Home   Package List   Routine Alphabetical List   Global Alphabetical List   FileMan Files List   FileMan Sub-Files List   Package Component Lists   Package-Namespace Mapping  
Routine: DVBCWSW7

DVBCWSW7.m

Go to the documentation of this file. 
  1. DVBCWSW7 ;ALB/RLC  SCARS WKS TEXT - 1 ; 16 JAN 2007
  1.  ;;2.7;AMIE;**141**;Apr 10, 1995;Build 3
  1.  ;
  1. TXT ;
  1.  ;;A.  Review of Medical Records:
  1.  ;;
  1.  ;;B.  Medical History (Subjective Complaints):
  1.  ;;
  1.  ;;NOTE:  If examining multiple scars, report the data for each scar separately.
  1.  ;;    1.  Type of injury or infection causing the scar or other disfigurement,
  1.  ;;        and its date.  For burns, provide the depth of the burn (deep partial
  1.  ;;        thickness-2nd degree, full-thickness-3rd degree, or subdermal-4th
  1.  ;;        degree) and percent total body surface area involved.
  1.  ;;
  1.  ;;    2.  Current symptoms, including pain, skin breakdown (frequency), and
  1.  ;;        other problems.
  1.  ;;
  1.  ;;    3.  Describe any limitations on routine daily activities or employment
  1.  ;;        due to the scar or disfigurement.
  1.  ;;
  1.  ;;C.  Physical Examination (Objective Findings):
  1.  ;;
  1.  ;;    Carefully measure all scars.  Additionally, measure areas of skin with
  1.  ;;    certain abnormal characteristics, as specifically requested below.  Report
  1.  ;;    all measurements in inches or centimeters (or, when reporting areas, in
  1.  ;;    square inches or square centimeters).
  1.  ;;
  1.  ;;For every scar to be examined, address each of the following 8 items.
  1.  ;;
  1.  ;;    1.  Describe precise location of each scar, using anatomic landmarks.
  1.  ;;        Draw diagram if necessary.  In the case of the trunk, state whether
  1.  ;;        the scar is on the anterior portion, the posterior portion, or both
  1.  ;;        portions.  The midaxillary line on each side divides the trunk into
  1.  ;;        anterior and posterior portions.
  1.  ;;
  1.  ;;    2.  Give MEASUREMENT of length and width of each scar and calculate the
  1.  ;;        area, for all but linear scars.  Roughly describe shape of scar, if
  1.  ;;        it is nonlinear.
  1.  ;;
  1.  ;;    3.  Is the scar painful on examination?
  1.  ;;
  1.  ;;    4.  Is there skin breakdown?
  1.  ;;
  1.  ;;    5.  Is the scar superficial, meaning there is no underlying soft tissue
  1.  ;;        damage?
  1.  ;;
  1.  ;;    6.  Is the scar deep, meaning there is underlying soft tissue damage?
  1.  ;;
  1.  ;;    7.  Describe any limitations of motion or other limitation of function
  1.  ;;        caused by the scar.
  1.  ;;
  1.  ;;    8.  Is there any inflammation, edema, or keliod formation?  If so, describe.
  1.  ;;
  1.  ;;In addition, for scars of the head, face, and neck and for other disfigurement
  1.  ;;of the head, face, and neck, answer the following additional 8 questions.
  1.  ;;You need not answer these questions unless the scar or disfigurement affects
  1.  ;;the head, face, or neck.
  1.  ;;
  1.  ;;    1.  Provide a MEASUREMENT of the greatest width of each scar.
  1.  ;;
  1.  ;;    2.  State whether the scar is adherent to underlying tissue.
  1.  ;;
  1.  ;;    3.  State whether the surface contour of the scar is elevated or depressed
  1.  ;;        on palpation.
  1.  ;;
  1.  ;;    4.  Is there an area of abnormal texture (irregular, atrophic, shiny,
  1.  ;;        scaly, etc.) of the skin?  If so, provide a MEASUREMENT of the area
  1.  ;;        of abnormal texture and describe the abnormal texture.
  1.  ;;
  1.  ;;    5.  Is there an area of skin that is hypo- or hyper-pigmented?  If so,
  1.  ;;        describe color of scar compared to normal areas of skin and provide
  1.  ;;        a MEASUREMENT of the area of abnormally pigmented skin.
  1.  ;;
  1.  ;;    6.  Is there an area of skin that is indurated and inflexible?  If so,
  1.  ;;        provide a MEASUREMENT of the area of induration.
  1.  ;;
  1.  ;;    7.  Is there an area of underlying soft tissue loss?  If yes, provide a
  1.  ;;        MEASUREMENT of the area of underlying soft tissue loss and state
  1.  ;;        whether or not the tissue loss is visible or palpable.
  1.  ;;
  1.  ;;    8.  For the face, indicate each feature or set of paired features (nose,
  1.  ;;        chin, forehead, eyes (including eyelids), ears (auricles), cheeks,
  1.  ;;        lips) that shows gross distortion or asymmetry.
  1.  ;;
  1.  ;;NOTE:  With disfigurement or disfiguring scar(s) of head, face, or neck,
  1.  ;;submit COLOR PHOTOGRAPHS.
  1.  ;;
  1.  ;;D.  Diagnostic and Clinical Tests:
  1.  ;;
  1.  ;;    Include results of all diagnostic and clinical tests conducted
  1.  ;;    in the examination report.
  1.  ;;
  1.  ;;
  1.  ;;E.  Diagnosis:
  1.  ;;
  1.  ;;
  1.  ;;Signature:                             Date:
  1.  ;;END