94 lines
2.5 KiB
Mathematica
94 lines
2.5 KiB
Mathematica
DVBCWFS1 ;ALB/CMM CHRONIC FATIGUE SYNDROME WKS TEXT - 1 ; 6 MARCH 1997
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;;2.7;AMIE;**12**;Apr 10, 1995
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TXT ;
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;;Narrative: Chronic fatigue syndrome (CFS) is an illness characterized
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;;by debilitating fatigue and several flu-like symptoms. It may have
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;;both physical and psychiatric manifestations and closely resembles
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;;neurasthenia, neurocirculatory asthenia, fibrositis, or fibromyalgia.
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;;
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;; FOR VA PURPOSES, A DIAGNOSIS OF CFS MUST MEET BOTH OF THE FOLLOWING
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;; CRITERIA:
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;; 1. New onset of debilitating fatigue that is severe enough to
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;; reduce or impair average daily activity below 50 percent of the
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;; patient's pre-illness activity level for a period of 6 months,
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;; and
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;;
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;;
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;; 2. Other clinical conditions that may produce similar symptoms
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;; must be excluded by thorough evaluation, based on history,
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;; physical examination, and appropriate laboratory tests.
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;;
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;;
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;; IT MUST ALSO MEET SIX OR MORE OF THE FOLLOWING TEN CRITERIA:
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;; 1. Describe in detail:
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;; a. Acute onset of the condition.
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;;
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;;
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;; b. Low grade fever.
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;;
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;;
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;; c. Nonexudative pharyngitis.
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;;
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;;
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;; d. Palpable or tender cervical or axillary lymph nodes.
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;;
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;;
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;; e. Generalized muscle aches or weakness.
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;;
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;;
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;; f. Fatigue following lasting 24 hours or longer after exercise.
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;;
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;;
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;; g. Headaches (of a type, severity or pattern that is different
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;; from headaches in the premorbid state.
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;;
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;;
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;; h. Migratory joint pains.
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;;
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;;
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;; i. Neuropsychologic symptoms.
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;;
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;;
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;; j. Sleep disturbance.
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;;
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;;
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;;A. Review of Medical Records:
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;;
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;; Comment on:
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;; 1. Date diagnosis established.
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;;
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;;
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;; 2. Does it meet the requirements outlined above?
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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. Estimate the amount of routine daily activities that are
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;; restricted due to CFS. Give specific examples.
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;;
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;;
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;; 2. If there are incapacitating episodes (requiring bed rest and
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;; treatment by a physician), what is their frequency and duration?.
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;;
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;;
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;; 3. Does the patient require continuous medication for CFS?
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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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;;
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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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;;
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;;Signature: Date:
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;;END
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