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Routine: DVBCWSW7

DVBCWSW7.m

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