DVBCWRW1 ;ALB/CMM RESPIRATORY 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. 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.
;;
;;TOF
;;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). When the results of
;; pre-bronchodilator pulmonary function tests are NORMAL, post-
;; bronchodilator studies are not required for VA evaluation
;; purposes. IN ALL OTHER CASES, post-bronchodilator studies
;; should be conducted unless contraindicated (because of allergy
;; to medication, etc.) or if the veteran was on bronchodilators
;; before the test and had taken his or her medication within a
;; few hours of the study. An examiner who determines that a
;; post-bronchodilator study should not be performed should
;; provide an explanation of why not. If there is a disparity
;; between the results of different pulmonary function tests
;; (FEV-1, FVC, etc.), the examiner should indicate which test
;; result is the best indicator of the veteran's level of
;; pulmonary functioning.
;; 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[HDVBCWRW1 2751 printed Sep 15, 2024@21:18:04 Page 2
DVBCWRW1 ;ALB/CMM RESPIRATORY 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. Productive cough, sputum, hemoptysis, and/or anorexia.
+9 ;;
+10 ;;
+11 ;; 2. Extent of dyspnea on exertion.
+12 ;;
+13 ;;
+14 ;; 3. If veteran is asthmatic, report frequency of attacks and
+15 ;; baseline functional status between attacks.
+16 ;;
+17 ;;
+18 ;; 4. Treatment (type, frequency and duration including a need for
+19 ;; oxygen), response, side effects.
+20 ;;
+21 ;;
+22 ;; 5. Describe frequency and duration of any periods of incapacitation
+23 ;; (defined as requiring bed rest and treatment by a physician).
+24 ;;
+25 ;;
+26 ;;C. Physical Examination (Objective Findings):
+27 ;;
+28 ;; Address each of the following as appropriate to the condition
+29 ;; being examined and fully describe current findings:
+30 ;; 1. Presence of cor pulmonale, RVH, or pulmonary hypertension.
+31 ;;
+32 ;;
+33 ;; 2. Weight loss or gain.
+34 ;;
+35 ;;
+36 ;; 3. For restrictive disease, describe condition underlying
+37 ;; restrictive disease, e.g., kyphoscoliosis, pectus excavatum,
+38 ;; etc., unless already of record.
+39 ;;
+40 ;;TOF
+41 ;;D. Diagnostic and Clinical Tests:
+42 ;;
+43 ;; Provide:
+44 ;; 1. PULMONARY FUNCTION TESTS (unless carried out within past six
+45 ;; months and the report is either in the claims folder or will
+46 ;; be attached to this examination report). When the results of
+47 ;; pre-bronchodilator pulmonary function tests are NORMAL, post-
+48 ;; bronchodilator studies are not required for VA evaluation
+49 ;; purposes. IN ALL OTHER CASES, post-bronchodilator studies
+50 ;; should be conducted unless contraindicated (because of allergy
+51 ;; to medication, etc.) or if the veteran was on bronchodilators
+52 ;; before the test and had taken his or her medication within a
+53 ;; few hours of the study. An examiner who determines that a
+54 ;; post-bronchodilator study should not be performed should
+55 ;; provide an explanation of why not. If there is a disparity
+56 ;; between the results of different pulmonary function tests
+57 ;; (FEV-1, FVC, etc.), the examiner should indicate which test
+58 ;; result is the best indicator of the veteran's level of
+59 ;; pulmonary functioning.
+60 ;; 2. Chest X-ray (if no recent results available).
+61 ;; 3. Include results of all diagnostic and clinical tests conducted
+62 ;; in the examination report.
+63 ;;
+64 ;;
+65 ;;E. Diagnosis:
+66 ;;
+67 ;;
+68 ;;Signature: Date:
+69 ;;END
