80 lines
2.8 KiB
Mathematica
80 lines
2.8 KiB
Mathematica
DVBCWSW5 ;ALB/RLC SCARS WKS TEXT - 1 ; 16 JAN 2007
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;;2.7;AMIE;**120**;Apr 10, 1995;Build 4
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;
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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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;;
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;; 1. Type of injury or infection causing the wound or scar, its date.
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;;
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;; 2. Current symptoms.
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;;
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;;C. Physical Examination (Objective Findings):
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;;
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;; For every scar to be examined, address EACH of the following and
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;; fully describe the current findings. Note that, in addition
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;; to measuring the scar itself, measurements of areas with certain
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;; abnormal characteristics must also be provided. All measurements
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;; should be reported in inches or centimeters.
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;;
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;; 1. Describe precise location of each scar. Draw diagram if
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;; necessary.
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;;
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;; 2. Give MEASUREMENT of length and width (at its widest part) of
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;; each scar.
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;;
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;; 3. Is there pain in the scar on examination?
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;;
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;; 4. Is there adherence to underlying tissue?
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;;
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;; 5. Texture of skin. If irregular, atrophic, shiny, scaly, etc.,
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;; give MEASUREMENT of length and width of area so affected.
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;;
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;; 6. Is the scar unstable, meaning is there frequent loss of
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;; covering of skin over the scar, such as from ulceration or
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;; breakdown of skin?
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;;
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;; 7. Is there elevation or depression of the surface contour
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;; of the scar on palpation?
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;;
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;; 8. Is the scar superficial (meaning there is no underlying
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;; soft tissue damage)?
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;;
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;; 9. Is the scar deep (meaning there is underlying soft tissue
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;; loss or damage)? If yes, give MEASUREMENT of length and
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;; width of underlying soft tissue damage.
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;;
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;; 10. Describe any inflammation, edema, or keloid formation.
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;;
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;; 11. Describe color of scar compared to normal areas of skin
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;; (give MEASUREMENT of length and width of any hypopigmentation
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;; or hyperpigmentation).
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;;
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;; 12. For face, discuss whether there is gross distortion or
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;; asymmetry of any feature or set of paired features (nose,
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;; chin, forehead, eyes (including eyelids), ears (auricles),
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;; cheeks, lips).
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;;
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;; 13. Is there an area of induration and inflexibility of skin in
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;; the area of the scar? If so, give MEASUREMENT of length
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;; and width of area of induration.
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;;
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;; 14. Describe any limitation of motion or other limitation of
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;; function caused by a scar.
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;;
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;; 15. With disfigurement or disfiguring scar of head, face, or
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;; neck, submit COLOR PHOTOGRAPHS.
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;;
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;;D. Diagnostic and Clinical Tests:
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;;
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;; 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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;;
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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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