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 ---[H[J[2J[HDVBCWVN1 5871 printed Dec 13, 2024@01:54:23 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
