Shoulder exam

AOx3. [select value="NAD.|Minimal distress.|Mild distress.| Mild to moderate distress.|Moderate distress.| Moderate to marked distress.|Marked distress.|Extreme distress."] Shoulder Exam (Bilateral): Inspection: [select value="No swelling noted.|Swelling noted right shoulder.|Swelling noted left shoulder.|Abrasions noted.|Scars noted.||"] Palpation: [select value="Non-tender|Tender"] [select value="bilateral|right|left"] shoulder. Active ROM: Right [select value="normal and painless.|decreased.|painful.|decreased and painful.||"] Left [select value="normal and painless.|decreased.|painful.|decreased and painful.||"] Primary active motion affected: [select value="None.|Abduction.|Flexion.|Extension.|External rotation.|Internal rotation.|Adduction."] Passive ROM: Right [select value="normal and painless.|decreased.|painful.|decreased and painful.||"] Left [select value="normal and painless.|decreased.|painful.|decreased and painful.||"] Primary passive motion affected: [select value="None.|Abduction.|Flexion.|Extension.|External rotation.|Internal rotation.|Adduction."] Resisted ROM: Right [select value="normal and painless.|decreased.|painful.|decreased and painful.||"] Left [select value="normal and painless.|decreased.|painful.|decreased and painful.||"] Primary resisted motion affected: [select value="None.|Abduction.|Flexion.|Extension.|External rotation.|Internal rotation.|Adduction."] REFLEXES [comment memo="(Rate from 0 to 4: 0=none, 1+=somewhat diminished, low normal 2+=average,normal 3+=brisker than normal 4+=very brisk, hyperactive, with clonus. Sustained clonus is red flag**)"] Biceps: Left [select value="2+|4+|3+|1+|0+"]/4. Right [select value="2+|4+|3+|1+|0+"]/4. Triceps: Left [select value="2+|4+|3+|1+|0+"]/4. Right [select value="2+|4+|3+|1+|0+"]/4. Sensation: [select value="Subjective normal median, ulnar, radial and axillary sensation bilaterally.|Subjective abnormal median, ulnar, radial, axillary sensation on right side.|Subjective abnormal median, ulnar, radial, axillary sensation on right side."] Vasculature: [select value="2+ radial pulse bilaterally.|Decreased radial pulse on right compared to left.|Decreased radial pulse on left compared to right."] Active Cervical ROM: [select value="Normal and painless.|decreased.|painful.|decreased and painful.||"] Passive Cervical ROM: [select value="Normal and painless.|decreased.|painful.|decreased and painful.||"] Cervical spine palpation: [select value="Non-tender.|Tender."] Spurling's Test: Right [select value="negative.|positive."] Left [select value="negative.|positive."]

[checkbox value="A: Right shoulder pain.|A: Left shoulder pain.|A: Right shoulder strain.|A: Left shoulder strain.|A: Rotator cuff tendonitis.|A: Rotator cuff bursitis.|A: Frozen shoulder.|A: Calcific tendonitis.|A: Shoulder instability.|A: Shoulder dislocation.|A: Shoulder separation.|A: Potential labral tear.|A: Potential SLAP lesion.|A: Shoulder arthritis.|A: Biceps tendon rupture."]
AOx3. Shoulder Exam (Bilateral): Inspection: Palpation: shoulder. Active ROM: Right Left Primary active motion affected: Passive ROM: Right Left Primary passive motion affected: Resisted ROM: Right Left Primary resisted motion affected: REFLEXES (Rate from 0 to 4: 0=none, 1+=somewhat diminished, low normal 2+=average,normal 3+=brisker than normal 4+=very brisk, hyperactive, with clonus. Sustained clonus is red flag**) Biceps: Left /4. Right /4. Triceps: Left /4. Right /4. Sensation: Vasculature: Active Cervical ROM: Passive Cervical ROM: Cervical spine palpation: Spurling's Test: Right Left

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