68 lines
2.3 KiB
Mathematica
68 lines
2.3 KiB
Mathematica
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DVBCWCS3 ;ALB/RLC CUSHING'S SYNDROME WKS TEXT - 1 ; 12 FEB 2007
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;;2.7;AMIE;**121**;Apr 10, 1995;Build 9
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;
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;
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TXT ;
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;;A. Review of Medical Records:
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;;
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;;B. Medical History (Subjective Complaints):
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;;
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;; Comment on:
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;;
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;; 1. Date diagnosis established.
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;; 2. Current symptoms: weakness, fatigue, weight change, acne, mental
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;; changes, vision problems.
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;; 3. History of glucose intolerance?
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;; 4. Etiology? Latrogenic?
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;; 5. Treatments (surgery, medication, etc.), dose, frequency, response,
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;; side effects.
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;; 6. Effects of the condition on occupational functioning and daily
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;; activities.
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;; 7. History of hospitalizations or surgery, dates and location, if known,
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;; reason or type of surgery.
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;; 8. History of neoplasm:
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;;
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;; a. Date of diagnosis, diagnosis.
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;; b. Benign or malignant.
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;; c. Types of treatment and dates.
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;; d. Last date of treatment.
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;;
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;;C. Physical Examination (Objective Findings):
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;;
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;; Address each of the following and fully describe current findings:
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;;
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;; 1. Muscle strength.
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;; 2. Vascular fragility.
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;; 3. Blood Pressure.
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;; 4. Striae, skin thinning.
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;; 5. Weight gain or loss, presence of obesity.
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;; 6. Moonface, buffalo hump.
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;; 7. Vision abnormalities, presence of abnormalities requires evaluation
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;; by vision specialist.
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;; 8. After control, describe adrenal insufficiency, cardiovascular,
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;; psychiatric, skin, or skeletal complications or residuals, follow
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;; appropriate worksheets.
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;;
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;;D. Diagnostic and Clinical Tests:
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;;
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;; Provide:
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;;
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;; 1. CT of brain or X-ray of sella turcica, unless of record.
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;; 2. Serum and urine cortisol levels, unless of record.
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;; 3. High and low dose dexamethasone suppression test, unless of record.
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;; 4. Imaging studies for size of adrenals, unless of record.
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;; 5. Glucose tolerance test, if needed, to confirm glucose intolerance.
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;; 6. X-rays if osteoporosis suspected.
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;; 7. Include results of all diagnostic and clinical tests conducted
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;; in the examination report.
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;;
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;;E. Diagnosis:
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;;
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;; Comment on:
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;;
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;; 1. Is the disease active or in remission?
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;;
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;;
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;;Signature: Date:
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;;END
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