VistA-WorldVistAEHR/r/AUTOMATED_MED_INFO_EXCHANGE.../DVBCWRW1.m

75 lines
2.6 KiB
Mathematica

DVBCWRW1 ;ALB/CMM RESPIRATORY WKS TEXT - 1 ; 6 MARCH 1997
;;2.7;AMIE;**12**;Apr 10, 1995
;
;
TXT ;
;;A. Review of Medical Records:
;;
;;
;;
;;B. Medical History (Subjective Complaints):
;;
;; Comment on:
;; 1. Productive cough, sputum, hemoptysis, and/or anorexia.
;;
;;
;; 2. Extent of dyspnea on exertion.
;;
;;
;; 3. If veteran is asthmatic, report frequency of attacks and
;; baseline functional status between attacks.
;;
;;
;; 4. Treatment (type, frequency and duration including a need for
;; oxygen), response, side effects.
;;
;;
;; 5. Describe frequency and duration of any periods of incapacitation
;; (defined as requiring bed rest and treatment by a physician).
;;
;;
;;C. Physical Examination (Objective Findings):
;;
;; Address each of the following as appropriate to the condition
;; being examined and fully describe current findings:
;; 1. Presence of cor pulmonale, RVH, or pulmonary hypertension.
;;
;;
;; 2. Weight loss or gain.
;;
;;
;; 3. For restrictive disease, describe condition underlying
;; restrictive disease, e.g., kyphoscoliosis, pectus excavatum,
;; etc., unless already of record.
;;
;;TOF
;;D. Diagnostic and Clinical Tests:
;;
;; Provide:
;; 1. PULMONARY FUNCTION TESTS (unless carried out within past six
;; months and the report is either in the claims folder or will
;; be attached to this examination report). When the results of
;; pre-bronchodilator pulmonary function tests are NORMAL, post-
;; bronchodilator studies are not required for VA evaluation
;; purposes. IN ALL OTHER CASES, post-bronchodilator studies
;; should be conducted unless contraindicated (because of allergy
;; to medication, etc.) or if the veteran was on bronchodilators
;; before the test and had taken his or her medication within a
;; few hours of the study. An examiner who determines that a
;; post-bronchodilator study should not be performed should
;; provide an explanation of why not. If there is a disparity
;; between the results of different pulmonary function tests
;; (FEV-1, FVC, etc.), the examiner should indicate which test
;; result is the best indicator of the veteran's level of
;; pulmonary functioning.
;; 2. Chest X-ray (if no recent results available).
;; 3. Include results of all diagnostic and clinical tests conducted
;; in the examination report.
;;
;;
;;E. Diagnosis:
;;
;;
;;Signature: Date:
;;END