63 lines
2.4 KiB
Mathematica
63 lines
2.4 KiB
Mathematica
DVBCWFI3 ;ALB/RLC FIBROMYALGIA WKS TEXT - 1 ; 12 FEB 2007
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;;2.7;AMIE;**121**;Apr 10, 1995;Build 9
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TXT ;
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;;Narrative: For VA compensation purposes, the diagnosis of fibromyalgia
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;;(sometimes called fibrositis, primary fibromyalgia syndrome, or
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;;myofascial pain syndrome) requires the presence of widespread
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;;musculoskeletal pain and tender points. Additional findings may also
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;;be present: fatigue, sleep disturbance, stiffness, paresthesias,
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;;headache, irritable bowel symptoms, depression, anxiety, or Raynaud's
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;;-like symptoms. Widespread pain is defined as pain in both the left
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;;and right sides of the body, that is both above and below the waist,
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;;and that affects both the axial skeleton (i.e., cervical spine,
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;;anterior chest, thoracic spine, or low back) and the extremities.
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;;Rule out other diagnostic entities that may be responsible for the
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;;symptomatology presented.
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;;
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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 of onset of symptoms, date of diagnosis (if known).
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;; 2. Are symptoms constant or nearly so? If episodic, how often are they
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;; present? What precipitates and alleviates symptoms? Are they
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;; refractory to therapy?
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;; 3. Location, severity, frequency of any musculoskeletal pain,
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;; stiffness, or muscle weakness.
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;; 4. Unexplained fatigue, sleep disturbances, headaches, paresthesias.
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;; 5. GI symptoms.
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;; 6. Treatment, (type, duration, response, side effects). Has treatment
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;; been continuous?
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;; 7. Is there depression or anxiety?
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;; 8. Effects of symptoms on daily activities.
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;; 9. Lost time from work?
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;; 10. History of hospitalizations, dates and location, if known, reason.
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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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;; (Please incorporate all ancillary study results into the final
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;; diagnosis.)
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;;
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;; 1. Musculoskeletal areas involved.
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;; 2. Trigger or tender points.
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;; 3. Muscle strength in involved areas.
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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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;;E. Diagnosis:
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;;
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;; 1. Is the condition currently active or in remission?
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;;
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;;
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;;
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;;Signature: Date:
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;;END
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