70 lines
3.2 KiB
Mathematica
70 lines
3.2 KiB
Mathematica
DVBCWRO1 ;ALB/ESW RESPIRATORY WKS TEXT - 1 ; 6 OCT 2000
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;;2.7;AMIE;**34**;Apr 10, 1995
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TXT ;
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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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;; Comment on:
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;;
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;; 1. Productive cough, sputum, hemoptysis, and/or anorexia.
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;; 2. Extent of dyspnea on exertion.
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;; 3. If veteran is asthmatic, report frequency of attacks and
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;; baseline functional status between attacks.
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;; 4. Treatment (type, frequency and duration including a need for
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;; oxygen), response, side effects.
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;; 5. Describe frequency and duration of any periods of incapacitation
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;; (defined as requiring bed rest and treatment by a physician).
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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 as appropriate to the condition
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;; being examined and fully describe current findings:
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;;
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;; 1. Presence of cor pulmonale, RVH, or pulmonary hypertension.
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;; 2. Weight loss or gain.
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;; 3. For restrictive disease, describe condition underlying restrictive
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;; disease, e.g., kyphoscoliosis, pectus excavatum, etc., unless already
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;; of record.
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;;
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;;D. Diagnostic and Clinical Tests:
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;;Provide:
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;;
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;;1. PULMONARY FUNCTION TESTS (unless carried out within past six months and
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;; the report is either in the claims folder or will be attached to this
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;; examination report, e.g., PFT's were in VAMC records at your facility).
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;; Spirometric pulmonary function testing should include FVC,FEV-1, and
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;; the FEV-1/FVC ratio. Both pre- and post-bronchodilatation test results should
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;; be reported. If post-bronchodilatation testing is not conducted
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;; in a particular case, please provide an explanation of why not. A DLCO may
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;; or may not be done routinely as part of pulmonary function testing
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;; at a particular facility. If there is a disparity between the results of
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;; different tests, please indicate which tests are more likely to accurately
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;; reflect the severity of the condition.
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;;TOF
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;; DLCO note:
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;; If the DLCO was not done as a routine part of pulmonary function testing,
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;; the examiner should use his or her judgment, based on the specific
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;; condition (e.g., whether it is obstructive, interstitial, etc.) and
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;; other available information about the condition, as to whether a DLCO test
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;; is needed, since it is not useful in all situations. If it may provide
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;; useful information about the severity of the condition, it should be
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;; requested and reviewed before the examination report is submitted.
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;; If the examiner determines that the DLCO test is not needed, a statement
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;; as to why not (e.g., there are decreased lung volumes that would not yield
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;; valid test results) should be included in the report. Such a statement
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;; could avoid a remand from BVA when the test is not done. However,
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;; in the case of a BVA remand in which the DLCO is requested, the DLCO MUST
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;; be done unless there is a medical contraindication.
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;;
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;;2. Chest X-ray (if no recent results available).
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;;3. 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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;;
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;;Signature: Date:
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;;END
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