Adult Chronic Exams

[select name="diagnosis" value="ARTHRITIS|ASTHMA|CHRONIC OBSTRUCTIVE PULMONARY DISEASE|DIABETES MELLITUS|HEART DISEASE AND STROKE"]
[conditional field="diagnosis" condition="(diagnosis).is('ARTHRITIS')"][textarea cols=80 rows=2 default="NECK: No deformity. Cervical spine range of motion - extension, flexion, rotation, abduction - Normal."]
[textarea cols=80 rows=2 default="SHOULDERS: Symmetric/no deformity bilaterally. Shrug/Trapezius strength 5/5 bilaterally. Abduction/Deltoid strength 5/5 bilaterally. External/Internal strength 5/5 and range of motion normal."]
[textarea cols=80 rows=2 default="UPPER EXTREMITIES: Elbow flexion/extension normal. Wrist pronation/supination normal. Intrinsic muscles of hand/Finger Abduction strength 5/5 bilaterally. Finger flexion/Grasp strength 5/5 bilaterally. Wrist/MCP/PIP/DIP without deformity/synovitis bilaterally."]
[textarea cols=80 rows=2 default="LOWER EXTREMITIES: Quadriceps strength 5/5 bilaterally. No Knee/Ankle effusion bilaterally. Range of motion about Hips, Knees, and Ankles Normal. Gait Normal."]
[textarea cols=80 rows=2 default="BACK: Range of motion normal. No scoliosis. Hip flexion, Knee extension/flexion, Leg abduction/adduction, Ankle dorsiflexion/plantarflexion strength 5/5 bilaterally."][/conditional][conditional field="diagnosis" condition="(diagnosis).is('ASTHMA')"][textarea cols=80 rows=2 default="GENERAL APPEARANCE: Well developed, well nourished, alert and cooperative, and appears to be in no acute distress. Speaking in complete sentences."]
[textarea cols=80 rows=2 default="HEENT: TM clear, intact bilaterally without erythema. No nasal discharge. Oropharynx clear."]
[textarea cols=80 rows=2 default="NECK: Neck supple, non-tender without lymphadenopathy, masses or thyromegaly. No JVD or HJR."]
[textarea cols=80 rows=2 default="CARDIAC: Normal S1 and S2. No S3, S4 or murmurs. Rhythm is regular. There is no peripheral edema, cyanosis or pallor."]
[textarea cols=80 rows=2 default="LUNGS: Clear to auscultation and percussion without rales, rhonchi, wheezing or diminished breath sounds."][/conditional][conditional field="diagnosis" condition="(diagnosis).is('CHRONIC OBSTRUCTIVE PULMONARY DISEASE')"][textarea cols=80 rows=2 default="GENERAL APPEARANCE: Well developed, well nourished, alert and cooperative, and appears to be in no acute distress. Speaking in complete sentences."]
[textarea cols=80 rows=2 default="HEENT: TM clear, intact bilaterally without erythema. No nasal discharge. Oropharynx clear."]
[textarea cols=80 rows=2 default="NECK: Supple, non-tender without lymphadenopathy, masses or thyromegaly. No JVD or HJR."]
[textarea cols=80 rows=2 default="CARDIAC: Normal S1 and S2. No S3, S4 or murmurs. Rhythm is regular. There is no peripheral edema, cyanosis or pallor. "]
[textarea cols=80 rows=2 default="LUNGS: Clear to auscultation and percussion without rales, rhonchi, wheezing or diminished breath sounds. Good excursions. "]
[textarea cols=80 rows=2 default="ABDOMEN: normal bowel sounds, no bruits, soft, nontender, nondistended"]
[textarea cols=80 rows=2 default="EXTREMITIES: No significant deformity or joint abnormality. No edema. Peripheral pulses intact. No varicosities."][/conditional][conditional field="diagnosis" condition="(diagnosis).is('DIABETES MELLITUS')"][textarea cols=80 rows=2 default="GENERAL APPEARANCE: Well developed, well nourished, alert and cooperative, and appears to be in no acute distress."]
[textarea cols=80 rows=2 default="HEENT: Conjunctiva without pallor; no scleral icterus."]
[textarea cols=80 rows=2 default="NECK: Supple, No JVD or HJR."]
[textarea cols=80 rows=2 default="CARDIAC: RRR with normal S1, S2 without murmer, gallop, or rub heard."]
[textarea cols=80 rows=2 default="LUNGS: Clear without rales, rhonchi, wheezing or diminished breath sounds. Good excursions."]
[textarea cols=80 rows=2 default="ABDOMEN: Soft, nontender without masses or hepatosplenomegaly. Bowel sounds are active."]
[textarea cols=80 rows=2 default="EXTREMITIES: Normal sensation to monofilament testing. Dorsalis pedis and posterior tibialis pulses 1+ and symmetric. Nails and skin appear adequately cared for without ulcer or lesion."][/conditional][conditional field="diagnosis" condition="(diagnosis).is('HEART DISEASE AND STROKE')"][textarea cols=80 rows=2 default="GENERAL APPEARANCE: Well developed, well nourished, alert and cooperative, and appears to be in no acute distress."]
[textarea cols=80 rows=2 default="HEENT: Eyes PERRL, EOMI. Fundi normal, vision is grossly intact. Teeth and gingiva in good general condition."]
[textarea cols=80 rows=2 default="NECK: Neck supple, non-tender without lymphadenopathy, masses or thyromegaly. No JVD or HJR."]
[textarea cols=80 rows=2 default="CARDIAC: Normal S1 and S2. No S3, S4 or murmurs. Rhythm is regular. There is no peripheral edema, cyanosis or pallor. Extremities are warm and well perfused. No carotid bruits."]
[textarea cols=80 rows=2 default="LUNGS: Clear to auscultation and percussion without rales, rhonchi, wheezing or diminished breath sounds. Good excursions."]
[textarea cols=80 rows=2 default="ABDOMEN: Positive bowel sounds, no bruits. Soft, nondistended, nontender. No guarding or rebound. No masses."]
[textarea cols=80 rows=2 default="EXTREMITIES: No significant deformity or joint abnormality. No edema. Peripheral pulses intact. No varicosities. Strength at shoulder/elbow/wrist/hand 5/5 bilaterally. Strength at hips/knees/ankles 5/5 bilaterally."]
[textarea cols=80 rows=2 default="NEUROLOGICAL: CN II-XII intact. Strength and sensation symmetric and intact throughout. Reflexes 2+ throughout. Cerebellar testing normal."]
[textarea cols=80 rows=2 default="SKIN: Skin and nails normal, with no lesions."][/conditional]