Subjective/History Elements
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History Of Muscle Injury
Muscle Injuries DBQ

Does the Veteran have a penetrating muscle injury (such as a gunshot or shell fragment wound)?
[select value="|no|yes"]
Does the Veteran have a non-penetrating muscle injury (such as a muscle strain, torn achilles tendon or torn quadriceps muscle)?
[select value="|no|yes"]

Describe the history (including onset and course) of the Veteran's muscle injury (brief summary):
[frontload soapnote="subjective/drgfms-va-dbq-hpi"]


Does the Veteran now have or has he/she ever had an injury to a muscle group of the shoulder girdle or arm?
[select value="|no|yes"]

Does the Veteran now have or has he/she ever had an injury to a muscle group of the forearm or hand?
[select value="|no|yes"]

Does the Veteran now have or has he/she ever had an injury to a muscle group of the foot or leg?
[select value="|no|yes"]

Does the Veteran now have or has he/she ever had an injury to a muscle group of the pelvic girdle or thigh?
[select value="|no|yes"]

Does the Veteran now have or has he/she ever had an injury to a muscle group in the torso and/or neck?
[select value="|no|yes"]


Additional Conditions

Does the Veteran have a history of rupture of the diaphragm with herniation?
[select value="|no|yes"]

Does the Veteran have a history of an extensive muscle hernia of any muscle, without other injury to the muscle?
[select value="|no|yes"]

Does the Veteran have a history of injury to the facial muscles?
[select value="|no|yes"]

Does the Veteran have a history of Rhabdomyolysis?
[select value="|no|yes"]

Does the Veteran have a history of Compartment Syndrome?
[select value="|no|yes"]

Does the Veteran have any scar(s) associated with a muscle injury?
[select value="|no|yes"]
[comment memo="If yes, describe:"]
[textarea cols=45 rows=2]

Does the Veteran have any known fascia defects or evidence of fascia defects associated with any muscle injuries?
[select value="|no|yes"]
[comment memo="If yes, describe:"]
[textarea cols=45 rows=2]

Does the Veteran's muscle injury(ies) affect muscle substance or function?
[select value="|no|yes"]
[comment memo="If yes, describe:"]
[textarea cols=45 rows=2]


Does the Veteran have any of the following signs and/or symptoms attributable to any muscle injuries?
[select value="|no|yes"]
[comment memo="Check all that apply, and indicate side affected, muscle group and frequency/severity:"]
[checkbox value="Loss of power|Weakness|Lowered threshold of fatigue|Fatigue and/or pain|Impairment of coordination|Uncertainty of movement"]
[textarea cols=45 rows=2]

Have imaging studies been performed in conjunction with this examination?
[select value="|no|yes"]
[comment memo="If yes, describe date, facility, results:"]
[textarea cols=45 rows=2]

Is there x-ray evidence of retained metallic fragments (such as shell fragments or shrapnel) in any muscle group?
[select value="|no|yes"]
[comment memo="If yes, describe date, facility, results:"]
[textarea cols=45 rows=2]

Were electrodiagnostic tests done?
[select value="|no|yes"]
[comment memo="If yes, describe date, facility, results:"]
[textarea cols=45 rows=2]

Are there any other significant diagnostic test findings and/or results?
[select value="|no|yes"]
[comment memo="If yes, describe:"]
[textarea cols=45 rows=2]

Functional Impact

Does the Veteran's muscle injury(ies) impact his or her ability to work, such as resulting in inability to keep up with work requirements due to muscle injury(ies)?
[frontload soapnote="subjective/va-dbq-work-impact"]
History Of Muscle Injury
Muscle Injuries DBQ

Does the Veteran have a penetrating muscle injury (such as a gunshot or shell fragment wound)?

Does the Veteran have a non-penetrating muscle injury (such as a muscle strain, torn achilles tendon or torn quadriceps muscle)?


Describe the history (including onset and course) of the Veteran's muscle injury (brief summary):



Does the Veteran now have or has he/she ever had an injury to a muscle group of the shoulder girdle or arm?


Does the Veteran now have or has he/she ever had an injury to a muscle group of the forearm or hand?


Does the Veteran now have or has he/she ever had an injury to a muscle group of the foot or leg?


Does the Veteran now have or has he/she ever had an injury to a muscle group of the pelvic girdle or thigh?


Does the Veteran now have or has he/she ever had an injury to a muscle group in the torso and/or neck?



Additional Conditions

Does the Veteran have a history of rupture of the diaphragm with herniation?


Does the Veteran have a history of an extensive muscle hernia of any muscle, without other injury to the muscle?


Does the Veteran have a history of injury to the facial muscles?


Does the Veteran have a history of Rhabdomyolysis?


Does the Veteran have a history of Compartment Syndrome?


Does the Veteran have any scar(s) associated with a muscle injury?

If yes, describe:


Does the Veteran have any known fascia defects or evidence of fascia defects associated with any muscle injuries?

If yes, describe:


Does the Veteran's muscle injury(ies) affect muscle substance or function?

If yes, describe:



Does the Veteran have any of the following signs and/or symptoms attributable to any muscle injuries?

Check all that apply, and indicate side affected, muscle group and frequency/severity:



Have imaging studies been performed in conjunction with this examination?

If yes, describe date, facility, results:


Is there x-ray evidence of retained metallic fragments (such as shell fragments or shrapnel) in any muscle group?

If yes, describe date, facility, results:


Were electrodiagnostic tests done?

If yes, describe date, facility, results:


Are there any other significant diagnostic test findings and/or results?

If yes, describe:


Functional Impact

Does the Veteran's muscle injury(ies) impact his or her ability to work, such as resulting in inability to keep up with work requirements due to muscle injury(ies)?
Functional Impact

Does the veteran's claimed condition impact his or her ability to work?

Result - Copy and paste this output:

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