PWF2a – PE (non-MSK) – Physician Workflow Part 2a

PHYSICAL EXAM

[checkbox name="virtualPE" memo="virtual visit abbreviated exam
" value=""][checkbox name="examchaperone" memo="*" memo_size="small" memo_color="blue" value="-Chaperone"][conditional field="examchaperone" condition="(examchaperone).is('-Chaperone')"] - [text size="60"]
[/conditional][conditional field="examchaperone" condition="(examchaperone).isNot('-Chaperone')"][comment memo="
" memo_color="blue" memo_size="small"][/conditional][checkbox name="vitals" memo="*" memo_size="small" memo_color="blue" value="-Vitals Review"][conditional field="vitals" condition="(vitals).is('-Vitals Review')"] - [select value="reviewed, no remarkable abnormalities|significant for"][text size="50"]
[/conditional][conditional field="vitals" condition="(vitals).isNot('-Vitals Review')"][comment memo="
" memo_color="blue" memo_size="small"][/conditional]-General - [comment memo="*" memo_size="small" memo_color="blue"][conditional field="GENexamdetailed" condition="(GENexamdetailed).isNot('')"][text default="well developed, well nourished, no apparent distress" size="80"][/conditional][checkbox name="GENexamdetailed" memo="more detail" memo_size="small" memo_color="yellow" value=""][conditional field="GENexamdetailed" condition="(GENexamdetailed).is('')"][textarea memo="←freetext" memo_size="small" cols="80" rows="2"] [comment memo="↓quickpicks↓" memo_size="small"][checkbox value="well developed|well nourished|A&Ox4|NAD"] [checkbox value="MILDLY ILL|SLEEPY|APPEARS CONFUSED|APPEARS LETHARGIC|CACHECTIC APPEARANCE|APPEARS OLDER THAN STATED AGE"][/conditional]
-HEENT - [comment memo="*" memo_size="small" memo_color="blue"][conditional field="HEENTexamdetailed" condition="(HEENTexamdetailed).isNot('')"][text default="normocephalic, atraumatic, nares patent, mucous membranes moist" size="80"][/conditional][checkbox name="HEENTexamdetailed" memo="more detail" memo_size="small" memo_color="yellow" value=""][conditional field="HEENTexamdetailed" condition="(HEENTexamdetailed).is('')"][textarea memo="←freetext" memo_size="small" cols="80" rows="2"] [comment memo="↓quickpicks↓" memo_size="small"][checkbox value="normocephalic|atraumatic|conjunctiva clear|sclerae aninteric|TMs with clearly visible landmarks|nares patent b/l|turbinates nonedematous/nonerythematous b/l|mucous membranes moist|throat nonerythematous/noninjected|good dentition"] [checkbox value="R CONJUNCTIVAL ERYTHEMA|L CONJUNCTIVAL ERYTHEMA|R TM OPAQUENESS & LOSS OF LANDMARKS|R TM VIEW OBSCURRED BY CERUMEN|L TM OPAQUENESS & LOSS OF LANDMARKS|L TM VIEW OBSCURRED BY CERUMEN|NASAL SEPTUM DEVIATION|R TURBINATE EDEMA|R TURBINATE ERYTHEMA|L TURBINATE EDEMA|L TURBINATE ERYTHEMA|NASAL DISCHARGE|PHARYNGEAL ERYTHEMA/INJECTION|PHARYNGEAL COBBLESTONING|TONSILS INJECTED/EDEMATOUS|TONSILS WITH EXUDATE|GLOSSAL HYPERTROPHY|UVULAR DEVIATION"][/conditional]
-Neck - [comment memo="*" memo_size="small" memo_color="blue"][conditional field="NECKexamdetailed|virtualPE" condition="((NECKexamdetailed).isNot(''))&&((virtualPE).isNot(''))"][text default="no thyromegaly, no gross distention" size="80"][/conditional][conditional field="NECKexamdetailed|virtualPE" condition="((NECKexamdetailed).isNot(''))&&((virtualPE).is(''))"][text default="no gross distention, no visible overt defect" size="80"][/conditional][checkbox name="NECKexamdetailed" memo="more detail" memo_size="small" memo_color="yellow" value=""][conditional field="NECKexamdetailed" condition="(NECKexamdetailed).is('')"][textarea memo="←freetext" memo_size="small" cols="80" rows="2"] [comment memo="↓quickpicks↓" memo_size="small"][checkbox value="soft/supple|no JVD|no thyromegaly|no tender/enlarged lymph nodes"] [checkbox value="R ANTERIOR CHAIN LYMPHADENOPATHY|R POSTERIOR CHAIN LYMPHADENOPATHY|L ANTERIOR CHAIN LYMPHADENOPATHY|L POSTERIOR CHAIN LYMPHADENOPATHY|JUGULAR VENOUS DISTENSION|GOITER"][/conditional][conditional field="virtualPE" condition="(virtualPE).isNot('')"]
[checkbox name="CHESTexam" memo="*" memo_size="small" memo_color="blue" value="-Chest - "][/conditional][conditional field="CHESTexam|CHESTexamdetailed" condition="((CHESTexam).is('-Chest - '))&&((CHESTexamdetailed).isNot(''))"][text default="normal rise and fall B/L, no accessory muscle use" size="80"][/conditional][conditional field="CHESTexam" condition="(CHESTexam).is('-Chest - ')"][checkbox name="CHESTexamdetailed" memo="more detail" memo_size="small" memo_color="yellow" value=""][/conditional][conditional field="CHESTexamdetailed" condition="(CHESTexamdetailed).is('')"][textarea memo="←freetext" memo_size="small" cols="80" rows="2"] [comment memo="↓quickpicks↓" memo_size="small"][checkbox value="normal rise and fall B/L|no accessory muscle use"] [checkbox value="INTERCOSTAL RETRACTIONS|SUPRACOSTAL RETRACTIONS|INFRACOSTAL RETRACTIONS|PECTUS EXCAVATUM|PECTUS CARINATUM"][/conditional][conditional field="CHESTexam" condition="(CHESTexam).is('-Chest - ')"]
[/conditional][conditional field="CHESTexam" condition="(CHESTexam).isNot('-Chest - ')"][comment memo="
" memo_color="blue" memo_size="small"][/conditional][conditional field="virtualPE" condition="(virtualPE).isNot('')"][checkbox name="BREASTexam" memo="*" memo_size="small" memo_color="blue" value="-Breast - "][/conditional][conditional field="BREASTexam|BREASTexamdetailed" condition="((BREASTexam).is('-Breast - '))&&((BREASTexamdetailed).isNot(''))"][textarea default="B/L breasts with normal contours, no nodules, no concerning palpable masses, no significant tenderness to palpation, no enlarged axillary lymph nodes, no skin dimpling, no nipple discharge" cols="80" rows="3"][/conditional][conditional field="BREASTexam" condition="(BREASTexam).is('-Breast - ')"][checkbox name="BREASTexamdetailed" memo="more detail" memo_size="small" memo_color="yellow" value=""][/conditional][conditional field="BREASTexamdetailed" condition="(BREASTexamdetailed).is('')"]
-R Breast: [checkbox value="normal contour, no nodules, no concerning palpable masses, no significant tenderness to palpation|no enlarged axillary lymph nodes, no skin dimpling, no nipple discharge"] [checkbox value="fibrocystic changes|skin dimpling|mastectomy changes|breast tenderness to palpation|muscle tenderness|mass palpable|nipple discharge|axillary adenopathy"] [textarea memo="←L breast freetext" memo_size="small" cols="80" rows="2"]
-L Breast: [checkbox value="normal contour, no nodules, no concerning palpable masses, no significant tenderness to palpation|no enlarged axillary lymph nodes, no skin dimpling, no nipple discharge"] [checkbox value="fibrocystic changes|skin dimpling|mastectomy changes|breast tenderness to palpation|muscle tenderness|mass palpable|nipple discharge|axillary adenopathy"] [textarea memo="←R breast freetext" memo_size="small" cols="80" rows="2"][/conditional][conditional field="BREASTexam" condition="(BREASTexam).is('-Breast - ')"]
[/conditional][conditional field="BREASTexam" condition="(BREASTexam).isNot('-Breast - ')"][comment memo="
" memo_color="blue" memo_size="small"][/conditional][conditional field="virtualPE" condition="(virtualPE).isNot('')"][checkbox name="HEARTexam" memo="*" memo_size="small" memo_color="blue" value="-Heart/CV - "][/conditional][conditional field="HEARTexam|HEARTexamdetailed" condition="((HEARTexam).is('-Heart/CV - '))&&((HEARTexamdetailed).isNot(''))"][text default="RRR/no ectopy, normal S1/S2, No M/R/G, No S3/S4 auscultated, no friction rub" size="80"][/conditional][conditional field="HEARTexam" condition="(HEARTexam).is('-Heart/CV - ')"][checkbox name="HEARTexamdetailed" memo="more detail" memo_size="small" memo_color="yellow" value=""][/conditional][conditional field="HEARTexamdetailed" condition="(HEARTexamdetailed).is('')"][textarea memo="←freetext" memo_size="small" cols="80" rows="2"] [comment memo="↓quickpicks↓" memo_size="small"][checkbox value="RRR|no ectopy|normal S1/S2|No M/R/G|No S3/S4 auscultated|no friction rub"] [checkbox name="examheartabn1" value="INFREQUENT ECTOPY|FREQUENT ECTOPY|MURMUR AUSCULTATED"][/conditional][conditional field="examheartabn1" condition="(examheartabn1).is('MURMUR AUSCULTATED')"] - GRADE [text size="3"]/6 [select value="SYSTOLIC EJECTION|SYSTOLIC|DIASTOLIC|HOLOSYSTOLIC"] HEARD BEST AT [select value="R|L"] [select value="UPPER STERNAL BORDER|LOWER STERNAL BORDER|APEX"][/conditional][conditional field="HEARTexam" condition="(HEARTexam).is('-Heart/CV - ')"]
[/conditional][conditional field="HEARTexam" condition="(HEARTexam).isNot('-Heart/CV - ')"][comment memo="
" memo_color="blue" memo_size="small"][/conditional][conditional field="virtualPE" condition="(virtualPE).isNot('')"][checkbox name="LUNGSexam" memo="*" memo_size="small" memo_color="blue" value="-Lungs/Pulm - "][/conditional][conditional field="LUNGSexam|LUNGSexamdetailed" condition="((LUNGSexam).is('-Lungs/Pulm - '))&&((LUNGSexamdetailed).isNot(''))"][text default="CTAB, BSE b/l, no wheezes, no crackles, no rhonchi" size="80"][/conditional][conditional field="LUNGSexam" condition="(LUNGSexam).is('-Lungs/Pulm - ')"][checkbox name="LUNGSexamdetailed" memo="more detail" memo_size="small" memo_color="yellow" value=""][/conditional][conditional field="LUNGSexamdetailed" condition="(LUNGSexamdetailed).is('')"][textarea memo="←freetext" memo_size="small" cols="80" rows="2"] [comment memo="↓quickpicks↓" memo_size="small"][checkbox value="CTAB|BSE b/l|no wheezes|no crackles|no rhonchi"] [checkbox name="examlungsabn1" value="WHEEZING-"][/conditional][conditional field="examlungsabn1" condition="(examlungsabn1).is('WHEEZING-')"] [checkbox value="EXPIRATORY|INSPIRATORY|B/L LUNGS|R LUNG|L LUNG|DIFFUSE|LOWER FIELD(S)|UPPER FIELD(S)"];[/conditional][conditional field="LUNGSexamdetailed" condition="(LUNGSexamdetailed).is('')"][checkbox name="examlungsabn2" value="CRACKLES-"][/conditional][conditional field="examlungsabn2" condition="(examlungsabn2).is('CRACKLES-')"] [checkbox value="EXPIRATORY|INSPIRATORY|B/L LUNGS|R LUNG|L LUNG|DIFFUSE|LOWER FIELD(S)|UPPER FIELD(S)"];[/conditional][conditional field="LUNGSexamdetailed" condition="(LUNGSexamdetailed).is('')"][checkbox name="examlungsabn3" value="RHONCHI-"][/conditional][conditional field="examlungsabn3" condition="(examlungsabn3).is('RHONCHI-')"] [checkbox value="EXPIRATORY|INSPIRATORY|B/L LUNGS|R LUNG|L LUNG|DIFFUSE|LOWER FIELD(S)|UPPER FIELD(S)"];[/conditional][conditional field="LUNGSexamdetailed" condition="(LUNGSexamdetailed).is('')"][checkbox name="examlungsabn3" value="BREATH SOUNDS DIMINISHED-"][/conditional][conditional field="examlungsabn3" condition="(examlungsabn3).is('BREATH SOUNDS DIMINISHED-')"] [checkbox value="B/L LUNGS|R LUNG|L LUNG|DIFFUSE|LOWER FIELD(S)|UPPER FIELD(S)"][/conditional][conditional field="LUNGSexam" condition="(LUNGSexam).is('-Lungs/Pulm - ')"]
[/conditional][conditional field="LUNGSexam" condition="(LUNGSexam).isNot('-Lungs/Pulm - ')"][comment memo="
" memo_color="blue" memo_size="small"][/conditional][conditional field="virtualPE" condition="(virtualPE).isNot('')"]-Abdomen - [comment memo="*" memo_size="small" memo_color="blue"][/conditional][conditional field="ABDexamdetailed|virtualPE" condition="((ABDexamdetailed).isNot(''))&&((virtualPE).isNot(''))"][text default="non-distended" size="80"][/conditional][conditional field="virtualPE" condition="(virtualPE).isNot('')"][checkbox name="ABDexamdetailed" memo="more detail" memo_size="small" memo_color="yellow" value=""][/conditional][conditional field="ABDexamdetailed" condition="(ABDexamdetailed).is('')"][textarea memo="←freetext" memo_size="small" cols="80" rows="2"] [comment memo="↓quickpicks↓" memo_size="small"][checkbox value="soft|nontender|nondistended|no voluntary/involuntary guarding|no rigidity|no rebound|bowel sounds present in all 4 quadrants"] [checkbox name="examABDabn1" value="TTP-"][/conditional][conditional field="examABDabn1" condition="(examABDabn1).is('TTP-')"] [checkbox value="MILD|MODERATE|EXQUISITE|OUT OF PROPORTION TO EXAM|RUQ|EPIGASTRIC AREA|LUQ|RLQ|LLQ|PERIUMBILICAL|SUPRAPUBIC"];[/conditional][conditional field="ABDexamdetailed" condition="(ABDexamdetailed).is('')"][checkbox name="examABDabn2" value="BOWEL SOUNDS-"][/conditional][conditional field="examABDabn2" condition="(examABDabn2).is('BOWEL SOUNDS-')"] [checkbox value="HYPOACTIVE|HYPERACTIVE|RUQ|LUQ|RLQ|LLQ|DIFFUSELY"];[/conditional][conditional field="ABDexamdetailed" condition="(ABDexamdetailed).is('')"][checkbox name="examABDabn3" value="PALPABLE MASS-"][/conditional][conditional field="examABDabn3" condition="(examABDabn3).is('PALPABLE MASS-')"] APPROXIMATE SIZE - [text size="5"] CM, [checkbox value="RUQ|LUQ|RLQ|LLQ|MIDLINE|PERIUMBILICAL|PULSATILE"];[/conditional][conditional field="ABDexamdetailed" condition="(ABDexamdetailed).is('')"][checkbox name="examABDabn4" value="VISIBLE SCAR(S)-"][/conditional][conditional field="examABDabn4" condition="(examABDabn4).is('VISIBLE SCAR(S)-')"] [checkbox value="RUQ|EPIGASTRIUM|LUQ|RLQ|LLQ|UMBILICAL|PERIUMBILICAL|MIDLINE|SUPRAPUBIC|REPORTED AS PRIOR PFANNENSTIEL/C-SEC|REPORTED AS PRIOR LAPAROSCOPIC PORT(S)|REPORTED AS PRIOR HERNIA REPAIR|REPORTED AS PRIOR/HEALED TRAUMA"][/conditional][conditional field="virtualPE" condition="(virtualPE).isNot('')"]
[checkbox name="GUMexam" memo="*Male" memo_size="small" memo_color="blue" value="-GU - "][/conditional][conditional field="GUMexam|GUMexamdetailed" condition="((GUMexam).is('-GU - '))&&((GUMexamdetailed).isNot(''))"][textarea default="penis normal appearance, penis normal palpatory texture, no penile discharge, scrotum normal appearance b/l, no scrotal ecchymosis/edema/erythema, scrotum freely mobile b/l, testes descended b/l, no palpatory testicular mass b/l, cremasteric reflex intact b/l, no palpable epididymal mass b/l, no palpable inguinal hernia on exam b/l, no tender inguinal lymphadenopathy b/l" cols="80" rows="5"][comment memo="for skin masses use 'Skin' section" memo_size="small" memo_color="yellow"][/conditional][conditional field="GUMexam" condition="(GUMexam).is('-GU - ')"][checkbox name="GUMexamdetailed" memo="more detail" memo_size="small" memo_color="yellow" value=""][/conditional][conditional field="GUMexamdetailed" condition="(GUMexamdetailed).is('')"][textarea memo="←freetext" memo_size="small" cols="80" rows="2"] [comment memo="↓quickpicks↓" memo_size="small"][checkbox value="penis normal appearance|penis normal palpatory texture|no penile discharge|scrotum normal appearance b/l|no scrotal ecchymosis/edema/erythema|scrotum freely mobile b/l|testes descended b/l|no palpatory testicular mass b/l|cremasteric reflex intact b/l|no palpable epididymal mass b/l|no palpable inguinal hernia on exam b/l|no tender inguinal lymphadenopathy b/l"] [checkbox name="examGUabnM1" value="PENILE DISCHARGE-"][/conditional][conditional field="examGUabnM1" condition="(examGUabnM1).is('PENILE DISCHARGE-')"] [text default="color/consistency-" size="80"];[/conditional][conditional field="GUMexamdetailed" condition="(GUMexamdetailed).is('')"][checkbox name="examGUabnM2" value="URETHRAL MEATUS-"][/conditional][conditional field="examGUabnM2" condition="(examGUabnM2).is('URETHRAL MEATUS-')"] [text size="80"];[/conditional][conditional field="GUMexamdetailed" condition="(GUMexamdetailed).is('')"][checkbox name="examGUabnM3" value="PENIS TENDERNESS TO PALPATION|SCROTAL TENDERNESS TO PALPATION-"][/conditional][conditional field="examGUabnM3" condition="(examGUabnM3).is('SCROTAL TENDERNESS TO PALPATION-')"] [text default="location/severity-" size="80"];[/conditional][conditional field="GUMexamdetailed" condition="(GUMexamdetailed).is('')"][checkbox name="examGUabnM4" value="PALPABLE SCROTAL MASS-"][/conditional][conditional field="examGUabnM4" condition="(examGUabnM4).is('PALPABLE SCROTAL MASS-')"] palpable mass located [select value="R|L|B/L"] [text size="80" memo="location/size/texture" memo_size="small"];[/conditional][conditional field="GUMexamdetailed" condition="(GUMexamdetailed).is('')"][checkbox name="examGUabnM4" value="INGUINAL HERNIA EXAM-"][/conditional][conditional field="examGUabnM4" condition="(examGUabnM4).is('INGUINAL HERNIA EXAM-')"] palpable inguinal mass with valsalva on [select value="R side|L side|both sides"][/conditional][conditional field="GUMexam" condition="(GUMexam).is('-GU - ')"]
[/conditional][conditional field="GUMexam" condition="(GUMexam).isNot('-GU - ')"][comment memo="
" memo_color="blue" memo_size="small"][/conditional][conditional field="virtualPE" condition="(virtualPE).isNot('')"][checkbox name="GUFexam" memo="*Female" memo_size="small" memo_color="red" value="-GU - "][/conditional][conditional field="GUFexam|GUFexamdetailed" condition="((GUFexam).is('-GU - '))&&((GUFexamdetailed).isNot(''))"][textarea default="normal appearance of external genitalia, normal appearance of vaginal mucosa, no abnormal vaginal discharge, no abnormal cervical discharge, no CMT, no uterine tenderness, no adnexal tenderness, no tender inguinal lymphadenopathy b/l" cols="80" rows="5"][comment memo="for skin masses use 'Skin' section" memo_size="small" memo_color="yellow"][/conditional][conditional field="GUFexam" condition="(GUFexam).is('-GU - ')"][checkbox name="GUFexamdetailed" memo="more detail" memo_size="small" memo_color="yellow" value=""][/conditional][conditional field="GUFexamdetailed" condition="(GUFexamdetailed).is('')"][textarea memo="←freetext" memo_size="small" cols="80" rows="2"] [comment memo="↓quickpicks↓" memo_size="small"][checkbox name="examGUF" value="normal appearance of external genitalia|normal appearance of vagina|normal appearance of vaginal mucosa|no abnormal vaginal discharge|no abnormal cervical discharge|no CMT|no uterine tenderness|no adnexal tenderness|IUD string visualized|no tender inguinal lymphadenopathy b/l"] [checkbox name="examGUabnF1" value="VAGINAL DISCHARGE-"][/conditional][conditional field="examGUabnF1" condition="(examGUabnF1).is('VAGINAL DISCHARGE-')"] [text default="color/consistency-" size="80"];[/conditional][conditional field="GUFexamdetailed" condition="(GUFexamdetailed).is('')"][checkbox name="examGUabnF2" value="VAGINAL MUCOSA-"][/conditional][conditional field="examGUabnF2" condition="(examGUabnF2).is('VAGINAL MUCOSA-')"] [text size="80"];[/conditional][conditional field="GUFexamdetailed" condition="(GUFexamdetailed).is('')"][checkbox name="examGUabnF3" value="VAGINAL TENDERNESS|CERVICAL MOTION TENDERNESS|CERVICAL DISCHARGE-"][/conditional][conditional field="examGUabnF3" condition="(examGUabnF3).is('CERVICAL DISCHARGE-')"] [text default="color/consistency-" size="80"];[/conditional][conditional field="GUFexamdetailed" condition="(GUFexamdetailed).is('')"][checkbox name="examGUabnF4" value="ADNEXAL TENDERNESS|ADNEXAL MASS-"][/conditional][conditional field="examGUabnF4" condition="(examGUabnF4).is('ADNEXAL MASS-')"] [text default="location-" size="80"];[/conditional][conditional field="GUFexam" condition="(GUFexam).is('-GU - ')"]
[/conditional][conditional field="GUFexam" condition="(GUFexam).isNot('-GU - ')"][comment memo="
" memo_color="red" memo_size="small"][/conditional][checkbox name="SKINexam" memo="*" memo_size="small" memo_color="blue" value="-Skin - "][conditional field="SKINexam|SKINexamdetailed" condition="((SKINexam).is('-Skin - '))&&((SKINexamdetailed).isNot(''))"][text default="warm, dry, intact, no edema/erythema/induration/ecchymosis" size="80"]
[/conditional][conditional field="SKINexam" condition="(SKINexam).is('-Skin - ')"][checkbox name="SKINexamdetailed" memo="more detail" memo_size="small" memo_color="yellow" value=""][/conditional][conditional field="SKINexamdetailed" condition="(SKINexamdetailed).is('')"][textarea memo="←freetext" memo_size="small" cols="80" rows="2"] [comment memo="↓quickpicks↓" memo_size="small"][checkbox value="warm|dry|intact|no edema|no erythema|no induration|no ecchymosis|no concerning lesions"] [checkbox name="examskinabn1" value="ACROCYANOSIS|JAUNDICE-
|DIFFUSE/NON-FOCAL LESION(S)-
"][/conditional][conditional field="examskinabn1" condition="(examskinabn1).is('DIFFUSE/NON-FOCAL LESION(S)-
')||(examskinabn1).is('JAUNDICE-
')"] -Affected area(s)- [checkbox value="face|forehead|anterior neck|posterior neck|anterior trunk|posterior trunk|R shoulder|l shoulder|R arm|L arm|R elbow|L elbow|R forearm|L forearm|R wrist|L wrist|R hand dorsum|L hand dorsum|R palm|L palm|R inguinaL area|L inguinaL area|R hip|L hip|R thigh|L thigh|R knee|L knee|R leg|L leg|R ankle|L ankle|R foot dorsum|L foot dorsum|R foot sole|L foot sole"]
-Description- [checkbox name="examskinabn11" value="macular|papular|raised(plaques)|patches|lacey appearance|scattered|clustered|rough texture|smooth texture|erythematous|ecchymosis|skin/flesh colored|hyperpigmented|hypopigmented|non-blanching|scaling|crusting|excoriated|ulcerated|non-ulcerated"]
-Additional details- [textarea default="none" rows="2"]
[/conditional][conditional field="SKINexamdetailed" condition="(SKINexamdetailed).is('')"][checkbox name="examskinabn2" value="FOCAL/ISOLATED LESION(S)-
"][/conditional][conditional field="examskinabn2" condition="(examskinabn2).is('FOCAL/ISOLATED LESION(S)-
')"][checkbox memo="*" memo_size="small" name="Lesion1" value=" -#1
"][/conditional][conditional field="Lesion1" condition="(Lesion1).is(' -#1
')"] -Location: [select name="skinexamlocation1" value="|Scalp|Face|Neck|Shoulder|Chest/Trunk|Abdomen|Buttocks|Inguinal|Male Genital Region|Female Genital Region|Arm|Elbow|Forearm|Wrist|Hand|Finger|Hip|Thigh|Knee|Leg|Ankle|Foot|Toe"][/conditional][conditional field="skinexamlocation1" condition="(skinexamlocation1).is('Scalp')"]- [select value="right|left|midline"] [select value="occipital|parietal|temporal|frontal|preauricular|postauricular"] area[/conditional][conditional field="skinexamlocation1" condition="(skinexamlocation1).is('Face')"]- [select value="right|left|midline"] [select value="preauricular|mandibular angle|cheek|nose|periorbital|perioral|chin|submandibular|submental"] area[/conditional][conditional field="skinexamlocation1" condition="(skinexamlocation1).is('Neck')"]- [select value="right|left|midline"], [checkbox value="anterior|posterior|medial|lateral"], [select value="superior|inferior|middle"] aspect[/conditional][conditional field="skinexamlocation1" condition="(skinexamlocation1).is('Shoulder')||(skinexamlocation1).is('Elbow')||(skinexamlocation1).is('Wrist')||(skinexamlocation1).is('Hip')||(skinexamlocation1).is('Knee')||(skinexamlocation1).is('Ankle')"]- [select value="right|left"], [checkbox value="anterior|posterior|medial|lateral"] aspect[/conditional][conditional field="skinexamlocation1" condition="(skinexamlocation1).is('Arm')||(skinexamlocation1).is('Forearm')||(skinexamlocation1).is('Thigh')||(skinexamlocation1).is('Leg')"]- [select value="right|left"], [checkbox value="anterior|posterior|medial|lateral"], [select value="superior|inferior|middle"] aspect[/conditional][conditional field="skinexamlocation1" condition="(skinexamlocation1).is('Chest/Trunk')"]- [select value="right|left|midline"], [checkbox value="anterior|posterior|medial|lateral"], [select value="superior|inferior|middle"] aspect[/conditional][conditional field="skinexamlocation1" condition="(skinexamlocation1).is('Abdomen')"]- [select value="periumbilical|epigastrium|RUQ|LUQ|RLQ|LLQ"] aspect[/conditional][conditional field="skinexamlocation1" condition="(skinexamlocation1).is('Buttocks')"]- [select value="right|left|midline"] [select value="|medial|lateral"] [select value="perianal|gluteal cleft|cheek|gluteal fold"][/conditional][conditional field="skinexamlocation1" condition="(skinexamlocation1).is('Inguinal')"]- [select value="right|left"][/conditional][conditional field="skinexamlocation1" condition="(skinexamlocation1).is('Male Genital Region')"]- [select value="right|left|midline"] [select value="penile glans|penile shaft|base of penis|scrotum|periscrotal area"][/conditional][conditional field="skinexamlocation1" condition="(skinexamlocation1).is('Female Genital Region')"]- [select value="right|left|midline"] [select value="labia majora|labia minora|perilabial area|periclitoral area|mons pubis|perineum"][/conditional][conditional field="skinexamlocation1" condition="(skinexamlocation1).is('Hand')||(skinexamlocation1).is('Finger')"]- [select value="right|left"], [checkbox value="palmar/volar|dorsal|medial|lateral"] aspect[/conditional][conditional field="skinexamlocation1" condition="(skinexamlocation1).is('Finger')"], [select value="1st|2nd|3rd|4th|5th"] digit, [select value="MCP|proximal phalanx|middle phalanx|distal phalanx|periungual area"][/conditional][conditional field="skinexamlocation1" condition="(skinexamlocation1).is('Foot')||(skinexamlocation1).is('Toe')"]- [select value="right|left"], [checkbox value="plantar|dorsal|medial|lateral"] aspect[/conditional][conditional field="skinexamlocation1" condition="(skinexamlocation1).is('Toe')"], [select value="1st|2nd|3rd|4th|5th"] digit, [select value="MTP|proximal phalanx|middle phalanx|distal phalanx|periungual area"][/conditional][conditional field="Lesion1" condition="(Lesion1).is(' -#1
')"]
-Description: [checkbox name="skinexamlesion1" value="macule|papule|patch|plaque|palpable lump|visible wound|visible lump (concerning for infection)"]
-Size/diameter: [text size="5"] [select value="cm|mm"]
[/conditional][conditional field="skinexamlesion1" condition="(skinexamlesion1).is('macule')||(skinexamlesion1).is('papule')||(skinexamlesion1).is('patch')||(skinexamlesion1).is('plaque')"] -Characteristics: [checkbox value="rough|smooth|firm|soft|mobile|fixed|pedunculated"]
-Color: [select value="uniform color|non-uniform color"], [select value="erthythematous|flesh-color|brown|black|blue|multicolored"] [text size="20"]
-Borders: [select value="well-circumscribed|ill-defined"]
[/conditional][conditional field="skinexamlesion1" condition="(skinexamlesion1).is('visible lump (concerning for infection)')"] -Characteristics - [checkbox name="abscessPEchar" value="erythema|edema|induration|fluctuance|tenderness to palpation|drainage"][/conditional][conditional field="abscessPEchar" condition="(abscessPEchar).is('drainage')"] - [checkbox value="purulent|serous|sanguinous/bloody"][/conditional][conditional field="skinexamlesion1" condition="(skinexamlesion1).is('visible lump (concerning for infection)')"]
[/conditional][conditional field="skinexamlesion1" condition="(skinexamlesion1).is('visible wound')"] -Tissue layers damaged/affected - [checkbox value="epidermis|dermis|subcutaneous layer|muscle/tendon|periosteum/bone"]
-Hemostatic - [select value="|Yes|NO"]
-Wound approximation - [select value="|good|marginal|POOR"]
-Debris/foreign body present - [text default="no" size="20"]
[/conditional][conditional field="Lesion1" condition="(Lesion1).is(' -#1
')"] -Other details: [text default="none" size="80"]
[/conditional][conditional field="examskinabn2" condition="(examskinabn2).is('FOCAL/ISOLATED LESION(S)-
')"][checkbox memo="*" memo_size="small" name="Lesion2" value=" -#2
"][/conditional][conditional field="Lesion2" condition="(Lesion2).is(' -#2
')"] -Location: [select name="skinexamlocation2" value="|Scalp|Face|Neck|Shoulder|Chest/Trunk|Abdomen|Buttocks|Inguinal|Male Genital Region|Female Genital Region|Arm|Elbow|Forearm|Wrist|Hand|Finger|Hip|Thigh|Knee|Leg|Ankle|Foot|Toe"][/conditional][conditional field="skinexamlocation2" condition="(skinexamlocation2).is('Scalp')"]- [select value="right|left|midline"] [select value="occipital|parietal|temporal|frontal|preauricular|postauricular"] area[/conditional][conditional field="skinexamlocation2" condition="(skinexamlocation2).is('Face')"]- [select value="right|left|midline"] [select value="preauricular|mandibular angle|cheek|nose|periorbital|perioral|chin|submandibular|submental"] area[/conditional][conditional field="skinexamlocation2" condition="(skinexamlocation2).is('Neck')"]- [select value="right|left|midline"], [checkbox value="anterior|posterior|medial|lateral"], [select value="superior|inferior|middle"] aspect[/conditional][conditional field="skinexamlocation2" condition="(skinexamlocation2).is('Shoulder')||(skinexamlocation2).is('Elbow')||(skinexamlocation2).is('Wrist')||(skinexamlocation2).is('Hip')||(skinexamlocation2).is('Knee')||(skinexamlocation2).is('Ankle')"]- [select value="right|left"], [checkbox value="anterior|posterior|medial|lateral"] aspect[/conditional][conditional field="skinexamlocation2" condition="(skinexamlocation2).is('Arm')||(skinexamlocation2).is('Forearm')||(skinexamlocation2).is('Thigh')||(skinexamlocation2).is('Leg')"]- [select value="right|left"], [checkbox value="anterior|posterior|medial|lateral"], [select value="superior|inferior|middle"] aspect[/conditional][conditional field="skinexamlocation2" condition="(skinexamlocation2).is('Chest/Trunk')"]- [select value="right|left|midline"], [checkbox value="anterior|posterior|medial|lateral"], [select value="superior|inferior|middle"] aspect[/conditional][conditional field="skinexamlocation2" condition="(skinexamlocation2).is('Abdomen')"]- [select value="periumbilical|epigastrium|RUQ|LUQ|RLQ|LLQ"] aspect[/conditional][conditional field="skinexamlocation2" condition="(skinexamlocation2).is('Buttocks')"]- [select value="right|left|midline"] [select value="|medial|lateral"] [select value="perianal|gluteal cleft|cheek|gluteal fold"][/conditional][conditional field="skinexamlocation2" condition="(skinexamlocation2).is('Inguinal')"]- [select value="right|left"][/conditional][conditional field="skinexamlocation2" condition="(skinexamlocation2).is('Male Genital Region')"]- [select value="right|left|midline"] [select value="penile glans|penile shaft|base of penis|scrotum|periscrotal area"][/conditional][conditional field="skinexamlocation2" condition="(skinexamlocation2).is('Female Genital Region')"]- [select value="right|left|midline"] [select value="labia majora|labia minora|perilabial area|periclitoral area|mons pubis|perineum"][/conditional][conditional field="skinexamlocation2" condition="(skinexamlocation2).is('Hand')||(skinexamlocation2).is('Finger')"]- [select value="right|left"], [checkbox value="palmar/volar|dorsal|medial|lateral"] aspect[/conditional][conditional field="skinexamlocation2" condition="(skinexamlocation2).is('Finger')"], [select value="1st|2nd|3rd|4th|5th"] digit, [select value="MCP|proximal phalanx|middle phalanx|distal phalanx|periungual area"][/conditional][conditional field="skinexamlocation2" condition="(skinexamlocation2).is('Foot')||(skinexamlocation2).is('Toe')"]- [select value="right|left"], [checkbox value="plantar|dorsal|medial|lateral"] aspect[/conditional][conditional field="skinexamlocation2" condition="(skinexamlocation2).is('Toe')"], [select value="1st|2nd|3rd|4th|5th"] digit, [select value="MTP|proximal phalanx|middle phalanx|distal phalanx|periungual area"][/conditional][conditional field="Lesion2" condition="(Lesion2).is(' -#2
')"]
-Description: [checkbox name="skinexamlesion2" value="macule|papule|patch|plaque|palpable lump|visible wound|visible lump (concerning for infection)"]
-Size/diameter: [text size="5"] [select value="cm|mm"]
[/conditional][conditional field="skinexamlesion2" condition="(skinexamlesion2).is('macule')||(skinexamlesion2).is('papule')||(skinexamlesion2).is('patch')||(skinexamlesion2).is('plaque')"] -Characteristics: [checkbox value="rough|smooth|firm|soft|mobile|fixed|pedunculated"]
-Color: [select value="uniform color|non-uniform color"], [select value="erthythematous|flesh-color|brown|black|blue|multicolored"] [text size="20"]
-Borders: [select value="well-circumscribed|ill-defined"]
[/conditional][conditional field="skinexamlesion2" condition="(skinexamlesion2).is('visible lump (concerning for infection)')"] -Characteristics - [checkbox name="abscessPEchar" value="erythema|edema|induration|fluctuance|tenderness to palpation|drainage"][/conditional][conditional field="abscessPEchar" condition="(abscessPEchar).is('drainage')"] - [checkbox value="purulent|serous|sanguinous/bloody"][/conditional][conditional field="skinexamlesion2" condition="(skinexamlesion2).is('visible lump (concerning for infection)')"]
[/conditional][conditional field="skinexamlesion2" condition="(skinexamlesion2).is('visible wound')"] -Tissue layers damaged/affected - [checkbox value="epidermis|dermis|subcutaneous layer|muscle/tendon|periosteum/bone"]
-Hemostatic - [select value="|Yes|NO"]
-Wound approximation - [select value="|good|marginal|POOR"]
-Debris/foreign body present - [text default="no" size="20"]
[/conditional][conditional field="Lesion2" condition="(Lesion2).is(' -#2
')"] -Other details: [text default="none" size="80"]
[/conditional][conditional field="examskinabn2" condition="(examskinabn2).is('FOCAL/ISOLATED LESION(S)-
')"][checkbox memo="*" memo_size="small" name="Lesion3" value=" -#3
"][/conditional][conditional field="Lesion3" condition="(Lesion3).is(' -#3
')"] -Location: [select name="skinexamlocation3" value="|Scalp|Face|Neck|Shoulder|Chest/Trunk|Abdomen|Buttocks|Inguinal|Male Genital Region|Female Genital Region|Arm|Elbow|Forearm|Wrist|Hand|Finger|Hip|Thigh|Knee|Leg|Ankle|Foot|Toe"][/conditional][conditional field="skinexamlocation3" condition="(skinexamlocation3).is('Scalp')"]- [select value="right|left|midline"] [select value="occipital|parietal|temporal|frontal|preauricular|postauricular"] area[/conditional][conditional field="skinexamlocation3" condition="(skinexamlocation3).is('Face')"]- [select value="right|left|midline"] [select value="preauricular|mandibular angle|cheek|nose|periorbital|perioral|chin|submandibular|submental"] area[/conditional][conditional field="skinexamlocation3" condition="(skinexamlocation3).is('Neck')"]- [select value="right|left|midline"], [checkbox value="anterior|posterior|medial|lateral"], [select value="superior|inferior|middle"] aspect[/conditional][conditional field="skinexamlocation3" condition="(skinexamlocation3).is('Shoulder')||(skinexamlocation3).is('Elbow')||(skinexamlocation3).is('Wrist')||(skinexamlocation3).is('Hip')||(skinexamlocation3).is('Knee')||(skinexamlocation3).is('Ankle')"]- [select value="right|left"], [checkbox value="anterior|posterior|medial|lateral"] aspect[/conditional][conditional field="skinexamlocation3" condition="(skinexamlocation3).is('Arm')||(skinexamlocation3).is('Forearm')||(skinexamlocation3).is('Thigh')||(skinexamlocation3).is('Leg')"]- [select value="right|left"], [checkbox value="anterior|posterior|medial|lateral"], [select value="superior|inferior|middle"] aspect[/conditional][conditional field="skinexamlocation3" condition="(skinexamlocation3).is('Chest/Trunk')"]- [select value="right|left|midline"], [checkbox value="anterior|posterior|medial|lateral"], [select value="superior|inferior|middle"] aspect[/conditional][conditional field="skinexamlocation3" condition="(skinexamlocation3).is('Abdomen')"]- [select value="periumbilical|epigastrium|RUQ|LUQ|RLQ|LLQ"] aspect[/conditional][conditional field="skinexamlocation3" condition="(skinexamlocation3).is('Buttocks')"]- [select value="right|left|midline"] [select value="|medial|lateral"] [select value="perianal|gluteal cleft|cheek|gluteal fold"][/conditional][conditional field="skinexamlocation3" condition="(skinexamlocation3).is('Inguinal')"]- [select value="right|left"][/conditional][conditional field="skinexamlocation3" condition="(skinexamlocation3).is('Male Genital Region')"]- [select value="right|left|midline"] [select value="penile glans|penile shaft|base of penis|scrotum|periscrotal area"][/conditional][conditional field="skinexamlocation3" condition="(skinexamlocation3).is('Female Genital Region')"]- [select value="right|left|midline"] [select value="labia majora|labia minora|perilabial area|periclitoral area|mons pubis|perineum"][/conditional][conditional field="skinexamlocation3" condition="(skinexamlocation3).is('Hand')||(skinexamlocation3).is('Finger')"]- [select value="right|left"], [checkbox value="palmar/volar|dorsal|medial|lateral"] aspect[/conditional][conditional field="skinexamlocation3" condition="(skinexamlocation3).is('Finger')"], [select value="1st|2nd|3rd|4th|5th"] digit, [select value="MCP|proximal phalanx|middle phalanx|distal phalanx|periungual area"][/conditional][conditional field="skinexamlocation3" condition="(skinexamlocation3).is('Foot')||(skinexamlocation3).is('Toe')"]- [select value="right|left"], [checkbox value="plantar|dorsal|medial|lateral"] aspect[/conditional][conditional field="skinexamlocation3" condition="(skinexamlocation3).is('Toe')"], [select value="1st|2nd|3rd|4th|5th"] digit, [select value="MTP|proximal phalanx|middle phalanx|distal phalanx|periungual area"][/conditional][conditional field="Lesion3" condition="(Lesion3).is(' -#3
')"]
-Description: [checkbox name="skinexamlesion3" value="macule|papule|patch|plaque|palpable lump|visible wound|visible lump (concerning for infection)"]
-Size/diameter: [text size="5"] [select value="cm|mm"]
[/conditional][conditional field="skinexamlesion3" condition="(skinexamlesion3).is('macule')||(skinexamlesion3).is('papule')||(skinexamlesion3).is('patch')||(skinexamlesion3).is('plaque')"] -Characteristics: [checkbox value="rough|smooth|firm|soft|mobile|fixed|pedunculated"]
-Color: [select value="uniform color|non-uniform color"], [select value="erthythematous|flesh-color|brown|black|blue|multicolored"] [text size="20"]
-Borders: [select value="well-circumscribed|ill-defined"]
[/conditional][conditional field="skinexamlesion3" condition="(skinexamlesion3).is('visible lump (concerning for infection)')"] -Characteristics - [checkbox name="abscessPEchar" value="erythema|edema|induration|fluctuance|tenderness to palpation|drainage"][/conditional][conditional field="abscessPEchar" condition="(abscessPEchar).is('drainage')"] - [checkbox value="purulent|serous|sanguinous/bloody"][/conditional][conditional field="skinexamlesion3" condition="(skinexamlesion3).is('visible lump (concerning for infection)')"]
[/conditional][conditional field="skinexamlesion3" condition="(skinexamlesion3).is('visible wound')"] -Tissue layers damaged/affected - [checkbox value="epidermis|dermis|subcutaneous layer|muscle/tendon|periosteum/bone"]
-Hemostatic - [select value="|Yes|NO"]
-Wound approximation - [select value="|good|marginal|POOR"]
-Debris/foreign body present - [text default="no" size="20"]
[/conditional][conditional field="Lesion3" condition="(Lesion3).is(' -#3
')"] -Other details: [text default="none" size="80"]
[/conditional][conditional field="SKINexam" condition="(SKINexam).isNot('-Skin - ')"][comment memo="
" memo_color="blue" memo_size="small"][/conditional][conditional field="virtualPE" condition="(virtualPE).isNot('')"]-EXT - [comment memo="*" memo_size="small" memo_color="blue"][/conditional][conditional field="EXTexamdetailed|virtualPE" condition="((EXTexamdetailed).isNot(''))&&((virtualPE).isNot(''))"][text default="no cyanosis, no over/gross deformity" size="80"][/conditional][conditional field="virtualPE" condition="(virtualPE).isNot('')"][checkbox name="EXTexamdetailed" memo="more detail" memo_size="small" memo_color="yellow" value=""][/conditional][conditional field="EXTexamdetailed" condition="(EXTexamdetailed).is('')"][textarea memo="←freetext" memo_size="small" cols="80" rows="2"] [comment memo="↓quickpicks↓" memo_size="small"][checkbox value="no gross deformities noted|no cyanosis|no clubbing|peripheral pulses 2/4 x4"] [checkbox name="examEXTabn1" value="CLUBBING-"][/conditional][conditional field="examEXTabn1" condition="(examEXTabn1).is('CLUBBING-')"] [checkbox value="DIGITS UPPER EXTREMITY|GROSS DEFORMITY"][/conditional][conditional field="virtualPE" condition="(virtualPE).isNot('')"]
[/conditional]-PSYCH - [comment memo="*" memo_size="small" memo_color="blue"][conditional field="PSYCHexamdetailed" condition="(PSYCHexamdetailed).isNot('')"][text default="appropriate mood/affect" size="80"][/conditional][checkbox name="PSYCHexamdetailed" memo="more detail" memo_size="small" memo_color="yellow" value=""][conditional field="PSYCHexamdetailed" condition="(PSYCHexamdetailed).is('')"][textarea memo="←freetext" memo_size="small" cols="80" rows="2"] [comment memo="↓quickpicks↓" memo_size="small"][checkbox value="appropriate mood|appropriate affect|FLATTENED AFFECT|INAPPROPRIATE MOOD|PRESSURED SPEECH|DISORGANIZED THOUGHT PROCESS|TANGENTIAL THOUGHT PROCESS"][/conditional]
-NEURO - [comment memo="*" memo_size="small" memo_color="blue"][conditional field="NEUROexamdetailed|virtualPE" condition="((NEUROexamdetailed).isNot(''))&&((virtualPE).isNot(''))"][text default="appropriate balance, normal gait" size="80"][/conditional][conditional field="virtualPE" condition="(virtualPE).is('')"][text default="mentation normal/appropriate, no gross/overt cranial nerve deficits" size="80"][/conditional][checkbox name="NEUROexamdetailed" memo="more detail" memo_size="small" memo_color="yellow" value=""][conditional field="NEUROexamdetailed" condition="(NEUROexamdetailed).is('')"][textarea memo="←freetext" memo_size="small" cols="80" rows="2"] [comment memo="↓quickpicks↓" memo_size="small"][checkbox value="mentating well|moves all extremities equally well|CN 2-12 grossly intact b/l|normal sensorium all 4 extremities|no gross motor deficits|Romberg negative|cerebellar testing normal|DTRs 2/4 x4|gait testing without abnormalities"][/conditional][conditional field="examNEUROabn1|examNEUROabn2|examNEUROabn3|examNEUROabn4|examNEUROabn5|examNEUROabn6" condition="((examNEUROabn1).is(' -Cranial Nerve Deficit(s)- '))||((examNEUROabn2).is(' -Sensory Deficit(s)- '))||((examNEUROabn3).is(' -Motor Strength-'))||((examNEUROabn4).is(' -Reflexes-'))||((examNEUROabn5).is(' -Cerebellar Testing-'))||((examNEUROabn6).is(' -Gait- '))"]
[/conditional][conditional field="NEUROexamdetailed" condition="(NEUROexamdetailed).is('')"][comment memo="abnormals" memo_size="small" memo_color="orange"][checkbox name="examNEUROabn1" value=" -Cranial Nerve Deficit(s)- "][/conditional][conditional field="examNEUROabn1" condition="(examNEUROabn1).is(' -Cranial Nerve Deficit(s)- ')"] [checkbox value="I|II|III|IV|V|VI|VII|VIII|IX|X|XI|XII"]
[/conditional][conditional field="NEUROexamdetailed" condition="(NEUROexamdetailed).is('')"][checkbox name="examNEUROabn2" value=" -Sensory Deficit(s)- "][/conditional][conditional field="examNEUROabn2" condition="(examNEUROabn2).is(' -Sensory Deficit(s)- ')"][checkbox name="examNEUROabn11" value="R occipital|R parietal|R temporal|R frontal|R preauricular|R postauricular|L occipital|L parietal|L temporal|L frontal|L preauricular|L postauricular|R mandibular angle|R cheek|R nasal bridge|R periorbital|R perioral|chin|submental|R submandibular|L mandibular angle|L cheek|L nasal bridge|L periorbital|L perioral|L submandibular|Neck anterior|Neck posterior|Neck medial|Neck lateral|R shoulder|L shoulder|Anterior chest/trunk|Posterior chest/trunk|Abdomen|R buttocks|L buttocks|Perianal|Gluteal cleft|R inguinal|L inguinal|Penis|R scrotum|L scrotum|R labia majora|R labia minora|R perilabial area|L labia majora|L labia minora|L perilabial area|periclitoral area|mons pubis|perineum|R arm|R elbow|R forearm|R wrist|R hand/finger(s)|L arm|L elbow|L forearm|L wrist|L hand/finger(s)|R hip|R thigh|R knee|R leg|R ankle|R foot/toe(s)|L hip|L thigh|L knee|L leg|L ankle|L foot/toe(s)"] [text memo="description of deficits" memo_size="small" memo_color="yellow" size="80"]
[/conditional][conditional field="NEUROexamdetailed" condition="(NEUROexamdetailed).is('')"][checkbox name="examNEUROabn3" value=" -Motor Strength-"][/conditional][conditional field="examNEUROabn3" condition="(examNEUROabn3).is(' -Motor Strength-')"]
-R Upper Extremity- [text default="5" size="5"]/5
-L Upper Extremity- [text default="5" size="5"]/5
-R Lower Extremity- [text default="5" size="5"]/5
-L Lower Extremity- [text default="5" size="5"]/5
[/conditional][conditional field="NEUROexamdetailed" condition="(NEUROexamdetailed).is('')"][checkbox name="examNEUROabn4" value=" -Reflexes-"][/conditional][conditional field="examNEUROabn4" condition="(examNEUROabn4).is(' -Reflexes-')"]
-Biceps- [text default="2+" size="5"]/4
-Triceps- [text default="2+" size="5"]/4
-Bracioradialis- [text default="2+" size="5"]/4
-Patellar- [text default="2+" size="5"]/4
-Achilles- [text default="2+" size="5"]/4
[/conditional][conditional field="NEUROexamdetailed" condition="(NEUROexamdetailed).is('')"][checkbox name="examNEUROabn5" value=" -Cerebellar Testing-"][/conditional][conditional field="examNEUROabn5" condition="(examNEUROabn5).is(' -Cerebellar Testing-')"] [checkbox value="POSITIVE ROMBERG|PRONATOR DRIFT|IMPAIRED FINGER-TO-NOSE|IMPAIRED HAND PRONATE/SUPINATE|IMPARIED HEEL-TO-SHIN"] [text memo="cerebellar deficits freetext" memo_size="small" size="80"]
[/conditional][conditional field="NEUROexamdetailed" condition="(NEUROexamdetailed).is('')"][checkbox name="examNEUROabn6" value=" -Gait- "][/conditional][conditional field="examNEUROabn6" condition="(examNEUROabn6).is(' -Gait- ')"][checkbox value="HEMIPLEGIC|DIPLEGIC|NEUROPATHIC|CHOREIFORM|ATAXIC|PARKINSONIAN|ANTALGIC"]
[/conditional][conditional field="virtualPE" condition="(virtualPE).is('')"]
-ADDITIONAL EXAM - [textarea default="none" rows="6" cols="70"][/conditional]