Objective/Exam Elements
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PHYSICAL EXAM
[checkbox name="briefexam" memo="Brief non-MSK Exam" value=""][conditional field="briefexam" condition="(briefexam).is('')"]-General - [text default="well developed, well nourished, no apparent distress" size="80"]
-HEENT - [text default="normocephalic, atraumatic, nares patent, mucous membranes moist" size="80"]
-Neck - [text default="no thyromegaly" size="80"]
-Abd - [text default="non-distended" size="80"]
-Ext - [text default="no cyanosis" size="80"]
-Neuro - [text default="appropriate balance, normal gait" size="80"]
-Psych - [text default="appropriate mood/affect" size="80"]
[/conditional][checkbox name="MSKNeurovascexam" memo="*" value="-Neurovascular:"][conditional field="MSKNeurovascexam" condition="(MSKNeurovascexam).is('-Neurovascular:')"] [checkbox value="no sign of compromised blood/nerve supply to affected/ipsilateral limb with testing of sensation/motor/reflexes|REDUCED SENSATION|MOTOR WEAKNESS|ABNORMAL REFLEXES"]. [textarea memo="description of deficits" memo_color="orange" memo_size="small" rows="2"]
[/conditional][checkbox name="MSKGaitexam" memo="*" value="-Gait:"][conditional field="MSKGaitexam" condition="(MSKGaitexam).is('-Gait:')"] [select name="MSKGaitexam1" value="No gait abnormalities|GAIT ABNORMALITIES-"][/conditional][conditional field="MSKGaitexam1" condition="(MSKGaitexam1).is('GAIT ABNORMALITIES-')"] [checkbox name="MSKGaitexam2" value="ANTALGIC GAIT|TRENDELENBURG GAIT|VARUS THRUST GAIT|LATERAL PATELLAR TRACKING WITH GAIT|FLEXED KNEE GAIT"] [textarea memo="description of deficits" memo_color="orange" memo_size="small" rows="2"][/conditional][conditional field="MSKGaitexam" condition="(MSKGaitexam).is('-Gait:')"]
[/conditional]-MSK: [comment memo="Select for location specific exam(s)" memo_size="small"][checkbox name="Q1" value="*Neck"][conditional field="Q1" condition="(Q1).is('*Neck')"]
[checkbox name="MSKexamNeckInspection" memo="*" value="--Inspection:"][/conditional][conditional field="MSKexamNeckInspection" condition="(MSKexamNeckInspection).is('--Inspection:')"] [checkbox value="Neck supple, no gross thyromegaly|normal curvature|CURVATURE ABNORMALLY STRAIGHT|CURVATURE KYPHOTIC"]
[/conditional][conditional field="Q1" condition="(Q1).is('*Neck')"][checkbox name="MSKexamNeckPalpation" memo="*" value="--Palpation:"][/conditional][conditional field="MSKexamNeckPalpation" condition="(MSKexamNeckPalpation).is('--Palpation:')"] [checkbox name="MSKexamNeckPalpation1" value="No tenderness to palpation of"][/conditional][conditional field="MSKexamNeckPalpation1" condition="(MSKexamNeckPalpation1).is('No tenderness to palpation of')"] [checkbox value="midline/spinous processes|R paraspinals|R suboccipal area|R trapezial ridge|R levator scapula|R rhomboids|R 1st rib|L paraspinals|L suboccipital area|L trapezial ridge|L levator scapula|L rhomboids|L 1st rib"][/conditional][conditional field="MSKexamNeckPalpation" condition="(MSKexamNeckPalpation).is('--Palpation:')"][checkbox name="MSKexamNeckPalpation2" value="**TTP of"][/conditional][conditional field="MSKexamNeckPalpation2" condition="(MSKexamNeckPalpation2).is('**TTP of')"] [checkbox value="R paraspinals|midline/spinous processes|R suboccipal area|R trapezial ridge|R levator scapula|R rhomboids|R 1st rib|L paraspinals|L suboccipital area|L trapezial ridge||L levator scapula|L rhomboids|L 1st rib"]**[/conditional][conditional field="MSKexamNeckPalpation" condition="(MSKexamNeckPalpation).is('--Palpation:')"]
---[select name="MSKexamNeckPalpation3" value="No step-offs noted|ABNORMAL STEP-OFF NOTED"]
[/conditional][conditional field="Q1" condition="(Q1).is('*Neck')"][checkbox name="MSKexamNeckROM" memo="*" value="--ROM:"][/conditional][conditional field="MSKexamNeckROM" condition="(MSKexamNeckROM).is('--ROM:')"] [checkbox name="MSKexamNeckROM1" value="Not limited & not painful in"][/conditional][conditional field="MSKexamNeckROM1" condition="(MSKexamNeckROM1).is('Not limited & not painful in')"] [checkbox value="flexion|extension|R side-bend|R rotation|L side-bend|L rotation"][/conditional][conditional field="MSKexamNeckROM" condition="(MSKexamNeckROM).is('--ROM:')"] [checkbox name="MSKexamNeckROM2" value="**LIMITED|**PAINFUL"][/conditional][conditional field="MSKexamNeckROM2" condition="(MSKexamNeckROM2).is('**LIMITED')||(MSKexamNeckROM2).is('**PAINFUL')"] in [checkbox value="flexion|extension|R side-bend|R rotation|L side-bend|L rotation"]**[/conditional][conditional field="MSKexamNeckROM" condition="(MSKexamNeckROM).is('--ROM:')"]
[/conditional][conditional field="Q1" condition="(Q1).is('*Neck')"][checkbox name="MSKexamNeckSpecTests" memo="*" value="--Special Tests:"][/conditional][conditional field="MSKexamNeckSpecTests" condition="(MSKexamNeckSpecTests).is('--Special Tests:')"]
[checkbox name="MSKexamNeckSpecTests1" value="---Spurlings - "][/conditional][conditional field="MSKexamNeckSpecTests1" condition="(MSKexamNeckSpecTests1).is('---Spurlings - ')"][checkbox value="negative|R POSITIVE|L POSITIVE"]
[/conditional][conditional field="MSKexamNeckSpecTests" condition="(MSKexamNeckSpecTests).is('--Special Tests:')"][checkbox name="MSKexamNeckSpecTests2" value="---Axial Compression - "][/conditional][conditional field="MSKexamNeckSpecTests2" condition="(MSKexamNeckSpecTests2).is('---Axial Compression - ')"][select value="negative|POSITIVE"]
[/conditional][conditional field="Q1" condition="(Q1).is('*Neck')"]
[/conditional][checkbox name="Q2" value="*R/L Shoulder"][conditional field="Q2" condition="(Q2).is('*R/L Shoulder')"]
[checkbox name="MSKexamShoulderInspection" memo="*" value="--Inspection:"][/conditional][conditional field="MSKexamShoulderInspection" condition="(MSKexamShoulderInspection).is('--Inspection:')"] [checkbox name="MSKexamShoulderInspection1" value="no deformity|normal fairly developed musculature without atrophy|R SIDED MUSCLE ATROPHY|R SHOULDER SAGGING|R SHOULDER EFFUSION|R SHOULDER GROSS DEFORMITY|R SCAPULAR WINGING|L SIDED MUSCLE ATROPHY|L SHOULDER SAGGING|L SHOULDER EFFUSION|L SHOULDER GROSS DEFORMITY|L SCAPULAR WINGING"]
[/conditional][conditional field="Q2" condition="(Q2).is('*R/L Shoulder')"][checkbox name="MSKexamShoulderPalpation" memo="*" value="--Palpation:"][/conditional][conditional field="MSKexamShoulderPalpation" condition="(MSKexamShoulderPalpation).is('--Palpation:')"] [checkbox name="MSKexamShoulderPalpation1" value="No tenderness to palpation of"][/conditional][conditional field="MSKexamShoulderPalpation1" condition="(MSKexamShoulderPalpation1).is('No tenderness to palpation of')"] [checkbox value="R AC joint|R subacromial area|R bicipital groove|R pectoralis tendon|R coracoid process|L AC joint|L subacromial area|L bicipital groove|L pectoralis tendon|L coracoid process"][/conditional][conditional field="MSKexamShoulderPalpation" condition="(MSKexamShoulderPalpation).is('--Palpation:')"][checkbox name="MSKexamShoulderPalpation2" value="**TTP of"][/conditional][conditional field="MSKexamShoulderPalpation2" condition="(MSKexamShoulderPalpation2).is('**TTP of')"] [checkbox value="R AC joint|R subacromial area|R bicipital groove|R pectoralis tendon|R coracoid process|L AC joint|L subacromial area|L bicipital groove|L pectoralis tendon|L coracoid process"]**[/conditional][conditional field="MSKexamShoulderPalpation" condition="(MSKexamShoulderPalpation).is('--Palpation:')"]
[/conditional][conditional field="Q2" condition="(Q2).is('*R/L Shoulder')"][checkbox name="MSKexamShoulderROM" memo="*" value="--ROM:"][/conditional][conditional field="MSKexamShoulderROM" condition="(MSKexamShoulderROM).is('--ROM:')"] [checkbox name="MSKexamShoulderROM1" value="Not limited & not painful in"][/conditional][conditional field="MSKexamShoulderROM1" condition="(MSKexamShoulderROM1).is('Not limited & not painful in')"] [checkbox value="R scarf test|R internal rotation|R external rotation|R abduction|R forward flexion|R extension|L scarf test|L internal rotation|L external rotation|L abduction|L forward flexion|L extension"][/conditional][conditional field="MSKexamShoulderROM" condition="(MSKexamShoulderROM).is('--ROM:')"] [checkbox name="MSKexamShoulderROM2" value="**LIMITED|**PAINFUL"][/conditional][conditional field="MSKexamShoulderROM2" condition="(MSKexamShoulderROM2).is('**LIMITED')||(MSKexamShoulderROM2).is('**PAINFUL')"] in [checkbox value="R scarf test|R internal rotation|R external rotation|R abduction|R forward flexion|R extension|L scarf test|L internal rotation|L external rotation|L abduction|L forward flexion|L extension"]**[/conditional][conditional field="MSKexamShoulderROM" condition="(MSKexamShoulderROM).is('--ROM:')"]
[/conditional][conditional field="Q2" condition="(Q2).is('*R/L Shoulder')"][checkbox name="MSKexamShoulderSpecTests" memo="*" value="--Special Tests:"][/conditional][conditional field="MSKexamShoulderSpecTests" condition="(MSKexamShoulderSpecTests).is('--Special Tests:')"]
[checkbox name="MSKexamShoulderSpecTests1" value="---Spurlings - "][/conditional][conditional field="MSKexamShoulderSpecTests1" condition="(MSKexamShoulderSpecTests1).is('---Spurlings - ')"][checkbox value="negative|R POSITIVE|L POSITIVE"]
[/conditional][conditional field="MSKexamShoulderSpecTests" condition="(MSKexamShoulderSpecTests).is('--Special Tests:')"][checkbox name="MSKexamShoulderSpecTests2" value="---Neers - "][/conditional][conditional field="MSKexamShoulderSpecTests2" condition="(MSKexamShoulderSpecTests2).is('---Neers - ')"][checkbox value="R negative|R POSITIVE|L negative|L POSITIVE"]
[/conditional][conditional field="MSKexamShoulderSpecTests" condition="(MSKexamShoulderSpecTests).is('--Special Tests:')"][checkbox name="MSKexamShoulderSpecTests3" value="---Hawkins-Kennedy - "][/conditional][conditional field="MSKexamShoulderSpecTests3" condition="(MSKexamShoulderSpecTests3).is('---Hawkins-Kennedy - ')"][checkbox value="R negative|R POSITIVE|L negative|L POSITIVE"]
[/conditional][conditional field="MSKexamShoulderSpecTests" condition="(MSKexamShoulderSpecTests).is('--Special Tests:')"][checkbox name="MSKexamShoulderSpecTests4" value="---Modified Yergasons - "][/conditional][conditional field="MSKexamShoulderSpecTests4" condition="(MSKexamShoulderSpecTests4).is('---Modified Yergasons - ')"][checkbox value="R negative|R POSITIVE|L negative|L POSITIVE"]
[/conditional][conditional field="MSKexamShoulderSpecTests" condition="(MSKexamShoulderSpecTests).is('--Special Tests:')"][checkbox name="MSKexamShoulderSpecTests5" value="---Empty Can test - "][/conditional][conditional field="MSKexamShoulderSpecTests5" condition="(MSKexamShoulderSpecTests5).is('---Empty Can test - ')"][checkbox value="R negative for pain/weakness|R POSITIVE for pain|R POSITIVE for weakness|L negative for pain/weakness|L POSITIVE for pain|L POSITIVE for weakness"]
[/conditional][conditional field="MSKexamShoulderSpecTests" condition="(MSKexamShoulderSpecTests).is('--Special Tests:')"][checkbox name="MSKexamShoulderSpecTests6" value="---Resisted Internal Rotation - "][/conditional][conditional field="MSKexamShoulderSpecTests6" condition="(MSKexamShoulderSpecTests6).is('---Resisted Internal Rotation - ')"][checkbox value="R did not elicit pain|R ELICITED PAIN|L did not elicit pain|L ELICITED PAIN"]
[/conditional][conditional field="MSKexamShoulderSpecTests" condition="(MSKexamShoulderSpecTests).is('--Special Tests:')"][checkbox name="MSKexamShoulderSpecTests7" value="---Resisted External Rotation - "][/conditional][conditional field="MSKexamShoulderSpecTests7" condition="(MSKexamShoulderSpecTests7).is('---Resisted External Rotation - ')"][checkbox value="R did not elicit pain|R ELICITED PAIN|L did not elicit pain|L ELICITED PAIN"]
[/conditional][conditional field="MSKexamShoulderSpecTests" condition="(MSKexamShoulderSpecTests).is('--Special Tests:')"][checkbox name="MSKexamShoulderSpecTests8" value="---Instability/labral tests - "][/conditional][conditional field="MSKexamShoulderSpecTests8" condition="(MSKexamShoulderSpecTests8).is('---Instability/labral tests - ')"] (Apprehension/Sulcus sign/Mayo Sheer/O'Brien/Crank) [checkbox value="R negative|R POSITIVE|L negative|L POSITIVE"]
[/conditional][conditional field="Q2" condition="(Q2).is('*R/L Shoulder')"]
[/conditional][checkbox name="Q3" value="*R/L Elbow"][conditional field="Q3" condition="(Q3).is('*R/L Elbow')"][checkbox name="MSKexamElbowInspection" memo="*" value="--Inspection:"][/conditional][conditional field="MSKexamElbowInspection" condition="(MSKexamElbowInspection).is('--Inspection:')"] [checkbox name="MSKexamElbowInspection1" value="no gross deformity|no edema/effusion|no ecchymosis|R ELBOW EDEMA|R ELBOW EFFUSION|R ELBOW ECCHYMOSIS|L ELBOW EDEMA|L ELBOW EFFUSION|L ELBOW ECCHYMOSIS"]
[/conditional][conditional field="Q3" condition="(Q3).is('*R/L Elbow')"][checkbox name="MSKexamElbowPalpation" memo="*" value="--Palpation:"][/conditional][conditional field="MSKexamElbowPalpation" condition="(MSKexamElbowPalpation).is('--Palpation:')"] [checkbox name="MSKexamElbowPalpation1" value="No tenderness to palpation of"][/conditional][conditional field="MSKexamElbowPalpation1" condition="(MSKexamElbowPalpation1).is('No tenderness to palpation of')"] [checkbox value="R olecranon|R antecubital fossa|R medial epicondyle|R lateral epicondyle|L lateral epicondyle|L olecranon|L antecubital fossa|L medial epicondyle"]. [/conditional][conditional field="MSKexamElbowPalpation" condition="(MSKexamElbowPalpation).is('--Palpation:')"][checkbox name="MSKexamElbowPalpation2" value="**TTP of"][/conditional][conditional field="MSKexamElbowPalpation2" condition="(MSKexamElbowPalpation2).is('**TTP of')"] [checkbox value="R olecranon|R antecubital fossa|R medial epicondyle|R lateral epicondyle|L lateral epicondyle|L olecranon|L antecubital fossa|L medial epicondyle"]**
[/conditional][conditional field="Q3" condition="(Q3).is('*R/L Elbow')"][checkbox name="MSKexamElbowROM" memo="*" value="--ROM:"][/conditional][conditional field="MSKexamElbowROM" condition="(MSKexamElbowROM).is('--ROM:')"] [checkbox name="MSKexamElbowROM1" value="Not limited & not painful in"][/conditional][conditional field="MSKexamElbowROM1" condition="(MSKexamElbowROM1).is('Not limited & not painful in')"] [checkbox value="R flexion|R extension|R abduction|R adduction|L flexion|L extension|L abduction|L adduction"][/conditional][conditional field="MSKexamElbowROM" condition="(MSKexamElbowROM).is('--ROM:')"] [checkbox name="MSKexamElbowROM2" value="**LIMITED|**PAINFUL"][/conditional][conditional field="MSKexamElbowROM2" condition="(MSKexamElbowROM2).is('**LIMITED')||(MSKexamElbowROM2).is('**PAINFUL')"] in [checkbox value="R flexion|R extension|R abduction|R adduction|L flexion|L extension|L abduction|L adduction"]**
[/conditional][conditional field="Q3" condition="(Q3).is('*R/L Elbow')"]
[/conditional][checkbox name="Q4" value="*R/L Wrist"][conditional field="Q4" condition="(Q4).is('*R/L Wrist')"][checkbox name="MSKexamWristInspection" memo="*" value="--Inspection:"][/conditional][conditional field="MSKexamWristInspection" condition="(MSKexamWristInspection).is('--Inspection:')"] [checkbox name="MSKexamWristInspection1" value="no gross deformity|EDEMA|EFFUSION|ECCHYMOSIS"]
[/conditional][conditional field="Q4" condition="(Q4).is('*R/L Wrist')"][checkbox name="MSKexamWristPalpation" memo="*" value="--Palpation:"][/conditional][conditional field="MSKexamWristPalpation" condition="(MSKexamWristPalpation).is('--Palpation:')"] [checkbox name="MSKexamWristPalpation1" value="No tenderness to palpation of"][/conditional][conditional field="MSKexamWristPalpation1" condition="(MSKexamWristPalpation1).is('No tenderness to palpation of')"] [checkbox value="R dorsal aspect|R volar aspect|R medial aspect|R lateral aspect|R snuffbox|L dorsal aspect|L volar aspect|L medial aspect|L lateral aspect|L snuffbox"]. [/conditional][conditional field="MSKexamWristPalpation" condition="(MSKexamWristPalpation).is('--Palpation:')"][checkbox name="MSKexamWristPalpation2" value="**TTP of"][/conditional][conditional field="MSKexamWristPalpation2" condition="(MSKexamWristPalpation2).is('**TTP of')"] [checkbox value="R dorsal aspect|R volar aspect|R medial aspect|R lateral aspect|R snuffbox|L dorsal aspect|L volar aspect|L medial aspect|L lateral aspect|L snuffbox"]**
[/conditional][conditional field="Q4" condition="(Q4).is('*R/L Wrist')"][checkbox name="MSKexamWristROM" memo="*" value="--ROM:"][/conditional][conditional field="MSKexamWristROM" condition="(MSKexamWristROM).is('--ROM:')"] [checkbox name="MSKexamWristROM1" value="Not limited & not painful in"][/conditional][conditional field="MSKexamWristROM1" condition="(MSKexamWristROM1).is('Not limited & not painful in')"] [checkbox value="R flexion|R extension|R abduction|R adduction|L flexion|L extension|L abduction|L adduction"][/conditional][conditional field="MSKexamWristROM" condition="(MSKexamWristROM).is('--ROM:')"] [checkbox name="MSKexamWristROM2" value="**LIMITED|**PAINFUL"][/conditional][conditional field="MSKexamWristROM2" condition="(MSKexamWristROM2).is('**LIMITED')||(MSKexamWristROM2).is('**PAINFUL')"] in [checkbox value="R flexion|R extension|R abduction|R adduction|L flexion|L extension|L abduction|L adduction"]**[/conditional][conditional field="MSKexamWristROM" condition="(MSKexamWristROM).is('--ROM:')"]
[/conditional][conditional field="Q4" condition="(Q4).is('*R/L Wrist')"][checkbox name="MSKexamWristSpecTests" memo="*" value="--Special Tests:"][/conditional][conditional field="MSKexamWristSpecTests" condition="(MSKexamWristSpecTests).is('--Special Tests:')"]
[checkbox name="MSKexamWristSpecTests1" value="---Tinels test - "][/conditional][conditional field="MSKexamWristSpecTests1" condition="(MSKexamWristSpecTests1).is('---Tinels test - ')"][checkbox value="R negative|R POSITIVE|L negative|L POSITIVE"]
[/conditional][conditional field="MSKexamWristSpecTests" condition="(MSKexamWristSpecTests).is('--Special Tests:')"][checkbox name="MSKexamWristSpecTests2" value="---Phalens test - "][/conditional][conditional field="MSKexamWristSpecTests2" condition="(MSKexamWristSpecTests2).is('---Phalens test - ')"][checkbox value="R negative|R POSITIVE|L negative|L POSITIVE"]
[/conditional][conditional field="MSKexamWristSpecTests" condition="(MSKexamWristSpecTests).is('--Special Tests:')"][checkbox name="MSKexamWristSpecTests3" value="---Reverse Phalens test - "][/conditional][conditional field="MSKexamWristSpecTests3" condition="(MSKexamWristSpecTests3).is('---Reverse Phalens test - ')"][checkbox value="R negative|R POSITIVE|L negative|L POSITIVE"]
[/conditional][conditional field="MSKexamWristSpecTests" condition="(MSKexamWristSpecTests).is('--Special Tests:')"][checkbox name="MSKexamWristSpecTests4" value="---Finklesteins test - "][/conditional][conditional field="MSKexamWristSpecTests4" condition="(MSKexamWristSpecTests4).is('---Finklesteins test - ')"][checkbox value="R negative|R POSITIVE|L negative|L POSITIVE"]
[/conditional][conditional field="Q4" condition="(Q4).is('*R/L Wrist')"]
[/conditional][checkbox name="Q5" value="*Upper Back"][conditional field="Q5" condition="(Q5).is('*Upper Back')"]
[checkbox name="MSKexamUpperBackInspection" memo="*" value="--Inspection:"][/conditional][conditional field="MSKexamUpperBackInspection" condition="(MSKexamUpperBackInspection).is('--Inspection:')"] [checkbox name="MSKexamUpperBackInspection1" value="no gross deformity|R PARASPINAL MUSCLE SPASM|L PARASPINAL MUSCLE SPASM|GROSS/EXCESS LATERAL SPINAL CURVATURE|KYPHOSIS|ABNORMAL STRAIGHTENING OF T-SPINE|R SCAPULAR WINGING|L SCAPULAR WINGING"]
[/conditional][conditional field="Q5" condition="(Q5).is('*Upper Back')"][checkbox name="MSKexamUpperBackPalpation" memo="*" value="--Palpation:"][/conditional][conditional field="MSKexamUpperBackPalpation" condition="(MSKexamUpperBackPalpation).is('--Palpation:')"] [checkbox name="MSKexamUpperBackPalpation1" value="No tenderness to palpation of"][/conditional][conditional field="MSKexamUpperBackPalpation1" condition="(MSKexamUpperBackPalpation1).is('No tenderness to palpation of')"] [checkbox value="midline/spinous processes|R 1st rib|R paraspinals|R upper trapezius|R lower trapezius|R levator scapula|R rhomboids|L 1st rib|L paraspinals|L upper trapezius|L lower trapezius|L levator scapula|L rhomboids"][/conditional][conditional field="MSKexamUpperBackPalpation" condition="(MSKexamUpperBackPalpation).is('--Palpation:')"]. [checkbox name="MSKexamUpperBackPalpation2" value="**TTP of"][/conditional][conditional field="MSKexamUpperBackPalpation2" condition="(MSKexamUpperBackPalpation2).is('**TTP of')"] [checkbox value="midline/spinous processes|R 1st rib|R paraspinals|R upper trapezius|R lower trapezius|R levator scapula|R rhomboids|L 1st rib|L paraspinals|L upper trapezius|L lower trapezius|L levator scapula|L rhomboids"]**
[/conditional][conditional field="MSKexamUpperBackPalpation" condition="(MSKexamUpperBackPalpation).is('--Palpation:')"]
---[select name="MSKexamUpperBackPalpation3" value="No step-offs noted|ABNORMAL STEP-OFF NOTED"]
[/conditional][conditional field="Q5" condition="(Q5).is('*Upper Back')"][checkbox name="MSKexamUpperBackROM" memo="*" value="--ROM:"][/conditional][conditional field="MSKexamUpperBackROM" condition="(MSKexamUpperBackROM).is('--ROM:')"] [checkbox name="MSKexamUpperBackROM1" value="Not limited & not painful in"][/conditional][conditional field="MSKexamUpperBackROM1" condition="(MSKexamUpperBackROM1).is('Not limited & not painful in')"] [checkbox value="flexion|extension|R side-bend|R rotation|L side-bend|L rotation"][/conditional][conditional field="MSKexamUpperBackROM" condition="(MSKexamUpperBackROM).is('--ROM:')"] [checkbox name="MSKexamUpperBackROM2" value="**LIMITED|**PAINFUL"][/conditional][conditional field="MSKexamUpperBackROM2" condition="(MSKexamUpperBackROM2).is('**LIMITED')||(MSKexamUpperBackROM2).is('**PAINFUL')"] in [checkbox value="flexion|extension|R side-bend|R rotation|L side-bend|L rotation"]**[/conditional][conditional field="MSKexamUpperBackROM" condition="(MSKexamUpperBackROM).is('--ROM:')"]
[/conditional][conditional field="Q5" condition="(Q5).is('*Upper Back')"][checkbox name="MSKexamUpperBackSpecTests" memo="*" value="--Special Tests:"][/conditional][conditional field="MSKexamUpperBackSpecTests" condition="(MSKexamUpperBackSpecTests).is('--Special Tests:')"]
[checkbox name="MSKexamUpperBackSpecTests1" value="---Spurlings - "][/conditional][conditional field="MSKexamUpperBackSpecTests1" condition="(MSKexamUpperBackSpecTests1).is('---Spurlings - ')"][checkbox value="negative|R POSITIVE|L POSITIVE"]
[/conditional][conditional field="MSKexamUpperBackSpecTests" condition="(MSKexamUpperBackSpecTests).is('--Special Tests:')"][checkbox name="MSKexamUpperBackSpecTests2" value="---Axial Compression - "][/conditional][conditional field="MSKexamUpperBackSpecTests2" condition="(MSKexamUpperBackSpecTests2).is('---Axial Compression - ')"][select value="negative|POSITIVE"]
[/conditional][conditional field="Q5" condition="(Q5).is('*Upper Back')"]
[/conditional][checkbox name="Q6" value="*Low Back"][conditional field="Q6" condition="(Q6).is('*Low Back')"]
[checkbox name="MSKexamLowBackInspection" memo="*" value="--Inspection:"][/conditional][conditional field="MSKexamLowBackInspection" condition="(MSKexamLowBackInspection).is('--Inspection:')"] [checkbox name="MSKexamLowBackInspection1" value="no gross deformity|R PARASPINAL MUSCLE SPASM|L PARASPINAL MUSCLE SPASM|GROSS/EXCESS LATERAL SPINAL CURVATURE|KYPHOSIS|ABNORMAL STRAIGHTENING OF L-SPINE"]
[/conditional][conditional field="Q6" condition="(Q6).is('*Low Back')"][checkbox name="MSKexamLowBackPalpation" memo="*" value="--Palpation:"][/conditional][conditional field="MSKexamLowBackPalpation" condition="(MSKexamLowBackPalpation).is('--Palpation:')"] [checkbox name="MSKexamLowBackPalpation1" value="No tenderness to palpation of"][/conditional][conditional field="MSKexamLowBackPalpation1" condition="(MSKexamLowBackPalpation1).is('No tenderness to palpation of')"] [checkbox value="midline/spinous processes|R paraspinals|R quadratus lumborum|R sacral sulcus|R piriformis|L paraspinals|L quadratus lumborum|L sacral sulcus|L piriformis"][/conditional][conditional field="MSKexamLowBackPalpation" condition="(MSKexamLowBackPalpation).is('--Palpation:')"]. [checkbox name="MSKexamLowBackPalpation2" value="**TTP of"][/conditional][conditional field="MSKexamLowBackPalpation2" condition="(MSKexamLowBackPalpation2).is('**TTP of')"] [checkbox value="midline/spinous processes|R paraspinals|R quadratus lumborum|R sacral sulcus|R piriformis|L paraspinals|L quadratus lumborum|L sacral sulcus|L piriformis"]**[/conditional][conditional field="MSKexamLowBackPalpation" condition="(MSKexamLowBackPalpation).is('--Palpation:')"]
---[select name="MSKexamLowBackPalpation3" value="No step-offs noted|ABNORMAL STEP-OFF NOTED"]
[/conditional][conditional field="Q6" condition="(Q6).is('*Low Back')"][checkbox name="MSKexamLowBackROM" memo="*" value="--ROM:"][/conditional][conditional field="MSKexamLowBackROM" condition="(MSKexamLowBackROM).is('--ROM:')"] [checkbox name="MSKexamLowBackROM1" value="Not limited & not painful in"][/conditional][conditional field="MSKexamLowBackROM1" condition="(MSKexamLowBackROM1).is('Not limited & not painful in')"] [checkbox value="flexion|extension|R side-bend|R rotation|L side-bend|L rotation"]. [/conditional][conditional field="MSKexamLowBackROM" condition="(MSKexamLowBackROM).is('--ROM:')"] [checkbox name="MSKexamLowBackROM2" value="**LIMITED|**PAINFUL"][/conditional][conditional field="MSKexamLowBackROM2" condition="(MSKexamLowBackROM2).is('**LIMITED')||(MSKexamLowBackROM2).is('**PAINFUL')"] in [checkbox value="flexion|extension|R side-bend|R rotation|L side-bend|L rotation"]**[/conditional][conditional field="MSKexamLowBackROM" condition="(MSKexamLowBackROM).is('--ROM:')"]
[/conditional][conditional field="Q6" condition="(Q6).is('*Low Back')"][checkbox name="MSKexamLowBackSpecTests" memo="*" value="--Special Tests:"][/conditional][conditional field="MSKexamLowBackSpecTests" condition="(MSKexamLowBackSpecTests).is('--Special Tests:')"]
[checkbox name="MSKexamLowBackSpecTests1" value="---Axial Compression - "][/conditional][conditional field="MSKexamLowBackSpecTests1" condition="(MSKexamLowBackSpecTests1).is('---Axial Compression - ')"][checkbox value="negative|POSITIVE"]
[/conditional][conditional field="MSKexamLowBackSpecTests" condition="(MSKexamLowBackSpecTests).is('--Special Tests:')"][checkbox name="MSKexamLowBackSpecTests2" value="---Straight Leg Raise - "][/conditional][conditional field="MSKexamLowBackSpecTests2" condition="(MSKexamLowBackSpecTests2).is('---Straight Leg Raise - ')"][checkbox value="R negative|R POSITIVE|L negative|L POSITIVE"]
[/conditional][conditional field="MSKexamLowBackSpecTests" condition="(MSKexamLowBackSpecTests).is('--Special Tests:')"][checkbox name="MSKexamLowBackSpecTests3" value="---Duncan Ely test - "][/conditional][conditional field="MSKexamLowBackSpecTests3" condition="(MSKexamLowBackSpecTests3).is('---Duncan Ely test - ')"][checkbox value="R negative|R POSITIVE|L negative|L POSITIVE"] (for quad tightness)
[/conditional][conditional field="MSKexamLowBackSpecTests" condition="(MSKexamLowBackSpecTests).is('--Special Tests:')"][checkbox name="MSKexamLowBackSpecTests4" value="---Thomas test - "][/conditional][conditional field="MSKexamLowBackSpecTests4" condition="(MSKexamLowBackSpecTests4).is('---Thomas test - ')"][checkbox value="R negative|R POSITIVE for hip flexor tightness|R POSITIVE for quad tightness|L negative|L POSITIVE for hip flexor tightness|L POSITIVE for quad tightness"]
[/conditional][conditional field="MSKexamLowBackSpecTests" condition="(MSKexamLowBackSpecTests).is('--Special Tests:')"][checkbox name="MSKexamLowBackSpecTests5" value="---Popliteal angle with passive knee extension - "][/conditional][conditional field="MSKexamLowBackSpecTests5" condition="(MSKexamLowBackSpecTests5).is('---Popliteal angle with passive knee extension - ')"][checkbox value="R normal|R ABNORMAL for hamstring tightness|L normal|L ABNORMAL for hamstring tightness"]
[/conditional][conditional field="MSKexamLowBackSpecTests" condition="(MSKexamLowBackSpecTests).is('--Special Tests:')"][checkbox name="MSKexamLowBackSpecTests6" value="---Obers test - "][/conditional][conditional field="MSKexamLowBackSpecTests6" condition="(MSKexamLowBackSpecTests6).is('---Obers test - ')"][checkbox value="R normal|R ABNORMAL for IT band tightness|L normal|L ABNORMAL for IT band tightness"]
[/conditional][conditional field="Q6" condition="(Q6).is('*Low Back')"]
[/conditional][checkbox name="Q7" value="*R/L Hip"][conditional field="Q7" condition="(Q7).is('*R/L Hip')"]
[checkbox name="MSKexamHipInspection" memo="*" value="--Inspection:"][/conditional][conditional field="MSKexamHipInspection" condition="(MSKexamHipInspection).is('--Inspection:')"] [checkbox name="MSKexamHipInspection1" value="no gross deformity|GROSS DEFORMITY"]
[/conditional][conditional field="Q7" condition="(Q7).is('*R/L Hip')"][checkbox name="MSKexamHipPalpation" memo="*" value="--Palpation:"][/conditional][conditional field="MSKexamHipPalpation" condition="(MSKexamHipPalpation).is('--Palpation:')"] [checkbox name="MSKexamHipPalpation1" value="No tenderness to palpation of"][/conditional][conditional field="MSKexamHipPalpation1" condition="(MSKexamHipPalpation1).is('No tenderness to palpation of')"] [checkbox value="R greater trochanter/bursa|R anterior superior iliac spine|R ischial tuberosity|R Iliac crest|R IT band|R anterior aspect of hip/acetabulum|L greater trochanter/bursa|L anterior superior iliac spine|L ischial tuberosity|L Iliac crest|L IT band|L anterior aspect of hip/acetabulum"]. [/conditional][conditional field="MSKexamHipPalpation" condition="(MSKexamHipPalpation).is('--Palpation:')"][checkbox name="MSKexamHipPalpation2" value="**TTP of"][/conditional][conditional field="MSKexamHipPalpation2" condition="(MSKexamHipPalpation2).is('**TTP of')"] [checkbox value="R greater trochanter/bursa|R anterior superior iliac spine|R ischial tuberosity|R Iliac crest|R IT band|R anterior aspect of hip/acetabulum|L greater trochanter/bursa|L anterior superior iliac spine|L ischial tuberosity|L Iliac crest|L IT band|L anterior aspect of hip/acetabulum"]**[/conditional][conditional field="MSKexamHipPalpation" condition="(MSKexamHipPalpation).is('--Palpation:')"]
[/conditional][conditional field="Q7" condition="(Q7).is('*R/L Hip')"][checkbox name="MSKexamHipROM" memo="*" value="--ROM:"][/conditional][conditional field="MSKexamHipROM" condition="(MSKexamHipROM).is('--ROM:')"] [checkbox name="MSKexamHipROM1" value="Not limited & not painful in"][/conditional][conditional field="MSKexamHipROM1" condition="(MSKexamHipROM1).is('Not limited & not painful in')"] [checkbox value="R flexion|R extension|R internal rotation|R external rotation|R abduction|L flexion|L extension|L internal rotation|L external rotation|L abduction"][/conditional][conditional field="MSKexamHipROM" condition="(MSKexamHipROM).is('--ROM:')"] [checkbox name="MSKexamHipROM2" value="**LIMITED|**PAINFUL"][/conditional][conditional field="MSKexamHipROM2" condition="(MSKexamHipROM2).is('**LIMITED')||(MSKexamHipROM2).is('**PAINFUL')"] in [checkbox value="R flexion|R extension|R internal rotation|R external rotation|R abduction|L flexion|L extension|L internal rotation|L external rotation|L abduction"]**[/conditional][conditional field="MSKexamHipROM" condition="(MSKexamHipROM).is('--ROM:')"]
[/conditional][conditional field="Q7" condition="(Q7).is('*R/L Hip')"][checkbox name="MSKexamHipSpecTests" memo="*" value="--Special Tests:"][/conditional][conditional field="MSKexamHipSpecTests" condition="(MSKexamHipSpecTests).is('--Special Tests:')"]
[checkbox name="MSKexamHipSpecTests1" value="---Log Roll - "][/conditional][conditional field="MSKexamHipSpecTests1" condition="(MSKexamHipSpecTests1).is('---Log Roll - ')"][checkbox value="R negative|R POSITIVE|L negative|L POSITIVE"]
[/conditional][conditional field="MSKexamHipSpecTests" condition="(MSKexamHipSpecTests).is('--Special Tests:')"][checkbox name="MSKexamHipSpecTests2" value="---Straight Leg Raise - "][/conditional][conditional field="MSKexamHipSpecTests2" condition="(MSKexamHipSpecTests2).is('---Straight Leg Raise - ')"][checkbox value="R negative|R POSITIVE|L negative|L POSITIVE"]
[/conditional][conditional field="MSKexamHipSpecTests" condition="(MSKexamHipSpecTests).is('--Special Tests:')"][checkbox name="MSKexamHipSpecTests3" value="---FABERE test - "][/conditional][conditional field="MSKexamHipSpecTests3" condition="(MSKexamHipSpecTests3).is('---FABERE test - ')"][checkbox value="R negative|R POSITIVE|L negative|L POSITIVE"]
[/conditional][conditional field="MSKexamHipSpecTests" condition="(MSKexamHipSpecTests).is('--Special Tests:')"][checkbox name="MSKexamHipSpecTests4" value="---FADIR test - "][/conditional][conditional field="MSKexamHipSpecTests4" condition="(MSKexamHipSpecTests4).is('---FADIR test - ')"][checkbox value="R negative|R POSITIVE|L negative|L POSITIVE"]
[/conditional][conditional field="MSKexamHipSpecTests" condition="(MSKexamHipSpecTests).is('--Special Tests:')"][checkbox name="MSKexamHipSpecTests5" value="---Thomas test - "][/conditional][conditional field="MSKexamHipSpecTests5" condition="(MSKexamHipSpecTests5).is('---Thomas test - ')"][checkbox value="R negative|R POSITIVE for hip flexor tightness|R POSITIVE for quad tightness|L negative|L POSITIVE for hip flexor tightness|L POSITIVE for quad tightness"]
[/conditional][conditional field="MSKexamHipSpecTests" condition="(MSKexamHipSpecTests).is('--Special Tests:')"][checkbox name="MSKexamHipSpecTests6" value="---Obers test - "][/conditional][conditional field="MSKexamHipSpecTests6" condition="(MSKexamHipSpecTests6).is('---Obers test - ')"][checkbox value="R normal|R ABNORMAL for IT band tightness|L normal|L ABNORMAL for IT band tightness"]
[/conditional][conditional field="Q7" condition="(Q7).is('*R/L Hip')"]
[/conditional][checkbox name="Q8" value="*R/L Knee"][conditional field="Q8" condition="(Q8).is('*R/L Knee')"]
[checkbox name="MSKexamKneeInspection" memo="*" value="--Inspection:"][/conditional][conditional field="MSKexamKneeInspection" condition="(MSKexamKneeInspection).is('--Inspection:')"] [checkbox name="MSKexamKneeInspection1" value="no gross deformity|no gross dislocation|R GROSS EFFUSION|R ECCHYMOSIS|R LATERALLY DISPLACED PATELLA|L GROSS EFFUSION|L ECCHYMOSIS|L LATERALLY DISPLACED PATELLA"]
[/conditional][conditional field="Q8" condition="(Q8).is('*R/L Knee')"][checkbox name="MSKexamKneePalpation" memo="*" value="--Palpation:"][/conditional][conditional field="MSKexamKneePalpation" condition="(MSKexamKneePalpation).is('--Palpation:')"] [checkbox name="MSKexamKneePalpation1" value="No tenderness to palpation of"][/conditional][conditional field="MSKexamKneePalpation1" condition="(MSKexamKneePalpation1).is('No tenderness to palpation of')"] [checkbox value="R Quad tendon|R Patella|R lateral patellar facet|R medial patellar facet|R Patellar tendon|R Medial Joint Line|R Lateral Joint Line|R Pes Anserine Bursa|R IT Band|R LCL Ligament|R MCL Ligament|R Popliteal Fossa|L Quad tendon|L Patella|L lateral patellar facet|L medial patellar facet|L Patellar tendon|L Medial Joint Line|L Lateral Joint Line|L Pes Anserine Bursa|L IT Band|L LCL Ligament|L MCL Ligament|L Popliteal Fossa"].[/conditional][conditional field="MSKexamKneePalpation" condition="(MSKexamKneePalpation).is('--Palpation:')"] [checkbox name="MSKexamKneePalpation2" value="**TTP of"][/conditional][conditional field="MSKexamKneePalpation2" condition="(MSKexamKneePalpation2).is('**TTP of')"] [checkbox value="R Quad tendon|R Patella|R lateral patellar facet|R medial patellar facet|R Patellar tendon|R Medial Joint Line|R Lateral Joint Line|R Pes Anserine Bursa|R IT Band|R LCL Ligament|R MCL Ligament|R Popliteal Fossa|L Quad tendon|L Patella|L lateral patellar facet|L medial patellar facet|L Patellar tendon|L Medial Joint Line|L Lateral Joint Line|L Pes Anserine Bursa|L IT Band|L LCL Ligament|L MCL Ligament|L Popliteal Fossa"]** [/conditional][conditional field="MSKexamKneePalpation" condition="(MSKexamKneePalpation).is('--Palpation:')"]. [select value="No palpable baker's cyst|PALPABLE BAKER'S CYST"]
[/conditional][conditional field="Q8" condition="(Q8).is('*R/L Knee')"][checkbox name="MSKexamKneeROM" memo="*" value="--ROM:"][/conditional][conditional field="MSKexamKneeROM" condition="(MSKexamKneeROM).is('--ROM:')"] [checkbox name="MSKexamKneeROM1" value="Not limited & not painful in"][/conditional][conditional field="MSKexamKneeROM1" condition="(MSKexamKneeROM1).is('Not limited & not painful in')"] [checkbox value="R flexion|R extension|R internal rotation|R external rotation|L flexion|L extension|L internal rotation|L external rotation"][/conditional][conditional field="MSKexamKneeROM" condition="(MSKexamKneeROM).is('--ROM:')"][checkbox name="MSKexamKneeROM2" value="**LIMITED|**PAINFUL"][/conditional][conditional field="MSKexamKneeROM2" condition="(MSKexamKneeROM2).is('**LIMITED')||(MSKexamKneeROM2).is('**PAINFUL')"] in [checkbox value="R flexion|R extension|R internal rotation|R external rotation|L flexion|L extension|L internal rotation|L external rotation"]**[/conditional][conditional field="MSKexamKneeROM" condition="(MSKexamKneeROM).is('--ROM:')"]
[/conditional][conditional field="Q8" condition="(Q8).is('*R/L Knee')"][checkbox name="MSKexamKneeSpecTests" memo="*" value="--Special Tests:"][/conditional][conditional field="MSKexamKneeSpecTests" condition="(MSKexamKneeSpecTests).is('--Special Tests:')"]
[checkbox name="MSKexamKneeSpecTests1" value="---Patellar Apprehension test- "][/conditional][conditional field="MSKexamKneeSpecTests1" condition="(MSKexamKneeSpecTests1).is('---Patellar Apprehension test- ')"][checkbox value="R negative|R POSITIVE|L negative|L POSITIVE"]
[/conditional][conditional field="MSKexamKneeSpecTests" condition="(MSKexamKneeSpecTests).is('--Special Tests:')"][checkbox name="MSKexamKneeSpecTests2" value="---Varus test - "][/conditional][conditional field="MSKexamKneeSpecTests2" condition="(MSKexamKneeSpecTests2).is('---Varus test - ')"][checkbox value="R negative|R POSITIVE|L negative|L POSITIVE"]
[/conditional][conditional field="MSKexamKneeSpecTests" condition="(MSKexamKneeSpecTests).is('--Special Tests:')"][checkbox name="MSKexamKneeSpecTests3" value="---Valgus test - "][/conditional][conditional field="MSKexamKneeSpecTests3" condition="(MSKexamKneeSpecTests3).is('---Valgus test - ')"][checkbox value="R negative|R POSITIVE|L negative|L POSITIVE"]
[/conditional][conditional field="MSKexamKneeSpecTests" condition="(MSKexamKneeSpecTests).is('--Special Tests:')"][checkbox name="MSKexamKneeSpecTests4" value="---Lachman - "][/conditional][conditional field="MSKexamKneeSpecTests4" condition="(MSKexamKneeSpecTests4).is('---Lachman - ')"][checkbox value="R negative|R POSITIVE|L negative|L POSITIVE"]
[/conditional][conditional field="MSKexamKneeSpecTests" condition="(MSKexamKneeSpecTests).is('--Special Tests:')"][checkbox name="MSKexamKneeSpecTests5" value="---Anterior Drawer - "][/conditional][conditional field="MSKexamKneeSpecTests5" condition="(MSKexamKneeSpecTests5).is('---Anterior Drawer - ')"][checkbox value="R negative|R POSITIVE|L negative|L POSITIVE"]
[/conditional][conditional field="MSKexamKneeSpecTests" condition="(MSKexamKneeSpecTests).is('--Special Tests:')"][checkbox name="MSKexamKneeSpecTests6" value="---Posterior Drawer - "][/conditional][conditional field="MSKexamKneeSpecTests6" condition="(MSKexamKneeSpecTests6).is('---Posterior Drawer - ')"][checkbox value="R negative|R POSITIVE|L negative|L POSITIVE"]
[/conditional][conditional field="MSKexamKneeSpecTests" condition="(MSKexamKneeSpecTests).is('--Special Tests:')"][checkbox name="MSKexamKneeSpecTests7" value="---McMurrays - "][/conditional][conditional field="MSKexamKneeSpecTests7" condition="(MSKexamKneeSpecTests7).is('---McMurrays - ')"][checkbox value="R negative|R POSITIVE|L negative|L POSITIVE"]
[/conditional][conditional field="MSKexamKneeSpecTests" condition="(MSKexamKneeSpecTests).is('--Special Tests:')"][checkbox name="MSKexamKneeSpecTests8" value="---Thessaly test - "][/conditional][conditional field="MSKexamKneeSpecTests8" condition="(MSKexamKneeSpecTests8).is('---Thessaly test - ')"][checkbox value="R negative|R POSITIVE|L negative|L POSITIVE"]
[/conditional][conditional field="MSKexamKneeSpecTests" condition="(MSKexamKneeSpecTests).is('--Special Tests:')"][checkbox name="MSKexamKneeSpecTests9" value="---Duncan Ely test - "][/conditional][conditional field="MSKexamKneeSpecTests9" condition="(MSKexamKneeSpecTests9).is('---Duncan Ely test - ')"][checkbox value="R negative|R POSITIVE|L negative|L POSITIVE"] (for quad tightness)
[/conditional][conditional field="MSKexamKneeSpecTests" condition="(MSKexamKneeSpecTests).is('--Special Tests:')"][checkbox name="MSKexamKneeSpecTests99" value="---Thomas test - "][/conditional][conditional field="MSKexamKneeSpecTests99" condition="(MSKexamKneeSpecTests99).is('---Thomas test - ')"][checkbox value="R negative|R POSITIVE for hip flexor tightness|R POSITIVE for quad tightness|L negative|L POSITIVE for hip flexor tightness|L POSITIVE for quad tightness"]
[/conditional][conditional field="MSKexamKneeSpecTests" condition="(MSKexamKneeSpecTests).is('--Special Tests:')"][checkbox name="MSKexamKneeSpecTests999" value="---Popliteal angle with passive knee extension - "][/conditional][conditional field="MSKexamKneeSpecTests999" condition="(MSKexamKneeSpecTests999).is('---Popliteal angle with passive knee extension - ')"][checkbox value="R normal|R ABNORMAL for hamstring tightness|L normal|L ABNORMAL for hamstring tightness"]
[/conditional][conditional field="MSKexamKneeSpecTests" condition="(MSKexamKneeSpecTests).is('--Special Tests:')"][checkbox name="MSKexamKneeSpecTests9999" value="---Obers test - "][/conditional][conditional field="MSKexamKneeSpecTests9999" condition="(MSKexamKneeSpecTests9999).is('---Obers test - ')"][checkbox value="R normal|R ABNORMAL for IT band tightness|L normal|L ABNORMAL for IT band tightness"]
[/conditional][conditional field="Q8" condition="(Q8).is('*R/L Knee')"]
[/conditional][checkbox name="Q9" value="*R/L Ankle/Foot"][conditional field="Q9" condition="(Q9).is('*R/L Ankle/Foot')"]
[checkbox name="MSKexamAnkleFootInspection" memo="*" value="--Inspection:"][/conditional][conditional field="MSKexamAnkleFootInspection" condition="(MSKexamAnkleFootInspection).is('--Inspection:')"] [checkbox name="MSKexamAnkleFootInspection1" value="no gross deformity/dislocation of ankles|no gross deformity/dislocation of feet|Normal height of plantar arches with weight bearing|HIGH plantar arches with weight bearing|LOW/REDUCED plantar arches with weight bearing|COMPLETE COLLAPSE of plantar arches with weight bearing|R ANKLE GROSS EFFUSION|R ANKLE ECCHYMOSIS|R FOOT GROSS EDEMA|R FOOT ECCHYMOSIS|R HALLUX VALGUS|L ANKLE GROSS EFFUSION|L ANKLE ECCHYMOSIS|L FOOT GROSS EDEMA|L FOOT ECCHYMOSIS|L HALLUX VALGUS"]
[/conditional][conditional field="Q9" condition="(Q9).is('*R/L Ankle/Foot')"][checkbox name="MSKexamAnkleFootPalpation" memo="*" value="--Palpation:"][/conditional][conditional field="MSKexamAnkleFootPalpation" condition="(MSKexamAnkleFootPalpation).is('--Palpation:')"] [checkbox name="MSKexamAnkleFootPalpation1" value="No tenderness to palpation of"][/conditional][conditional field="MSKexamAnkleFootPalpation1" condition="(MSKexamAnkleFootPalpation1).is('No tenderness to palpation of')"] [checkbox value="R proximal fibula|R distal fibula|R distal tibia/lateral malleolus|R medial malleolus|R anterior talofibular ligament (ATFL)|R posterior talofibular ligament (PTFL)|R calcaneal fibular ligament (CFL)|R deltoid ligament complex|R achilles tendon|R posterior calcaneus|R plantar fascia|R base of 5th metatarsal|R dorsal aspect of navicular bone|L proximal fibula|L distal fibula|L distal tibia/lateral malleolus|L medial malleolus|L anterior talofibular ligament (ATFL)|L posterior talofibular ligament (PTFL)|L calcaneal fibular ligament (CFL)|L deltoid ligament complex|L achilles tendon|L posterior calcaneus|L plantar fascia|L base of 5th metatarsal|L dorsal aspect of navicular bone"].[/conditional][conditional field="MSKexamAnkleFootPalpation" condition="(MSKexamAnkleFootPalpation).is('--Palpation:')"] [checkbox name="MSKexamAnkleFootPalpation2" value="**TTP of"][/conditional][conditional field="MSKexamAnkleFootPalpation2" condition="(MSKexamAnkleFootPalpation2).is('**TTP of')"] [checkbox value="R proximal fibula|R distal fibula|R distal tibia/lateral malleolus|R medial malleolus|R anterior talofibular ligament (ATFL)|R posterior talofibular ligament (PTFL)|R calcaneal fibular ligament (CFL)|R deltoid ligament complex|R achilles tendon|R posterior calcaneus|R plantar fascia|R base of 5th metatarsal|R dorsal aspect of navicular bone|L proximal fibula|L distal fibula|L distal tibia/lateral malleolus|L medial malleolus|L anterior talofibular ligament (ATFL)|L posterior talofibular ligament (PTFL)|L calcaneal fibular ligament (CFL)|L deltoid ligament complex|L achilles tendon|L posterior calcaneus|L plantar fascia|L base of 5th metatarsal|L dorsal aspect of navicular bone"]**[/conditional][conditional field="MSKexamAnkleFootPalpation" condition="(MSKexamAnkleFootPalpation).is('--Palpation:')"]
[/conditional][conditional field="Q9" condition="(Q9).is('*R/L Ankle/Foot')"][checkbox name="MSKexamAnkleFootROM" memo="*" value="--ROM:"][/conditional][conditional field="MSKexamAnkleFootROM" condition="(MSKexamAnkleFootROM).is('--ROM:')"] [checkbox name="MSKexamAnkleFootROM1" value="Not limited & not painful in"][/conditional][conditional field="MSKexamAnkleFootROM1" condition="(MSKexamAnkleFootROM1).is('Not limited & not painful in')"] [checkbox value="R ankle dorsiflexion|R ankle plantarflexion|R ankle inversion|R ankle eversion|R foot inversion|R foot eversion|R hallux flexion|R hallux extension|R flexion of lesser toes|R extension of lesser toes|L ankle dorsiflexion|L ankle plantarflexion|L ankle inversion|L ankle eversion|L foot inversion|L foot eversion|L hallux flexion|L hallux extension|L flexion of lesser toes|L extension of lesser toes"][/conditional][conditional field="MSKexamAnkleFootROM" condition="(MSKexamAnkleFootROM).is('--ROM:')"][checkbox name="MSKexamAnkleFootROM2" value="**LIMITED|**PAINFUL"][/conditional][conditional field="MSKexamAnkleFootROM2" condition="(MSKexamAnkleFootROM2).is('**LIMITED')||(MSKexamAnkleFootROM2).is('**PAINFUL')"] in [checkbox value="R ankle flexion|R ankle extension|R ankle inversion|R ankle eversion|R foot inversion|R foot eversion|R hallux flexion|R hallux extension|R flexion of lesser toes|R extension of lesser toes|L ankle flexion|L ankle extension|L ankle inversion|L ankle eversion|L foot inversion|L foot eversion|L hallux flexion|L hallux extension|L flexion of lesser toes|L extension of lesser toes"]**[/conditional][conditional field="MSKexamAnkleFootROM" condition="(MSKexamAnkleFootROM).is('--ROM:')"]
[/conditional][conditional field="Q9" condition="(Q9).is('*R/L Ankle/Foot')"][checkbox name="MSKexamAnkleFootSpecTests" memo="*" value="--Special Tests:"][/conditional][conditional field="MSKexamAnkleFootSpecTests" condition="(MSKexamAnkleFootSpecTests).is('--Special Tests:')"]
[checkbox name="MSKexamAnkleFootSpecTests1" value="---Talar Tilt- "][/conditional][conditional field="MSKexamAnkleFootSpecTests1" condition="(MSKexamAnkleFootSpecTests1).is('---Talar Tilt- ')"][checkbox value="R negative|R POSITIVE|L negative|L POSITIVE"]
[/conditional][conditional field="MSKexamAnkleFootSpecTests" condition="(MSKexamAnkleFootSpecTests).is('--Special Tests:')"][checkbox name="MSKexamAnkleFootSpecTests2" value="---Anterior Drawer - "][/conditional][conditional field="MSKexamAnkleFootSpecTests2" condition="(MSKexamAnkleFootSpecTests2).is('---Anterior Drawer - ')"][checkbox value="R negative|R POSITIVE|L negative|L POSITIVE"]
[/conditional][conditional field="MSKexamAnkleFootSpecTests" condition="(MSKexamAnkleFootSpecTests).is('--Special Tests:')"][checkbox name="MSKexamAnkleFootSpecTests3" value="---Posterior Drawer - "][/conditional][conditional field="MSKexamAnkleFootSpecTests3" condition="(MSKexamAnkleFootSpecTests3).is('---Posterior Drawer - ')"][checkbox value="R normal|R POSITIVE|L normal|L POSITIVE"]
[/conditional][conditional field="MSKexamAnkleFootSpecTests" condition="(MSKexamAnkleFootSpecTests).is('--Special Tests:')"][checkbox name="MSKexamAnkleFootSpecTests4" value="---Tib/Fib Squeeze test - "][/conditional][conditional field="MSKexamAnkleFootSpecTests4" condition="(MSKexamAnkleFootSpecTests4).is('---Tib/Fib Squeeze test - ')"][checkbox value="R normal|R POSITIVE|L normal|L POSITIVE"]
[/conditional][conditional field="MSKexamAnkleFootSpecTests" condition="(MSKexamAnkleFootSpecTests).is('--Special Tests:')"][checkbox name="MSKexamAnkleFootSpecTests5" value="---Ankle External Rotation Test (Syndesmotic Stress Test) - "][/conditional][conditional field="MSKexamAnkleFootSpecTests5" condition="(MSKexamAnkleFootSpecTests5).is('---Ankle External Rotation Test (Syndesmotic Stress Test) - ')"][checkbox value="R normal|R POSITIVE|L normal|L POSITIVE"]
[/conditional][conditional field="MSKexamAnkleFootSpecTests" condition="(MSKexamAnkleFootSpecTests).is('--Special Tests:')"][checkbox name="MSKexamAnkleFootSpecTests6" value="---Thompson Test (Achilles integrity) - "][/conditional][conditional field="MSKexamAnkleFootSpecTests6" condition="(MSKexamAnkleFootSpecTests6).is('---Thompson Test (Achilles integrity) - ')"][checkbox value="R normal|R POSITIVE|L normal|L POSITIVE"]
[/conditional][conditional field="Q9" condition="(Q9).is('*R/L Ankle/Foot')"]
[/conditional]--Add'l comments- [textarea default="none" rows="2"]
PHYSICAL EXAM
Brief non-MSK Exam * *-MSK: Select for location specific exam(s) --Add'l comments-

Result - Copy and paste this output:

One response to “PWF2b – MSK PE – Physician Workflow Part 2b”

  1. Sean Carroll says:

    Thank you for making your soap notes. I find them very helpful for use in the AHLTA free text boxes. Requests I have are, can you please capitalize the exam parts? Can you also place a space in between the dash and the exam part, use a colon after the exam part and put a space after the colon? For example, instead of “-Abd -” can you make it “- ABD: “? To me it makes it easier to read in AHLTA with the spacing and capitalization. Thank you for your consideration.

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