DVBCWTD1 ;ALB/CMM THYROID DISEASES WKS TEXT - 1 ; 5 MARCH 1997
;;2.7;AMIE;**12**;Apr 10, 1995
;
;
TXT ;
;;A. Review of Medical Records:
;;
;;
;;
;;B. Medical History (Subjective Complaints):
;;
;; Comment on:
;; 1. Date diagnosis established.
;;
;;
;; 2. Fatigability.
;;
;;
;; 3. Mental assessment.
;;
;;
;; 4. Neurologic, cardiovascular, or gastrointestinal symptoms.
;;
;;
;; 5. Treatments (surgery, medications, hormones), including dose,
;; frequency, response, side effects. For C-cell hyperplasia,
;; provide date of completion of any treatment for malignancy.
;;
;;
;; 6. Symptoms due to pressure (on larynx, esophagus, etc.).
;;
;;
;; 7. Cold or heat intolerance.
;;
;;
;; 8. Constipation.
;;
;;
;; 9. Weight gain or loss.
;;
;;
;;C. Physical Examination (Objective Findings):
;;
;; Address each of the following and fully describe current findings:
;; 1. Thyroid size.
;;
;;
;; 2. Pulse and blood pressure.
;;
;;
;; 3. Eye and vision abnormalities.
;;
;;
;; 4. Muscle strength.
;;
;;
;; 5. Tremor.
;;
;;
;; 6. Myxedema.
;;
;;
;; 7. All other residuals of thyroid disease or its treatment.
;;
;;
;;D. Diagnostic and Clinical Tests:
;;
;; Provide:
;; 1. T4, T3, TSH, and/or other thyroid function tests, if needed.
;; 2. If thyroidectomy scar is disfiguring, order color photograph.
;; 3. Thyroid scan, if indicated.
;; 4. Include results of all diagnostic and clinical tests conducted
;; in the examination report.
;;
;;
;;E. Diagnosis:
;;
;; Comment on:
;; 1. Is the disease active or in remission?
;;
;;
;;Signature: Date:
;;END
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HDVBCWTD1 1858 printed Dec 13, 2024@01:54:21 Page 2
DVBCWTD1 ;ALB/CMM THYROID DISEASES WKS TEXT - 1 ; 5 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. Date diagnosis established.
+9 ;;
+10 ;;
+11 ;; 2. Fatigability.
+12 ;;
+13 ;;
+14 ;; 3. Mental assessment.
+15 ;;
+16 ;;
+17 ;; 4. Neurologic, cardiovascular, or gastrointestinal symptoms.
+18 ;;
+19 ;;
+20 ;; 5. Treatments (surgery, medications, hormones), including dose,
+21 ;; frequency, response, side effects. For C-cell hyperplasia,
+22 ;; provide date of completion of any treatment for malignancy.
+23 ;;
+24 ;;
+25 ;; 6. Symptoms due to pressure (on larynx, esophagus, etc.).
+26 ;;
+27 ;;
+28 ;; 7. Cold or heat intolerance.
+29 ;;
+30 ;;
+31 ;; 8. Constipation.
+32 ;;
+33 ;;
+34 ;; 9. Weight gain or loss.
+35 ;;
+36 ;;
+37 ;;C. Physical Examination (Objective Findings):
+38 ;;
+39 ;; Address each of the following and fully describe current findings:
+40 ;; 1. Thyroid size.
+41 ;;
+42 ;;
+43 ;; 2. Pulse and blood pressure.
+44 ;;
+45 ;;
+46 ;; 3. Eye and vision abnormalities.
+47 ;;
+48 ;;
+49 ;; 4. Muscle strength.
+50 ;;
+51 ;;
+52 ;; 5. Tremor.
+53 ;;
+54 ;;
+55 ;; 6. Myxedema.
+56 ;;
+57 ;;
+58 ;; 7. All other residuals of thyroid disease or its treatment.
+59 ;;
+60 ;;
+61 ;;D. Diagnostic and Clinical Tests:
+62 ;;
+63 ;; Provide:
+64 ;; 1. T4, T3, TSH, and/or other thyroid function tests, if needed.
+65 ;; 2. If thyroidectomy scar is disfiguring, order color photograph.
+66 ;; 3. Thyroid scan, if indicated.
+67 ;; 4. Include results of all diagnostic and clinical tests conducted
+68 ;; in the examination report.
+69 ;;
+70 ;;
+71 ;;E. Diagnosis:
+72 ;;
+73 ;; Comment on:
+74 ;; 1. Is the disease active or in remission?
+75 ;;
+76 ;;
+77 ;;Signature: Date:
+78 ;;END
