VistA-WorldVistAEHR/r/AUTOMATED_MED_INFO_EXCHANGE.../DVBCWCN1.m

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DVBCWCN1 ;ALB/CMM CRANIAL NERVES WKS TEXT - 1 ; 6 MARCH 1997
;;2.7;AMIE;**12**;Apr 10, 1995
;
;
TXT ;
;;A. Review of Medical Records:
;;
;;
;;B. Medical History (Subjective Complaints):
;;
;; Comment on:
;; 1. If flare-ups exist, describe precipitating factors, aggravating
;; factors, alleviating factors, alleviating medications, frequency,
;; severity, duration, and whether the flare-ups include pain,
;; weakness, fatigue, or functional loss.
;;
;;
;; 2. Current treatment, response, side effects.
;;
;;
;;C. Physical Examination (Objective Findings):
;;
;; Address each of the following and fully describe current findings:
;; 1. Identify the nerve and the side.
;;
;;
;; 2. Identify the disorder (i.e., paralysis, neuritis, neuralgia).
;;
;;
;; 3. Describe in detail specific motor and sensory impairment,
;; quantifying as much as possible.
;;
;;
;; 4. If smell or taste is affected, please also complete the
;; appropriate worksheet.
;;
;;
;;D. Diagnostic and Clinical Tests:
;;
;; 1. Include results of all diagnostic and clinical tests conducted
;; in the examination report.
;;
;;
;;E. Diagnosis:
;;
;; 1. State etiology.
;;
;;
;;Signature: Date:
;;END