Musculoskeletal & Rheumatology
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Employee presents to the window with a specific request for Aleve
Allergies: NKDA
Current Medications: lisinopril - according to EE Aleve is okay to take in B/P meds
Medical condition (Reason for request): Calf pain/Swelling
Medication was self-selected by employees. Medication directions, warnings, and directions were available to employees at the time of the request
General: Well appearing, well-nourished, in no distress. Oriented x 3, normal mood and affect.
Stabile Gait denies pain when walking.
Inspection Calf: Presence swelling +2 distal medial R calf, proximal to R ankle.
Inspection Feet: Document bounding artery pulses and <3 capillary refill. + Sensation. Range of motion (full bilateral). Flexion to (full bilateral). Abduction to (full bilateral). Internal Rotation (full bilateral). External rotation (full bilateral). Strength (full bilateral).
Palpation: (Tenderness) to palpation mid-calf, radiates to ankle).
Recommended EE follow-up with PCP for further evaluation.
Employee presents to the window with a specific request for Aleve
Allergies: NKDA
Current Medications: lisinopril - according to EE Aleve is okay to take in B/P meds
Medical condition (Reason for request): Calf pain/Swelling
Medication was self-selected by employees. Medication directions, warnings, and directions were available to employees at the time of the request
General: Well appearing, well-nourished, in no distress. Oriented x 3, normal mood and affect.
Stabile Gait denies pain when walking.
Inspection Calf: Presence swelling +2 distal medial R calf, proximal to R ankle.
Inspection Feet: Document bounding artery pulses and <3 capillary refill. + Sensation. Range of motion (full bilateral). Flexion to (full bilateral). Abduction to (full bilateral). Internal Rotation (full bilateral). External rotation (full bilateral). Strength (full bilateral).
Palpation: (Tenderness) to palpation mid-calf, radiates to ankle).
Recommended EE follow-up with PCP for further evaluation.

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