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C&p For Headaches
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mike/3/8/cav
I requested the exam notes that the doc did during my exam on Jan 20th. They requested I go to this exam, not me.
PROBLEM: headaches
DATE OF ONSET: 1976
CIRCUMSTANCES AND INITIAL MANIFESTATIONS: Veteran had last C&P exam for this condition in April 2008. Since then he indicates his condition is still the same, experiencing several times a week, lasting few hours alleviated with tylenol with codein; he also states partial relief,no side effects. Last headache today January 20, 2009.He adds pain associated with his neck condition. He adds pain type: sharp like needle, associated with blurred vision.
COURSE SINCE ONSET:Intermittentw/remissions
CURRENT TREATMENT FOR THIS CONDITION:Medication
DESCRIBE CURRENT TREATMENT(S): tylenol with codein,valium,ibuprofen
RESPONSE TO TREATMENT: Fair
SIDE EFFECTSFROM CURRENT TREATMENT(s): no
SUMMARY OF ALL PROBLEMS, DIAGNISIS, AND FUNCTIONAL EFFECTS
DIAGNOSIS: HEADACHES ASSOCIATED WITH NECK CONDITION
ARE THERE EFFECTS OF THE PROBLEM ON USUAL DAILY ACTIVITIES: Yes
CHORES: Moderate
SHOPPING: Moderate
EXERCISE: Moderate
SPORTS: Moderate
Recreation: moderate
TRAVELING: Moderate
FEEDING: mild
BATHING: None
DRESSING: None
TOILETING: None
GROOMING: None
ADDITIONAL COMMENTS: He states since 2000 has remained unemployed due to medical conditions.
I was hoping somebody could look at this and hopefully let me know what to expect next?
Edited by mike/3/8/cavLink to comment
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