141 lines
5.2 KiB
Mathematica
141 lines
5.2 KiB
Mathematica
DVBCWP1 ;ALB/CMM POW, GENERAL WKS TEXT - 1 ; 7 MARCH 1997
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;;2.7;AMIE;**12,56**;Apr 10, 1995
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;
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;
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TXT ;
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;;
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;;Narrative: This is the protocol for conducting initial examinations on former
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;;POWs. Approach these veterans with the greatest sensitivity because the
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;;POW experience likely resulted in a great deal of psychological and physical
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;;trauma. Details about beatings, torture, forced marches, forced labor, diet,
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;;disease, brainwashing, extremes of hot and cold, and anxiety may be
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;;significant parts of the veteran's history; eliciting these details requires
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;;that one establish a trusting relationship with the veteran. Examine
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;;veteran for each disability / disease / condition veteran is claiming
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;;as a consequence of the POW experience. A former POW may be entitled
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;;to service connection for presumptive POW diseases; the worksheet contains
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;;a list of these presumptive diseases. Based on veteran's claim(s) and your
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;;findings, please refer to and follow additional worksheets to assure
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;;the examination provides information adequate for rating purposes.
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;;
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;;
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;;
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;;PRESUMPTIVE POW DISABILITIES:
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;;
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;; Avitaminosis
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;; Beriberi (including beriberi heart disease which includes ischemic
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;; heart disease in a former POW who experienced localized edema
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;; during captivity)
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;; Chronic dysentery
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;; Helminthiasis
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;; Malnutrition (including optic atrophy associated with malnutrition)
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;; Pellagra
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;; Cirrhosis of the liver
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;; Any other nutritional deficiency
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;; Psychosis
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;; Any of the anxiety states
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;; Dysthymic disorder (or depressive neurosis)
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;; Organic residuals of frostbite
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;; Post-traumatic arthritis
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;; Irritable bowel syndrome
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;; Peptic ulcer disease
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;; Peripheral neuropathy
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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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;; 1. Include a review of VA form 10-0048, Former POW Medical
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;; History, which the veteran should have completed, prior to
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;; conducting the examination.
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;;
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;;
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;; 2. Review the Social Survey.
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;;
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;;B. Medical History (Subjective Complaints): NOTE: If the veteran
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;; has had a previous protocol examination, only an interval history
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;; is required.
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;;
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;; Comment on:
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;; 1. Past medical history, including childhood and adult illnesses
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;; and surgery.
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;;
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;;
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;; 2. Family history.
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;;
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;;
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;; 3. Social history - state civilian and military occupations,
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;; including dates and locations. Describe use of alcohol,
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;; tobacco, and drugs.
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;;
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;;
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;; 4. Complete system review, commenting on all positive symptoms.
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;;
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;; a. Describe initial symptoms, time of onset, and current
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;; symptoms of all presumptive POW disabilities found.
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;;
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;;
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;; b. Comment on amount of weight lost as a prisoner. Record
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;; initial and release weights.
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;;
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;;
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;; 5. Describe current treatment (specify type, frequency,duration,
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;; response, side effects).
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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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;; Address each of the following and fully describe current findings:
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;; The examiner should incorporate all ancillary study results into
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;; the final diagnoses.
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;; 1. VS: Heart rate, blood pressure (If the diagnosis of hypertension
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;; has not been established, take 2 or more blood pressure readings
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;; on at least 3 different days. If hypertension has been
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;; diagnosed, take 2 or more blood pressure readings.), respirations,
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;; height, weight, maximum weight in past year, weight change in
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;; past year, body build, and state of nutrition.
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;;
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;;
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;; 2. DOMINANT HAND: Indicate the dominant hand and how determined
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;; (i.e., writes, eats, combs hair, etc.).
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;;
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;;
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;; 3. POSTURE AND GAIT: (If abnormal, describe.)
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;;
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;;
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;; 4. SKIN, INCLUDING APPENDAGES: (If abnormal, describe appearance,
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;; location, extent of lesions, and limitations to daily activity.)
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;; If there are laceration or burn scars, describe location,
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;; measurements (cm. x cm.), depression, type of tissue loss,
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;; adherence, disfigurement, and tenderness. For each burn scar,
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;; state if due to a 2nd or 3rd degree burn. (NOTE: If skin
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;; condition or scars are disfiguring, obtain COLOR PHOTOGRAPHS
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;; of affected area(s).
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;;
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;;
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;; 5. HEMIC AND LYMPHATIC: (Describe local or generalized adenopathy,
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;; tenderness, suppuration, etc.)
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;;
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;;
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;; 6. HEAD AND FACE: Describe scars, deformities, etc.
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;;
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;;
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;; 7. EYES: Describe external eye, pupil reaction, movements,
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;; field of vision, any uncorrectable refractive error or any
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;; retinopathy.
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;;
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;;
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;; 8. EARS: Describe canals, drums, perforations, discharge.
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;;
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;;
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;; 9. NOSE, SINUSES, MOUTH AND THROAT: Include gross dental findings.
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;;
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;;
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;; 10. NECK: Describe lymph nodes, thyroid, etc.
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;;
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;;
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;; 11. CHEST: Inspection, palpation, percussion, auscultation. If
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;; abnormal, describe limitations of daily living (i.e., How far
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;; can veteran walk, how many flights of stairs can he or she
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;; climb, etc.).
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;;
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