80 lines
2.6 KiB
Mathematica
80 lines
2.6 KiB
Mathematica
DVBCPRCK ;ALB/GTS-557/THM-THE PERIPHERAL NERVES EXAM ; 12/27/90 1:32 PM
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;;2.7;AMIE;;Apr 10, 1995
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;
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S PG=1,HD91="Department of Veterans Affairs",HD9=$S($D(CMBN):"Abbreviated",1:"Full")_" Exam Worksheet"
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EN D:'$D(IOF) SETIOF W:(IOST?1"C-".E) @IOF
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W !?25,HD91,!?22,"Compensation and Pension Examination",! W ?33,"# 1230 Worksheet" S HD7="THE PERIPHERAL NERVES",HD8="For "_HD7 W !?(40-($L(HD9)\2)),HD9,!?(40-($L(HD8)\2)),HD8,!!
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W !,"Name: ",NAME,?45,"SSN: ",SSN,!?45,"C-number: ",CNUM,!,"Date of exam: ____________________",!!,"Place of exam: ___________________",!!,"Type of Exam: ",HD7
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W !!!!,"Narrative: None",!!
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W !! I '$D(CMBN) W "A. Medical history:",!!!!!!!!!!,"B. Subjective complaints:",!!!!!!!!!!,"C. Objective findings:" D HD2
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W $S($D(CMBN):"A. ",1:"D. "),"Specific evaluation information required by the rating board",!?4,"(if the information requested is included elsewhere, do not",!?4,"repeat here):",!!!
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S LX="TXT1" F I=1:1 S LY=$T(@LX+I) Q:LY["END" W $P(LY,";;",2),!
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D:$D(CMBN) HD2 S LX="TXT2" F I=1:1 S LY=$T(@LX+I) Q:LY["END" W $P(LY,";;",2),!
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D:'$D(CMBN) HD2 W $S($D(CMBN):"B. ",1:"E. "),"Diagnostic/clinical test results:",!!!!!!!!!!!!!!
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W $S($D(CMBN):"C. ",1:"F. "),"Diagnosis:",!!!!!!!!!!!!?25,"Signature: ______________________________",!!?30,"Date: _________________________",!
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K LN,LN1,LN2
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Q
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HD2 S PG=PG+1 W @IOF,!,"Page: ",PG,!!,"Compensation and Pension Exam for ",HD7,!,"for ",NAME,!!!
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Q
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SETIOF ; ** Set device control var's
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D HOME^%ZIS
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Q
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TXT1 ;
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;; 1. Where disability is the result of brain disease or injury, spinal cord
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;; disease or injury, cervical disc disease, or trauma to the nerve roots
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;; themselves, report sensory and motor impairment by reference to the
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;; distribution of the affected groups as paralysis, neuritis or
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;; neuralgia. Report each affected extremity separately -
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;;
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;;
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;; a. In the upper extremities -
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;;
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;;
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;;
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;;
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;;
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;;
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;;
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;; b. In the lower extremities -
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;;
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;;
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;;
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;;
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;;
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;;
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;;
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;;END
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TXT2 ;
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;; 2. Where disability is NOT from the above, identify the specific major
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;; nerve involved, localize the lesion and describe specific impairment
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;; of motor and sensory function, fine motor control, etc.. Again
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;; characterization as paralysis, neuritis or neuralgia is necessary
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;; Indicate whether any muscle wasting or atrophy represents direct
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;; effect of nerve damage or merely disuse. Report each affected
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;; extremity separately -
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;;
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;;
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;; a. In the upper extremities -
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;;
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;;
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;;
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;;
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;;
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;;
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;;
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;;
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;; b. In the lower extremities -
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;;
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;;
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;;
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;;
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;;
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;;
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;;
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;;
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;;END
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