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Adequacy of the Comprehensive Clinical Evaluation Program Nerve Agents (1997) / Chapter Skim
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APPENDIX B
Pages 44-47

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From page 44...
... All individual forms will be complete and legible. Forms forwarded to NMIMC and maintained in the participant record shall be in the following order: Phase I completed: MTF Phase I Diagnosis Form Patient Questionnaire Provider-Administered Symptom Questionnaire Information Release Form Declination/Completion Form Phase II completed: RMC Phase II Diagnosis Form Declination/Completion Form 44
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From page 45...
... Phase II Level Evaluations are performed only after complete clinically indicated evaluations (including appropriate specialty consultations) are conducted at the MTF and the RMC.
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From page 46...
... ADEQUACY OF THE CCEP: NERVE A GENTS Hepatitis serology HIV testing VDRL B12 and folate Thyroid function tests Neuropsychological Testing: Only as indicated by psychiatry consult SYMPTOM-SPECIFIC EXAMINATIONS The RMC CCEP Physician ensures that Phase II patients with the following undiagnosed symptoms receive the tests and consultations listed below. Diarrhea GI consult Stool for O and P Stool Leukocytes Stool culture Stool volume Colonscopy with biopsies EGD with biopsies and aspiration Abdominal .
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From page 47...
... APPENDIX B Muscle Aches/ Numbness EMG/NCV Chronic Fatigue Polysomnography and MSLT Chronic Cough/SOB Pulmonary consult Pulmonary function Tests with exercise and ABG Methacholine challenge If PFTs are normal, consider bronchoscopy with biopsy/ ravage 47 Memory Loss (Only if verified by psych evaluation) MRI head Lumbar puncture Neuro consult Neuro psych testing Chest Pain/ Palpitations ECG Exercise stress test Holter monitor Reproductive Concerns Urology consult GYN consult Vertigo o/Tinnitus Audiogram ENG BAER Skin Rash Dermatology consult Consider biopsy
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Key Terms

  • diagnosis form
  • medical evaluation
  • mtf phase
  • local mtf
  • rmc phase

  • including tobacco
  • health concerns
  • basic protein
  • structured clinical
  • ccep physician

  • defined diagnosis
  • specialty consultations
  • symptoms listed
  • specifically inquire
  • oligoclonal myelin

  • comprehensive history
  • toxic agents
  • patients symptoms
  • medical treatment
  • function tests

  • ccep designated
  • comprehensive evaluation
  • glucose protein
  • symptoms receive
  • evaluations consist

  • indicated evaluations
  • clinically indicated
  • cell count
  • completing mtf
  • undiagnosed symptoms


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