VistA-WorldVistAEHR/r/AUTOMATED_MED_INFO_EXCHANGE.../DVBCWNW5.m

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DVBCWNW5 ;ALB/RLC NOSE, SINUS, ETC WKS TEXT - 1 ; 12 FEB 2007
;;2.7;AMIE;**121**;Apr 10, 1995;Build 9
;
;
TXT ;
;;A. Review of Medical Records:
;;
;;B. Medical History (Including Prior Treatment and Subjective Complaints):
;;
;; 1. Location and nature of the injury or disease.
;; 2. Treatment - type,(i.e., surgery, medications, oxygen, respirator, etc.),
;; frequency, duration, response, and side effects.
;; 3. Subjective Complaints
;;
;; Comment on presence or absence of each of the following:
;;
;; a. Interference with breathing through nose.
;; b. Purulent discharge.
;; c. If speech impairment (ability to communicate by speech,
;; ability to speak above a whisper, etc.).
;; d. For chronic sinusitis, indicate whether pain, headaches, purulent
;; discharge or crusting are present. Describe frequency of episodes.
;; Number of incapacitating episodes per year (defined as requiring
;; bedrest and treatment by a physician) necessitating prolonged
;; (lasting 4-6 weeks) antibiotic treatment. Number of non-
;; incapacitating episodes per year.
;; e. Other symptoms reported.
;;
;; 4. Effects of condition on occupational functioning and daily activities.
;; 5. History of neoplasm.
;;
;; a. Date of diagnosis, diagnosis.
;; b. Benign or malignant.
;; c. Type and dates of treatment.
;; d. Date of last treatment.
;;
;;C. Physical Examination (Objective Findings):
;;
;; Perform complete examination of area affected by disease and/or injury.
;; Report all findings. Additionally, comment on presence or absence of each
;; of the following:
;;
;; 1. For allergic and vasomotor rhinitis, indicate whether nasal polyps
;; are present.
;; 2. For bacterial rhinitis: Indicate whether there is evidence of
;; permanent hypertrophy of turbinates, granulomatous disease including
;; rhinoscleroma.
;; 3. When there is obstruction (partial or complete) of one or both
;; nostrils, indicate percent of obstruction for each.
;; 4. Is there septal deviation?
;; 5. Is there tissue loss, scarring or deformity of the nose?
;; 6. Sinusitis - Describe tenderness, purulent discharge, or crusting and
;; sinus(es) affected.
;; 7. For disease or injury affecting the soft palate, is there nasal
;; regurgitation or speech impairment?
;; 8. For larynx: Describe current appearance of larynx. Indicate whether
;; there has been a laryngectomy, partial or total.
;; 9. For pharynx: Describe any residuals of injury or disease.
;;
;;D. Diagnostic and Clinical Tests:
;;
;; 1. If there is stenosis of larynx, order FEV-1 with flow-volume loop.
;; 2. If there is facial disfigurement, order COLOR PHOTOGRAPHS.
;; 3. Include results of all diagnostic and clinical tests conducted
;; in the examination report.
;;
;;E. Diagnosis:
;;
;; Comment on whether the disease primarily involves or originates
;; from the nose, sinus, larynx, or pharynx.
;;
;;
;;Signature: Date:
;;END