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Evaluation of the U.S. Department of Defense Persian Gulf Comprehensive Clinical Evaluation Program (1996) / Chapter Skim
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Appendix B: Outline of the Standardized Medical Protocol...
Pages 47-52

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From page 47...
... Append& B Outline of the Standardized Medical Protocol: Selected Pages from the Comprehensive Clinical Evaluation (CCEP) Gliide, January 5, 1995, U.S.
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From page 48...
... 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 MEDICAL PROTOCOLS The CCEP is based upon a thorough clinical evaluation which emphasizes comprehensive and continuous primary care. The local MTF primary care provider maintains responsibility for patient evaluation and care throughout the CCEP process.
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From page 49...
... Phase II LaboratorY Tests CBC Sedimentation Rate (ESR) C-Reactive Protein Rheumatoid Factor ANA Liver Function CPK Urinalysis TB skin Test (PPD)
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From page 50...
... Neuropsychological Testing: Only as indicated by psychiatry consult SYMPTOM SPECIFIC EXAMINATIONS The RMC CCEP Physician insures that Phase II patients with the following undiagnosed symptoms receive the tests and consultations listed below. Diarrhea Abdominal Headache GI consult GI consult MRI - head Stool for O&P EGD with biopsy/aspiration LP (glucose Stool Leukocytes Colonoscopy with biopsy protein, Stool Culture Abdominal ultrasound cell count, Stool Volume UGI series with small VDRL, Colonoscopy with bowel FT oligoclonal biopsies Abdominal CT Scan myelin, basic EGD with biopsies protein, & aspiration pressure)
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From page 51...
... APPENDIX B Chronic Fatigue Polysomnography & MSLT Chronic Cou~h/SOB Chest Pain/Palpitations Skin Rash Pulmonary Consult ECG Dermatology Pulmonary Function Exercise Stress Test consult Tests with Exercise Hotter Monitor Consider biopsy & ABG Methacholine Challenge if PFTs are Normal Consider Bronchoscopy with biopsy/ravage Reproductive Concerns Urology consult GYN consult 51
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Key Terms

  • clinical evaluation
  • diagnosis form
  • tests cbc
  • neuro consult
  • clinician administered

  • structured clinical
  • ccep physician
  • factor ana
  • maintains responsibility
  • symptom specific

  • testing vdrl
  • protein rheumatoid
  • mtf phase
  • medical protocols
  • hepatitis serology

  • evaluations consist
  • symptoms receive
  • clinically indicated
  • ana liver
  • forms forwarded

  • liver function
  • undiagnosed symptoms
  • rheumatoid factor
  • local mtf
  • appropriate specialty

  • specific examinations
  • following undiagnosed
  • cbc sedimentation
  • form patient
  • abdominal headache


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