51 lines
1.3 KiB
Mathematica
51 lines
1.3 KiB
Mathematica
DVBCWCN1 ;ALB/CMM CRANIAL NERVES WKS TEXT - 1 ; 6 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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;;B. Medical History (Subjective Complaints):
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;;
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;; Comment on:
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;; 1. If flare-ups exist, describe precipitating factors, aggravating
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;; factors, alleviating factors, alleviating medications, frequency,
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;; severity, duration, and whether the flare-ups include pain,
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;; weakness, fatigue, or functional loss.
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;;
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;;
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;; 2. Current treatment, response, side effects.
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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. Identify the nerve and the side.
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;;
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;;
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;; 2. Identify the disorder (i.e., paralysis, neuritis, neuralgia).
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;;
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;;
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;; 3. Describe in detail specific motor and sensory impairment,
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;; quantifying as much as possible.
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;;
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;;
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;; 4. If smell or taste is affected, please also complete the
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;; appropriate worksheet.
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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. 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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;; 1. State etiology.
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;;
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;;
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;;Signature: Date:
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;;END
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