Knee Objective

Knee Exam
Appearance: [checkbox name="variable_1" value="Alert|Oriented|NAD|In obvious pain|Anxious|Depressed|Deformity|Disoriented"]
Gait: [checkbox name="variable_2" value="Normal|Limp|Crutches|Cane|Walker|Wheelchair|Unable to bear weight"]
Posture: [checkbox name="variable_3" value="Normal|Lists to right|Lists to left|Kyphosis"][text name="variable_2" default=" "]
Skin (knee): [checkbox name="variable_4" value="Normal|Rash|Scars|Erythema|Ecchymosis|Abrasions"][text name="variable_1" default=" "]

Circulation: [checkbox name="variable_5" value="Normal|Decreased Right|Decreased left|Decreased bilaterally"]
Edema (knee): [checkbox name="variable_6" value="None|Right|Left|Bilateral|1+|2+|3+"]
Varicosities (LE): [checkbox name="variable_7" value="None|Right|Left|Bilateral"]
Stasis dermatitis: [checkbox name="variable_8" value="None|Right|Left|Bilateral"]

Neuro
Motor: [checkbox name="variable_9" value="Normal|Weak"]
Sensory: [checkbox name="variable_10" value="Normal|Decreased anterior thigh left|Decreased anterior thigh right|Decreased Medial leg/foot left|Decreased Medial leg/foot right|Decreased lateral leg/foot left|Decreased lateral leg/foot right"]
DTR's: [checkbox name="variable_11" value="Normal Right|Normal left|Decreased left|Decreased right"]

Right Knee
Squat: [checkbox name="variable_12" value="Normal|Unable to perform"]
Alignment: [checkbox name="variable_13" value="Normal|Varus|Valgus|Recurvatum"]
Feet: [checkbox name="variable_14" value="Normal|Pronation|Supination"]
Hip ROM: [checkbox name="variable_15" value="Normal|Limited|Painful"]
Quad Atrophy: [checkbox name="variable_16" value="No|Mild|Moderate|Severe"]
Effusion: [checkbox name="variable_17" value="None|Mild|Moderate|Severe"]
Grind/Crepitus: [checkbox name="variable_18" value="None|Present|Severe"]
Tenderness: [checkbox name="variable_19" value="Negative|Medial joint line|Medial joint line"]

Left Knee
Squat: [checkbox name="variable_20" value="Normal|Unable to perform"]
Alignment: [checkbox name="variable_21" value="Normal|Varus|Valgus|Recurvatum"]
Feet: [checkbox name="variable_22" value="Normal|Pronation|Supination"]
Hip ROM: [checkbox name="variable_23" value="Normal|Limited|Painful"]
Quad Atropgy: [checkbox name="variable_24" value="No|Mild|Moderate|Severe"]
Effusion: [checkbox name="variable_25" value="None|Mild|Moderate|Severe"]
Grind/Crepitus: [checkbox name="variable_26" value="None|Present|Severe"]
Tenderness: [checkbox name="variable_27" value="Negative|Medial joint line|Medial joint line"]


ROM
Right knee extension: [checkbox name="variable_28" value="Normal|Decreased|Painful|Pain free"]
Right knee flexion: [checkbox name="variable_29" value="Normal|Decreased|Painful|Pain free"]
Left knee extension: [checkbox name="variable_30" value="Normal|Decreased|Painful|Pain free"]
Left knee flexion: [checkbox name="variable_31" value="Normal|Decreased|Painful|Pain free"]

Patella: [checkbox name="variable_32" value="Normal left|Normal right|Prepatellar bursitis left|Prepatellar bursitis right|Infrapatellar bursitis left|Infrapatellar bursitis right|Pain with palpation left|Pain with palpation right"]

McMurray's: [checkbox name="variable_33" value="Negative left|Negative right|Positive left medial|Positive right medial|Positive left lateral|Positive right lateral|Unable to perform left|Unable to perform right"]
Anterior drawer: [checkbox name="variable_34" value="Negative left|Negative right|Positive left|Positive right|Unable to perform left|Unable to perform right"]
MCL: [checkbox name="variable_35" value="Negative left|Negative right|Positive left|Positive right|Unable to perform left|Unable to perform right"]
LCL: [checkbox name="variable_36" value="Negative left|Negative right|Positive left|Positive right|Unable to perform left|Unable to perform right"]
PCL: [checkbox name="variable_37" value="Negative left|Negative right|Positive left|Positive right|Unable to perform left|Unable to perform right"]
Knee Exam
Appearance:
Gait:
Posture:
Skin (knee):

Circulation:
Edema (knee):
Varicosities (LE):
Stasis dermatitis:

Neuro
Motor:
Sensory:
DTR's:

Right Knee
Squat:
Alignment:
Feet:
Hip ROM:
Quad Atrophy:
Effusion:
Grind/Crepitus:
Tenderness:

Left Knee
Squat:
Alignment:
Feet:
Hip ROM:
Quad Atropgy:
Effusion:
Grind/Crepitus:
Tenderness:


ROM
Right knee extension:
Right knee flexion:
Left knee extension:
Left knee flexion:

Patella:

McMurray's:
Anterior drawer:
MCL:
LCL:
PCL:

Result - Copy and paste this output:

Sandbox Metrics: Structured Data Index 0.95, 39 form elements, 64 boilerplate words, 2 text boxes, 37 checkboxes, 167 total clicks
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