121 lines
2.9 KiB
Mathematica
121 lines
2.9 KiB
Mathematica
DVBCWAV1 ;ALB/CMM ARTERIES AND VEINS WKS TEXT - 1 ; 5 MARCH 1997
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;;2.7;AMIE;**12**;Apr 10, 1995
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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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;;
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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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;; 1. Symptoms due to aortic aneurysm, other large or small artery
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;; aneurysm, or arteriovenous aneurysm.
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;;
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;;
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;; 2. Current and past treatment, including surgery - e.g., aortic
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;; aneurysm grafting, varicose vein stripping, angioplasty of
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;; peripheral vessels, etc. Date and response, side effects.
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;;
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;;
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;; 3. Pain, cramping, claudication on exertion? standing? pain at
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;; rest? Give frequency, severity, level of exercise that
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;; precipitates pain, duration.
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;;
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;;
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;; 4. Paresthesias or other abnormal sensations.
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;;
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;;
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;; 5. Attacks of angioneurotic edema - severity, location, frequency,
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;; duration?
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;;
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;;
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;; 6. Cold sensitivity.
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;;
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;;
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;; 7. If treated for malignancy, state type of treatment and dates,
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;; including date of last treatment. Describe any residual
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;; or recurrent symptoms if treated has been completed.
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;;
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;;
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;; 8. Is exercise and exertion precluded by the condition?
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;;
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;;
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;; 9. Is veteran confined to house or bed because of the condition?
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;;
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;;
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;; 10. Describe the effects of the condition(s) on the veteran's
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;; usual occupation and daily activities.
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;;
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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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;; 1. Nutrition, general state of health.
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;;
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;;
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;; 2. Renal, cardiac, or cerebral arteriosclerotic foci.
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;;
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;;
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;; 3. Cardiac status - size, function.
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;;
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;;
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;; 4. Evidence and size of aneurysm.
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;;
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;;
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;; 5. Extremities:
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;; a. Temperature.
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;;
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;;
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;;
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;; b. Evidence of superficial phlebitis.
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;;
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;;
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;;
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;; c. Ulceration or tissue loss.
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;;
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;;
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;;
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;; d. Edema (constant or intermittent, relieved by elevation?).
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;;
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;;
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;; e. Scar.
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;;
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;;
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;;
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;; f. Color.
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;;
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;;
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;; g. Eczema.
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;;
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;;
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;; h. Tenderness.
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;;
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;;
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;; 6. If there are attacks of blanching or flushing, or blanching,
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;; rubor, and cyanosis, indicate their frequency and duration.
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;;
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;;
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;; 7. If evidence or history of erythromelalgia - severity, frequency,
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;; duration?
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;;
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;;
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;; 8. If varicosities are present, indicate their size (diameter?),
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;; location, appearance, and if deep circulation is involved.
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;;
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;;
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;;D. Diagnostic and Clinical Tests:
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;;
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;; 1. X-rays, Doppler vascular studies, angiogram, etc., as
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;; appropriate, and if indicated.
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;; 2. 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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;;
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;;E. Diagnosis:
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;;
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;;
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;;Signature: Date:
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;;END
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