DVBCWVN1.m

DVBCWVN1 ;ALB/JFP ARTERIES, VEINS AND MISCELLANEOUS WKS TEXT - 1 ; 11 FEB 1998

 ;;2.7;AMIE;**16**;Apr 10, 1995

 ;

 ;

TXT ;

 ;;A.  Review of Medical Records:

 ;;

 ;;B.  Medical History (Subjective Complaints):

 ;;    For all conditions, comment on:

 ;;      1. Course, including onset of disorder, and any treatment,

 ;;         including surgery (type and when carried out).

 ;;      2. Symptoms.  

 ;;      3. Is exercise and exertion precluded by the condition?

 ;;      4. Current treatment - type, effectiveness, side effects.

 ;;      5. If surgery has been done, report effectiveness and any

 ;;         residual or recurrent symptoms.  

 ;;      6. Describe the effects of the condition on the veteran's usual

 ;;         occupation and daily activities.

 ;;

 ;;    For aortic aneurysm, aneurysm of any large artery, aneurysm of any

 ;;    small artery, arteriovenous fistula, arteriosclerosis obliterans

 ;;    and thromboangiitis obliterans, additionally comment on:

 ;;      1.  If lower extremities are affected, is there claudication,

 ;;          and, if so, after how many yards of walking on level ground

 ;;          at 2 miles per hour does it develop?  

 ;;      2.  Is there pain at rest?

 ;;  

 ;;    For Raynaud's phenomenon, angioneurotic edema, and erythromelalgia,

 ;;    additionally comment on:

 ;;      1.  Describe a characteristic attack.

 ;;      2.  Record the frequency, duration, and severity of

 ;;          characteristic attacks.

 ;;      3.  Describe which parts of the body are affected.  For

 ;;          angioneurotic edema, state whether laryngeal edema occurs

 ;;          and how frequently.

 ;;      4.  What is the current treatment - type, dose, effectiveness,

 ;;          side effects?

 ;;      5.  Describe the effects of the condition on the veteran's usual

 ;;          occupation and daily activities.

 ;;

 ;;    For Varicose veins and Post-phlebitic syndrome of any etiology,

 ;;    additionally comment on:

 ;;      1.  Describe symptoms, noting particularly whether aching,

 ;;          fatigue or abnormal sensations are present in the leg at

 ;;          rest or after prolonged standing or walking.  

 ;;      2.  Are symptoms or edema relieved by elevation of the extremity 

 ;;          compression hosiery, or other measures?

 ;;      3.  What is the current treatment - type, dose, effectiveness,

 ;;          side effects.

 ;;      4.  What are the effects of the condition on the veteran's usual

 ;;          occupation and daily activities?

 ;;

 ;;      For soft tissue sarcoma or other malignant neoplasms of vascular

 ;;      origin:

 ;;        1. Record date of diagnosis and pathologic diagnosis.

 ;;        2. Record type and dates of treatment.  If treatment has been

 ;;           completed, state date of last treatment.

 ;;        3. Describe current symptoms.  If treatment has been completed

 ;;           describe residual or recurrent symptoms.

 ;;        4. What are the effects of the condition on the veteran's

 ;;           usual occupation and daily activities?

 ;;

 ;;C.  Physical Examination (Objective Findings):

 ;;      1.  For aortic aneurysm, aneurysm of any large artery, aneurysm

 ;;          of any small artery, or arteriovenous fistula:

 ;;            a.  State size of aneurysm, cardiac status, including

 ;;                heart size and rate, pulse pressure, and whether there

 ;;                is evidence of high output failure.

 ;;            b.  If extremities are affected, describe temperature and

 ;;                color, pulses, trophic changes, ulcers (deep or

 ;;                superficial?), edema, dermatitis, cellulitis.

 ;;            c.  If lower extremities are affected, record

 ;;                ankle/brachial index (using Doppler).

 ;;            d.  If surgery has been carried out, describe residual

 ;;                findings, using appropriate worksheet for the affected

 ;;                body system or organ.

 ;;      2. For arteriosclerosis obliterans and thromboangiitis

 ;;         obliterans:

 ;;            a.  Describe each affected extremity separately.

 ;;            b.  Record ankle/brachial index (using Doppler).

 ;;            c.  Describe temperature and color of extremities, pulses,

 ;;                trophic changes, ulcers (deep or superficial?).

 ;;            d.  If surgery has been carried out, describe any

 ;;                residuals or side effects of surgery.

 ;;      3.  For Raynaud's phenomenon, angioneurotic edema, and 

 ;;          erythromelalgia:

 ;;            a.  Describe ulcers, autoamputations, and any other

 ;;                current findings.

 ;;      4.  For Varicose veins and Post-phlebitic syndrome of any

 ;;          etiology:

 ;;            a.  Describe any visible or palpable varicose veins.

 ;;            b.  Describe extent of any ulcers, edema, stasis

 ;;                pigmentation, and eczema.  If edema is present, is it

 ;;                boardlike?  Is it persistent?

 ;;            c.  Describe each affected extremity separately.

 ;;      5.  For soft tissue sarcoma or other malignant neoplasms of

 ;;          vascular origin:

 ;;            a.  Describe all current findings, whether pre- or 

 ;;                post-treatment, including any residuals of treatment.

 ;;                Use other worksheets, if necessary, specific to the

 ;;                affected body system or organs.

 ;;

 ;;D.  Diagnostic and Clinical Tests:

 ;;       1.  X-rays, Doppler vascular studies, angiogram, etc., as 

 ;;           appropriate, and if indicated.

 ;;       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 ---DVBCWVN1   5871     printed  Feb 18, 2025@23:20:49                                                                                                                                                                                                    Page 2

DVBCWVN1  ;ALB/JFP ARTERIES, VEINS AND MISCELLANEOUS WKS TEXT - 1 ; 11 FEB 1998

 +1       ;;2.7;AMIE;**16**;Apr 10, 1995

 +2       ;

 +3       ;

TXT       ;

 +1       ;;A.  Review of Medical Records:

 +2       ;;

 +3       ;;B.  Medical History (Subjective Complaints):

 +4       ;;    For all conditions, comment on:

 +5       ;;      1. Course, including onset of disorder, and any treatment,

 +6       ;;         including surgery (type and when carried out).

 +7       ;;      2. Symptoms.  

 +8       ;;      3. Is exercise and exertion precluded by the condition?

 +9       ;;      4. Current treatment - type, effectiveness, side effects.

 +10      ;;      5. If surgery has been done, report effectiveness and any

 +11      ;;         residual or recurrent symptoms.  

 +12      ;;      6. Describe the effects of the condition on the veteran's usual

 +13      ;;         occupation and daily activities.

 +14      ;;

 +15      ;;    For aortic aneurysm, aneurysm of any large artery, aneurysm of any

 +16      ;;    small artery, arteriovenous fistula, arteriosclerosis obliterans

 +17      ;;    and thromboangiitis obliterans, additionally comment on:

 +18      ;;      1.  If lower extremities are affected, is there claudication,

 +19      ;;          and, if so, after how many yards of walking on level ground

 +20      ;;          at 2 miles per hour does it develop?  

 +21      ;;      2.  Is there pain at rest?

 +22      ;;  

 +23      ;;    For Raynaud's phenomenon, angioneurotic edema, and erythromelalgia,

 +24      ;;    additionally comment on:

 +25      ;;      1.  Describe a characteristic attack.

 +26      ;;      2.  Record the frequency, duration, and severity of

 +27      ;;          characteristic attacks.

 +28      ;;      3.  Describe which parts of the body are affected.  For

 +29      ;;          angioneurotic edema, state whether laryngeal edema occurs

 +30      ;;          and how frequently.

 +31      ;;      4.  What is the current treatment - type, dose, effectiveness,

 +32      ;;          side effects?

 +33      ;;      5.  Describe the effects of the condition on the veteran's usual

 +34      ;;          occupation and daily activities.

 +35      ;;

 +36      ;;    For Varicose veins and Post-phlebitic syndrome of any etiology,

 +37      ;;    additionally comment on:

 +38      ;;      1.  Describe symptoms, noting particularly whether aching,

 +39      ;;          fatigue or abnormal sensations are present in the leg at

 +40      ;;          rest or after prolonged standing or walking.  

 +41      ;;      2.  Are symptoms or edema relieved by elevation of the extremity 

 +42      ;;          compression hosiery, or other measures?

 +43      ;;      3.  What is the current treatment - type, dose, effectiveness,

 +44      ;;          side effects.

 +45      ;;      4.  What are the effects of the condition on the veteran's usual

 +46      ;;          occupation and daily activities?

 +47      ;;

 +48      ;;      For soft tissue sarcoma or other malignant neoplasms of vascular

 +49      ;;      origin:

 +50      ;;        1. Record date of diagnosis and pathologic diagnosis.

 +51      ;;        2. Record type and dates of treatment.  If treatment has been

 +52      ;;           completed, state date of last treatment.

 +53      ;;        3. Describe current symptoms.  If treatment has been completed

 +54      ;;           describe residual or recurrent symptoms.

 +55      ;;        4. What are the effects of the condition on the veteran's

 +56      ;;           usual occupation and daily activities?

 +57      ;;

 +58      ;;C.  Physical Examination (Objective Findings):

 +59      ;;      1.  For aortic aneurysm, aneurysm of any large artery, aneurysm

 +60      ;;          of any small artery, or arteriovenous fistula:

 +61      ;;            a.  State size of aneurysm, cardiac status, including

 +62      ;;                heart size and rate, pulse pressure, and whether there

 +63      ;;                is evidence of high output failure.

 +64      ;;            b.  If extremities are affected, describe temperature and

 +65      ;;                color, pulses, trophic changes, ulcers (deep or

 +66      ;;                superficial?), edema, dermatitis, cellulitis.

 +67      ;;            c.  If lower extremities are affected, record

 +68      ;;                ankle/brachial index (using Doppler).

 +69      ;;            d.  If surgery has been carried out, describe residual

 +70      ;;                findings, using appropriate worksheet for the affected

 +71      ;;                body system or organ.

 +72      ;;      2. For arteriosclerosis obliterans and thromboangiitis

 +73      ;;         obliterans:

 +74      ;;            a.  Describe each affected extremity separately.

 +75      ;;            b.  Record ankle/brachial index (using Doppler).

 +76      ;;            c.  Describe temperature and color of extremities, pulses,

 +77      ;;                trophic changes, ulcers (deep or superficial?).

 +78      ;;            d.  If surgery has been carried out, describe any

 +79      ;;                residuals or side effects of surgery.

 +80      ;;      3.  For Raynaud's phenomenon, angioneurotic edema, and 

 +81      ;;          erythromelalgia:

 +82      ;;            a.  Describe ulcers, autoamputations, and any other

 +83      ;;                current findings.

 +84      ;;      4.  For Varicose veins and Post-phlebitic syndrome of any

 +85      ;;          etiology:

 +86      ;;            a.  Describe any visible or palpable varicose veins.

 +87      ;;            b.  Describe extent of any ulcers, edema, stasis

 +88      ;;                pigmentation, and eczema.  If edema is present, is it

 +89      ;;                boardlike?  Is it persistent?

 +90      ;;            c.  Describe each affected extremity separately.

 +91      ;;      5.  For soft tissue sarcoma or other malignant neoplasms of

 +92      ;;          vascular origin:

 +93      ;;            a.  Describe all current findings, whether pre- or 

 +94      ;;                post-treatment, including any residuals of treatment.

 +95      ;;                Use other worksheets, if necessary, specific to the

 +96      ;;                affected body system or organs.

 +97      ;;

 +98      ;;D.  Diagnostic and Clinical Tests:

 +99      ;;       1.  X-rays, Doppler vascular studies, angiogram, etc., as 

 +100     ;;           appropriate, and if indicated.

 +101     ;;       2.  Include results of all diagnostic and clinical tests 

 +102     ;;           conducted in the examination report.

 +103     ;;

 +104     ;;E.  Diagnosis:

 +105     ;;  

 +106     ;;

 +107     ;;Signature:                                        Date:

 +108     ;;END