injury finger

HPI:
Student presents today with [select name="side" value="left|right|bilateral|front|left sided|right sided"] [checkbox name="where" value="wrist pain|hand pain|index finger    pain|middle    finger    pain    |ring    finger    pain|small    finger    pain|thumb pain|elbow pain|forearm pain|bicep pain|back pain|shoulder pain|knee pain|ankle pain|neck pain|leg pain|foot pain"].
Symptoms started [select name="time" value="today|yesterday|2-3 days ago|4-6 days ago|1 week ago|2 weeks ago|3-4 weeks ago|a month ago|more than a month ago"]. [select name="heshe" value="He|She"] first noticed symptoms when [text name="what" size="15"].
Symptoms [select name="symptoms" value="have gradually worsened|have gradually improved|have remained the same since onset|have rapidly improved|have rapidly worsened|have resolved"]. [select name="HisHer" value="His|Her"] pain level today is [select name="pain" value="1|2|3|4|5|6|7|8|9|10"]/10. 
Physical Examination:
Flexion: [select name="exam" value="normal|normal with discomfort|normal with pain|diminished|significantly reduced|unable to perform"]
Extension:[select name="exam1" value="normal|normal with discomfort|normal with pain|diminished|significantly reduced|unable to perform"]
Range of Motion:[select name="exam2" value="normal|normal with discomfort|normal with pain|diminished|significantly reduced|unable to perform"]
Other:[text name="other1" size="15"].


[checkbox name="inoffice" value="Iced the area for 10min|Oral: ___mg Tylenol|buddy    tape"]