VistA-WorldVistAEHR/r/AUTOMATED_MED_INFO_EXCHANGE.../DVBCWLY3.m

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DVBCWLY3 ;ALB/RLC LYMPHATIC DISORDERS WKS TEXT - 1 ; 12 FEB 2007
;;2.7;AMIE;**121**;Apr 10, 1995;Build 9
;
;
TXT ;
;;A. Review of Medical Records:
;;
;;B. Medical History (Subjective Complaints):
;;
;; Comment on:
;;
;; 1. If there are exacerbations/remissions, what is the state of the
;; veteran's health, during remissions?
;; 2. Current and past treatment history including date and type of
;; last treatment, response, side effects.
;; 3. If malignant neoplasm need diagnosis, date of diagnosis, dates of
;; treatment, or if treatment ended, date of last treatment.
;; 4. Current symptoms - lymphadenopathy, bleeding tendency, gastrointestinal
;; symptoms, constitutional symptoms.
;; 5. History of hospitalizations or surgery, reason or type of surgery,
;; location and dates, if known.
;; 6. Effects of condition on occupational functioning and daily activities.
;;
;;C. Physical Examination (Objective Findings):
;;
;; Describe the residuals of each body system affected and follow additional
;; worksheets as appropriate. Comment on the following:
;;
;; 1. Lymphadenopathy.
;; 2. Splenomegaly.
;; 3. Hepatomegaly, jaundice.
;; 4. Signs of bleeding.
;; 5. Signs of anemia - Presence of Pallor (nail beds, mucosal surfaces and
;; skin), tachycardia, systolic murmur.
;; 6. Evidence of superior vena cava syndrome.
;;
;;D. Diagnostic and Clinical Tests:
;;
;; 1. Include results of all diagnostic and clinical tests conducted in
;; the examination report.
;;
;;E. Diagnosis:
;;
;; 1. Is the disease active?
;;
;;
;;
;;Signature: Date:
;;END