (e.g., whether it is obstructive, interstitial, etc.) and
+45 ;; other available information about the condition, as to whether a DLCO test
+46 ;; is needed, since it is not useful in all situations. If it may provide
+47 ;; useful information about the severity of the condition, it should be
+48 ;; requested and reviewed before the examination report is submitted.
+49 ;; If the examiner determines that the DLCO test is not needed, a statement
+50 ;; as to why not (e.g., there are decreased lung volumes that would not yield
+51 ;; valid test results) should be included in the report. Such a statement
+52 ;; could avoid a remand from BVA when the test is not done. However,
+53 ;; in the case of a BVA remand in which the DLCO is requested, the DLCO MUST
+54 ;; be done unless there is a medical contraindication.
+55 ;;
+56 ;;2. Chest X-ray (if no recent results available).
+57 ;;3. Include results of all diagnostic and clinical tests conducted
+58 ;; in the examination report.
+59 ;;
+60 ;;E. Diagnosis:
+61 ;;
+62 ;;
+63 ;;Signature: Date:
+64 ;;END
