DVBCWSW1.m

DVBCWSW1 ;ALB/CMM SCARS WKS TEXT - 1 ; 6 MARCH 1997

 ;;2.7;AMIE;**12**;Apr 10, 1995

 ;

 ;

TXT ;

 ;;A.  Review of Medical Records:

 ;;

 ;;

 ;;

 ;;B.  Medical History (Subjective Complaints):

 ;;

 ;;    1.  Type of injury or infection causing the wound or scar, its 

 ;;        date, the treatment used and the response to such treatment.

 ;;

 ;;

 ;;    2.  Current symptoms.

 ;;

 ;;

 ;;C.  Physical Examination (Objective Findings):

 ;;

 ;;    Address each of the following and fully describe current findings

 ;;    (for each scar):

 ;;    1.  Location, measurements (cm. x cm.), and shape of each scar.

 ;;

 ;;

 ;;    2.  Tenderness.

 ;;

 ;;

 ;;    3.  Adherence.

 ;;

 ;;

 ;;    4.  Texture.

 ;;

 ;;

 ;;    5.  Ulceration or breakdown of skin.

 ;;

 ;;

 ;;    6.  Elevation or depression of scar.

 ;;

 ;;

 ;;    7.  Extent of underlying tissue loss.

 ;;

 ;;

 ;;    8.  Inflammation, edema, or keloid formation.

 ;;

 ;;

 ;;    9.  Color of scar compared to normal areas of skin.

 ;;

 ;;

 ;;   10.  Disfigurement.

 ;;

 ;;

 ;;   11.  For each burn scar, state if due to a 2nd or 3rd degree burn.

 ;;

 ;;

 ;;   12.  Limitation of function by scar.

 ;;

 ;;

 ;;   13.  An attachment is provided in the Handout of Instructions for 

 ;;        Compensation and Pension Examinations for plotting the 

 ;;        location of scars.

 ;;

 ;;

 ;;D.  Diagnostic and Clinical Tests:

 ;;

 ;;    1.  With disfigurement or disfiguring scar of head, face, or neck,

 ;;        submit COLOR PHOTOGRAPHS.

 ;;    2.  Include results of all diagnostic and clinical tests conducted

 ;;        in the examination report.

 ;;

 ;;

 ;;E.  Diagnosis:

 ;;

 ;;

 ;;Signature:                             Date:

 ;;END

--- Routine Detail   --- with STRUCTURED ROUTINE LISTING ---DVBCWSW1   1760     printed  Apr 23, 2025@18:08:39                                                                                                                                                                                                    Page 2

DVBCWSW1  ;ALB/CMM SCARS 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       ;;    1.  Type of injury or infection causing the wound or scar, its 

 +8       ;;        date, the treatment used and the response to such treatment.

 +9       ;;

 +10      ;;

 +11      ;;    2.  Current symptoms.

 +12      ;;

 +13      ;;

 +14      ;;C.  Physical Examination (Objective Findings):

 +15      ;;

 +16      ;;    Address each of the following and fully describe current findings

 +17      ;;    (for each scar):

 +18      ;;    1.  Location, measurements (cm. x cm.), and shape of each scar.

 +19      ;;

 +20      ;;

 +21      ;;    2.  Tenderness.

 +22      ;;

 +23      ;;

 +24      ;;    3.  Adherence.

 +25      ;;

 +26      ;;

 +27      ;;    4.  Texture.

 +28      ;;

 +29      ;;

 +30      ;;    5.  Ulceration or breakdown of skin.

 +31      ;;

 +32      ;;

 +33      ;;    6.  Elevation or depression of scar.

 +34      ;;

 +35      ;;

 +36      ;;    7.  Extent of underlying tissue loss.

 +37      ;;

 +38      ;;

 +39      ;;    8.  Inflammation, edema, or keloid formation.

 +40      ;;

 +41      ;;

 +42      ;;    9.  Color of scar compared to normal areas of skin.

 +43      ;;

 +44      ;;

 +45      ;;   10.  Disfigurement.

 +46      ;;

 +47      ;;

 +48      ;;   11.  For each burn scar, state if due to a 2nd or 3rd degree burn.

 +49      ;;

 +50      ;;

 +51      ;;   12.  Limitation of function by scar.

 +52      ;;

 +53      ;;

 +54      ;;   13.  An attachment is provided in the Handout of Instructions for 

 +55      ;;        Compensation and Pension Examinations for plotting the 

 +56      ;;        location of scars.

 +57      ;;

 +58      ;;

 +59      ;;D.  Diagnostic and Clinical Tests:

 +60      ;;

 +61      ;;    1.  With disfigurement or disfiguring scar of head, face, or neck,

 +62      ;;        submit COLOR PHOTOGRAPHS.

 +63      ;;    2.  Include results of all diagnostic and clinical tests conducted

 +64      ;;        in the examination report.

 +65      ;;

 +66      ;;

 +67      ;;E.  Diagnosis:

 +68      ;;

 +69      ;;

 +70      ;;Signature:                             Date:

 +71      ;;END