Diabetic Foot Ulcer Exam

Appearance:  [textarea default="NO Claw toe.  INTACT midfoot arch.  NO abnormal bony prominences.  NO muscle wasting.  NORMAL distribution of weight when standing."]
Vascular:  [textarea default="DP and PT pulses 2+, symmetric"]
Sensation:  [textarea default="INTACT vibration, pressure, pinprick"]
Signs of Infection [textarea default="NO erythema, warmth, tenderness, swelling, purulence"]
Measurement of ulcer:  [text]
Signs of Infection
Measurement of ulcer:

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0, 5 form elements, 10 boilerplate words, 1 text boxes, 4 text areas, 5 total clicks
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