Shoulder Exam – Detailed

[comment memo="Detailed shoulder exam (for New level 3 or established level 4)"]
[select value="Casual|Well|Disheveled"] <– General appearance
[select value="Male|Female"] <– Sex
[select value="None|Mild|Moderate|Severe"] <– Distress level
[select value="x4|x3|x2|x1|x0"] <– Alert and oriented
Vital signs (pulse, respirations, and blood pressure) were taken and placed in the confidential medical chart.
[select value="Left|Right"] <-- Shoulder side
[select value="Deformity|Atrophy - mild|Atrophy - moderate|Atrophy - severe|Deformity and atrophy"] <– Deformity/Atrophy
[select value="None|Diffusely|Specific Tenderness"] <-- Tenderness to palpation
Range of Motion
[text size="100" default="Range of motion (in degrees): Flexion:  ***, Extension:  ***, Abduction:  ***, Adduction:  ***, External Rotation:  ***, Internal Rotation:  ***. "]
Motor Strength
[text size="100" default="Motor strength: Supraspinatus (empty can): ***/5, External rotation: ***/5, Internal rotation: ***/5, Biceps: ***/5, Deltoid: ***/5.  "]
[select value="Normal reflex and sensation|Abnormal reflex/Normal Sensation|Normal reflex/Abnormal sensation|Abnormal reflex and sensation"] <-- Neurological Exam
Vascular examination
[text size="100" default="Radial pulse was 2+.  No/Edema was present."]
[select value="Negative|Apprehensive|Sulcus|Drawer"] <-- Stability test
[select value="Negative|Neer|Hawkins|Neer and Hawkins"] <-- Impingement
[select value="Normal|erythema|ecchymosis"] <-- Skin exam--inspection
[select value="Normal|Subcutaneous tenderness"] <-- Skin exam--palpation subcutaneous
Additional notes
[text size="100"]