Musculoskeletal & Rheumatology
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Physiatry Progress Note

Admitting Diagnosis
[text name="variable_1" default=""]

History of Presenting Illness
This is a [text name="variable_4" default=""] year old [select name="variable_7" value="male|female|non-binary individual"]
[select name="variable_8" value="with a past medical history of|with no significant past medical history"][conditional field="variable_8" condition="(variable_8).is('with a past medical history of')"]
[textarea name="HPI_1" default=""][/conditional]
[comment memo="write HPI below"]
[textarea name="variable5" default=""]

Past Surgical History -[textarea name="Surgery_text" default="See consultation note"]
Family History - [textarea name="Surgery_text" default="See consultation note"]
Social History - [textarea name="Social_text" default="See consultation note"]
Medication - [textarea name="Paintxt1" default="See consultation note"]

Review of Systems
[comment memo="Default will be negative. Click if positive"]
General
[checklist name="ROS1" value="Weight Change|Fever|Chills|Night Sweats|Fatigue|Skin Changes|Recent Falls"]
[conditional field="ROS1" condition="(ROS1).is('Recent Falls')"]
[textarea name="ROStext1" default=""][/conditional]
Neurological
[checklist name="ROS2" value="Syncope|Headache|Coordination Changes|Weakness| Numbness"]
HEENT
[checklist name="ROS3" value="Vision Changes|Eye Pain|Nasal Congestion|Nasal Discharge|Hearing Changes|Pain in Ear|Dysphagia|Odynophagia"]
Cardiovascular
[checklist name="ROS4" value="Chest Pain|Palpitations"]
Respiratory
[checklist name="ROS5" value="Dyspnea|Cough|Shortness of Breath"]
Gastrointestinal
[checklist name="ROS6" value="Nausea|Vomitting|Diarrhea|Constipation|Abdominal Pain"]
Musculoskeletal
[select name= "Msk1" value="|Expanded"][conditional field="Msk1" condition="(Msk1).is('')"][textarea name="Msktxt2" default=""][/conditional][conditional field="Msk1" condition="(Msk1).is('Expanded')"]
Cervical/Thoracic/Lumbar - [textarea name="Msk2" default="denies back pain"]
Joints - [textarea name="Msk3" default="Shoulder/Elbow/Wrist/Finger - Denies weakness bilaterally, denies range of motion limitations bilaterally, denies pain bilaterally"]
Upper Extremity - [textarea name="Msk4" default="Upper extremity - Denies weakness bilaterally, denies range of motion limitations bilaterally, denies pain bilaterally"]
Hip/Knee/Ankle/Toe - [textarea name="MSk5" default="Denies weakness bilaterally, denies range of motion limitations bilaterally, denies pain bilaterally"]
Lower Extremity - [textarea name="Msk6" default="Denies weakness bilaterally, denies range of motion limitations bilaterally, denies pain bilaterally"]
[/conditional]

Physical Exam [comment memo="Please write in Vitals"]
Vital Signs - [textarea name="VS1" default="BP- mmgHg T- °F P- beats/min R- breaths/min"]
General - [textarea name="Pe1" default="No acute distress, Well developed, well nourished, Afebrile"]
Neurological - [textarea name="Pe2" default="Alert and Oriented, Normal mood and affect, Cranial Nerves II-XII grossly intact"]
HEENT - [textarea name="Pe3" default="Head is normocephalic, atraumatic. Bilateral pupils equal and reactive to light and accommodating. No scleral icterus, no conjunctival pallor. No neck masses palpated."]
Pulmonary - [textarea name="Pe4" default="Respiratory effort within normal limits. Lungs are clear to auscultation bilaterally. No wheezing, rales, or rhonchi."]
Cardiovascular - [textarea name="Pe5" default="Distal pulses 2+ in all extremeties. Adequate perfusion. No peripheral signs of cyanosis. Regular rate and rhythm, No murmurs detected."]
Gastrointestinal - [textarea name="Pe6" default="Abdomen soft, nontender, nondistended. No guarding or tenderness. Bowel sounds auscultated."]
Musculoskeletal - [textarea name="Mskphys" default=""]

Assessment
[textarea name="Ass1" default=""]

Plan
[textarea name="Plan1" default=""]
[comment memo="Write plan for each problem"]
Physiatry Progress Note

Admitting Diagnosis


History of Presenting Illness
This is a year old

write HPI below


Past Surgical History -
Family History -
Social History -
Medication -

Review of Systems
Default will be negative. Click if positive
General


Neurological

HEENT

Cardiovascular

Respiratory

Gastrointestinal

Musculoskeletal


Physical Exam Please write in Vitals
Vital Signs -
General -
Neurological -
HEENT -
Pulmonary -
Cardiovascular -
Gastrointestinal -
Musculoskeletal -

Assessment


Plan

Write plan for each problem

Result - Copy and paste this output:

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