Objective/Exam Elements
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[comment memo="MSK Exam Types - Neck/Shoulder/Elbow/Wrist/Upperback/Lowback/Hip/Knee/Ankle&Foot"]PHYSICAL EXAM[checkbox name="nonMSKexam" memo="non-MSK exam portion" value=""][conditional field="nonMSKexam" condition="(nonMSKexam).is('')"]
[checkbox name="nonMSKGenexam" memo="*" value="-Gen:"][/conditional][conditional field="nonMSKGenexam" condition="(nonMSKGenexam).is('-Gen:')"] [text default="well-developed, well-nourished, no apparent distress" size="80"]
[/conditional][conditional field="nonMSKexam" condition="(nonMSKexam).is('')"][checkbox name="nonMSKHEENTexam" memo="*" value="-HEENT:"][/conditional][conditional field="nonMSKHEENTexam" condition="(nonMSKHEENTexam).is('-HEENT:')"] [text default="normocephalic, atraumatic, mucous membranes moist" size="80"]
[/conditional][conditional field="nonMSKexam" condition="(nonMSKexam).is('')"][checkbox name="nonMSKCHESTexam" memo="*" value="-Chest:"][/conditional][conditional field="nonMSKCHESTexam" condition="(nonMSKCHESTexam).is('-Chest:')"] [text default="equal rise/fall, no increased work of breathing" size="80"]
[/conditional][conditional field="nonMSKexam" condition="(nonMSKexam).is('')"][checkbox name="nonMSKSKINexam" memo="*" value="-Skin:"][/conditional][conditional field="nonMSKSKINexam" condition="(nonMSKSKINexam).is('-Skin:')"] [text default="warm, dry, intact" size="80"]
[/conditional][checkbox name="MSKNeurovascexam" memo="*" value="-Neurovascular:"][conditional field="MSKNeurovascexam" condition="(MSKNeurovascexam).is('-Neurovascular:')"] [checkbox name="MSKNeurovascexam1" value="no sign of compromised blood/nerve supply to affected/ipsilateral limb with testing of sensation/motor/reflexes|REDUCED SENSATION|MOTOR WEAKNESS|ABNORMAL REFLEXES"][/conditional][conditional field="MSKNeurovascexam1" condition="(MSKNeurovascexam1).is('REDUCED SENSATION')||(MSKNeurovascexam1).is('MOTOR WEAKNESS')||(MSKNeurovascexam1).is('ABNORMAL REFLEXES')"]. [textarea memo="description of deficits" memo_color="orange" memo_size="small" rows="2"][/conditional][conditional field="MSKNeurovascexam" condition="(MSKNeurovascexam).is('-Neurovascular:')"]
[/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|OTHER-"][/conditional][conditional field="MSKGaitexam2" condition="(MSKGaitexam2).is('OTHER-')"] [textarea memo="description of deficits" memo_color="orange" memo_size="small" rows="2"][/conditional][conditional field="MSKGaitexam" condition="(MSKGaitexam).is('-Gait:')"]
[/conditional][conditional field="Q1" condition="(Q1).isNot('')"]-MSK - [/conditional][select name="Q1" value="|Neck|Upper Back|Low Back|R/L Shoulder|R/L Elbow|R/L Wrist|R/L Hip|R/L Knee|R/L Ankle/Foot"][comment memo="Select for location specific exam" memo_size="small"][conditional field="Q1" condition="(Q1).is('Neck')"]
[checkbox name="MSKexamNeckInspection" memo="*" value="--Inspection:"][/conditional][conditional field="MSKexamNeckInspection" condition="(MSKexamNeckInspection).is('--Inspection:')"] [checkbox name="MSKexamNeckInspection1" value="Neck supple, no gross thyromegaly|normal curvature|CURVATURE ABNORMALLY STRAIGHT|CURVATURE KYPHOTIC"][/conditional][conditional field="MSKexamNeckInspection1" condition="(MSKexamNeckInspection1).is('CURVATURE ABNORMALLY STRAIGHT')||(MSKexamNeckInspection1).is('CURVATURE KYPHOTIC')"]. [textarea memo="description of abnormals" memo_color="orange" memo_size="small" rows="2"][/conditional][conditional field="MSKexamNeckInspection" condition="(MSKexamNeckInspection).is('--Inspection:')"]
[/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"][checkbox name="MSKexamNeckPalpation11" value=". other-"][/conditional][conditional field="MSKexamNeckPalpation11" condition="(MSKexamNeckPalpation11).is('. other-')"] [text size="80"][/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"]**[checkbox name="MSKexamNeckPalpation22" value="other-"][/conditional][conditional field="MSKexamNeckPalpation22" condition="(MSKexamNeckPalpation22).is('other-')"] [text size="80"][/conditional][conditional field="MSKexamNeckPalpation" condition="(MSKexamNeckPalpation).is('--Palpation:')"]
---[select name="MSKexamNeckPalpation3" value="No step-offs noted|ABNORMAL STEP-OFF NOTED-"][/conditional][conditional field="MSKexamNeckPalpation3" condition="(MSKexamNeckPalpation3).is('ABNORMAL STEP-OFF NOTED-')"] [text size="80"]
[/conditional][conditional field="MSKexamNeckPalpation" condition="(MSKexamNeckPalpation).is('--Palpation:')"]
[/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')"][checkbox name="MSKexamNeckfreetext" memo="additional comments" value=""][/conditional][conditional field="MSKexamNeckfreetext" condition="(MSKexamNeckfreetext).is('')"]---[textarea rows="2"]
[/conditional][conditional field="Q1" condition="(Q1).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|MUSCLE ATROPHY|SAGGING|EFFUSION|GROSS DEFORMITY|R SCAPULAR WINGING|L SCAPULAR WINGING"][/conditional][conditional field="MSKexamShoulderInspection1" condition="(MSKexamShoulderInspection1).is('MUSCLE ATROPHY')||(MSKexamShoulderInspection1).is('SAGGING')||(MSKexamShoulderInspection1).is('EFFUSION')||(MSKexamShoulderInspection1).is('GROSS DEFORMITY')||(MSKexamShoulderInspection1).is('R SCAPULAR WINGING')||(MSKexamShoulderInspection1).is('L SCAPULAR WINGING')"]. [textarea memo="description of abnormals" memo_color="orange" memo_size="small" rows="2"][/conditional][conditional field="MSKexamShoulderInspection" condition="(MSKexamShoulderInspection).is('--Inspection:')"]
[/conditional][conditional field="Q1" condition="(Q1).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"]**[checkbox name="MSKexamShoulderPalpation22" value=". other-"][/conditional][conditional field="MSKexamShoulderPalpation22" condition="(MSKexamShoulderPalpation22).is('. other-')"] [text size="80"][/conditional][conditional field="MSKexamShoulderPalpation" condition="(MSKexamShoulderPalpation).is('--Palpation:')"]
[/conditional][conditional field="Q1" condition="(Q1).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="Q1" condition="(Q1).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="Q1" condition="(Q1).is('R/L Shoulder')"][checkbox name="MSKexamShoulderfreetext" memo="additional comments" value=""][/conditional][conditional field="MSKexamShoulderfreetext" condition="(MSKexamShoulderfreetext).is('')"]---[textarea rows="2"]
[/conditional][conditional field="Q1" condition="(Q1).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="MSKexamElbowInspection1" condition="(MSKexamElbowInspection1).is('R ELBOW EDEMA')||(MSKexamElbowInspection1).is('R ELBOW EFFUSION')||(MSKexamElbowInspection1).is('R ELBOW ECCHYMOSIS')||(MSKexamElbowInspection1).is('L ELBOW EDEMA')||(MSKexamElbowInspection1).is('L ELBOW EFFUSION')||(MSKexamElbowInspection1).is('L ELBOW ECCHYMOSIS')"]. [textarea memo="description of abnormals" memo_color="orange" memo_size="small" cols="2"][/conditional][conditional field="MSKexamElbowInspection" condition="(MSKexamElbowInspection).is('--Inspection:')"]
[/conditional][conditional field="Q1" condition="(Q1).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"]**[checkbox name="MSKexamElbowPalpation22" value=". other-"][/conditional][conditional field="MSKexamElbowPalpation22" condition="(MSKexamElbowPalpation22).is('. other-')"] [text size="80"][/conditional][conditional field="MSKexamElbowPalpation2" condition="(MSKexamElbowPalpation2).is('**TTP of')"]
[/conditional][conditional field="Q1" condition="(Q1).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="Q1" condition="(Q1).is('R/L Elbow')"][checkbox name="MSKexamElbowfreetext" memo="additional comments" value=""][/conditional][conditional field="MSKexamElbowfreetext" condition="(MSKexamElbowfreetext).is('')"]---[textarea rows="2"]
[/conditional][conditional field="Q1" condition="(Q1).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="MSKexamWristInspection1" condition="(MSKexamWristInspection1).is('EDEMA')||(MSKexamWristInspection1).is('EFFUSION')||(MSKexamWristInspection1).is('ECCHYMOSIS')"]. [textarea memo="description of abnormals" memo_color="orange" memo_size="small" cols="2"][/conditional][conditional field="MSKexamWristInspection" condition="(MSKexamWristInspection).is('--Inspection:')"]
[/conditional][conditional field="Q1" condition="(Q1).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|L dorsal aspect|R volar aspect|L volar aspect|R medial aspect|L medial aspect|R lateral aspect|L lateral aspect|R snuffbox|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|L dorsal aspect|R volar aspect|L volar aspect|R medial aspect|L medial aspect|R lateral aspect|L lateral aspect|R snuffbox|L snuffbox"]**[checkbox name="MSKexamWristPalpation22" value=". other-"][/conditional][conditional field="MSKexamWristPalpation22" condition="(MSKexamWristPalpation22).is('. other-')"] [text size="80"][/conditional][conditional field="MSKexamWristPalpation2" condition="(MSKexamWristPalpation2).is('**TTP of')"]
[/conditional][conditional field="Q1" condition="(Q1).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|L flexion|R extension|L extension|R abduction|L abduction|R adduction|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|L flexion|R extension|L extension|R abduction|L abduction|R adduction|L adduction"]**
[/conditional][conditional field="Q1" condition="(Q1).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="Q1" condition="(Q1).is('R/L Wrist')"][checkbox name="MSKexamWristfreetext" memo="additional comments" value=""][/conditional][conditional field="MSKexamWristfreetext" condition="(MSKexamWristfreetext).is('')"]---[textarea rows="2"]
[/conditional][conditional field="Q1" condition="(Q1).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="MSKexamUpperBackInspection1" condition="(MSKexamUpperBackInspection1).is('R PARASPINAL MUSCLE SPASM')||(MSKexamUpperBackInspection1).is('L PARASPINAL MUSCLE SPASM')||(MSKexamUpperBackInspection1).is('GROSS/EXCESS LATERAL SPINAL CURVATURE')||(MSKexamUpperBackInspection1).is('ABNORMAL STRAIGHTENING OF T-SPINE')||(MSKexamUpperBackInspection1).is('KYPHOSIS')||(MSKexamUpperBackInspection1).is('R SCAPULAR WINGING')||(MSKexamUpperBackInspection1).is('L SCAPULAR WINGING')"]. [textarea memo="description of abnormals" memo_color="orange" memo_size="small" rows="2"][/conditional][conditional field="MSKexamUpperBackInspection" condition="(MSKexamUpperBackInspection).is('--Inspection:')"]
[/conditional][conditional field="Q1" condition="(Q1).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="R 1st rib|L 1st rib|R paraspinals|L paraspinals|midline/spinous processes|R upper trapezius|L upper trapezius|R lower trapezius|L lower trapezius|R levator scapula|L levator scapula|R rhomboids|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="R 1st rib|L 1st rib|R paraspinals|L paraspinals|midline/spinous processes|R upper trapezius|L upper trapezius|R lower trapezius|L lower trapezius|R levator scapula|L levator scapula|R rhomboids|L rhomboids"]** [checkbox name="MSKexamUpperBackPalpation22" value="other-"][/conditional][conditional field="MSKexamUpperBackPalpation22" condition="(MSKexamUpperBackPalpation22).is('other-')"] [text size="80"][/conditional][conditional field="MSKexamUpperBackPalpation" condition="(MSKexamUpperBackPalpation).is('--Palpation:')"]
---[select name="MSKexamUpperBackPalpation3" value="No step-offs noted|ABNORMAL STEP-OFF NOTED-"][/conditional][conditional field="MSKexamUpperBackPalpation3" condition="(MSKexamUpperBackPalpation3).is('ABNORMAL STEP-OFF NOTED-')"] [text size="80"]
[/conditional][conditional field="MSKexamUpperBackPalpation" condition="(MSKexamUpperBackPalpation).is('--Palpation:')"]
[/conditional][conditional field="Q1" condition="(Q1).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|L side-bend|R rotation|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|L side-bend|R rotation|L rotation"]**
[/conditional][conditional field="Q1" condition="(Q1).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="Q1" condition="(Q1).is('Upper Back')"][checkbox name="MSKexamUpperBackfreetext" memo="additional comments" value=""][/conditional][conditional field="MSKexamUpperBackfreetext" condition="(MSKexamUpperBackfreetext).is('')"]---[textarea rows="2"]
[/conditional][conditional field="Q1" condition="(Q1).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="MSKexamLowBackInspection1" condition="(MSKexamLowBackInspection1).is('R PARASPINAL MUSCLE SPASM')||(MSKexamLowBackInspection1).is('L PARASPINAL MUSCLE SPASM')||(MSKexamLowBackInspection1).is('GROSS/EXCESS LATERAL SPINAL CURVATURE')||(MSKexamLowBackInspection1).is('ABNORMAL STRAIGHTENING OF L-SPINE')||(MSKexamLowBackInspection1).is('KYPHOSIS')"]. [textarea memo="description of abnormals" memo_color="orange" memo_size="small" rows="2"][/conditional][conditional field="MSKexamLowBackInspection" condition="(MSKexamLowBackInspection).is('--Inspection:')"]
[/conditional][conditional field="Q1" condition="(Q1).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="R paraspinals|L paraspinals|midline/spinous processes|R quadratus lumborum|L quadratus lumborum|R sacral sulcus|L sacral sulcus|R piriformis|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="R paraspinals|L paraspinals|midline/spinous processes|R quadratus lumborum|L quadratus lumborum|R sacral sulcus|L sacral sulcus|R piriformis|L piriformis"]** [checkbox name="MSKexamLowBackPalpation22" value="other-"][/conditional][conditional field="MSKexamLowBackPalpation22" condition="(MSKexamLowBackPalpation22).is('other-')"] [text size="80"][/conditional][conditional field="MSKexamLowBackPalpation" condition="(MSKexamLowBackPalpation).is('--Palpation:')"]
---[select name="MSKexamLowBackPalpation3" value="No step-offs noted|ABNORMAL STEP-OFF NOTED-"][/conditional][conditional field="MSKexamLowBackPalpation3" condition="(MSKexamLowBackPalpation3).is('ABNORMAL STEP-OFF NOTED-')"] [text size="80"]
[/conditional][conditional field="MSKexamLowBackPalpation" condition="(MSKexamLowBackPalpation).is('--Palpation:')"]
[/conditional][conditional field="Q1" condition="(Q1).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|L side-bend|R rotation|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|L side-bend|R rotation|L rotation"]**
[/conditional][conditional field="Q1" condition="(Q1).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|L negative|R POSITIVE|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|L negative|R POSITIVE|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|L negative|R POSITIVE for hip flexor tightness|L POSITIVE for hip flexor tightness|R POSITIVE for quad 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|L normal|R ABNORMAL for hamstring tightness|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|L normal|R ABNORMAL for IT band tightness|L ABNORMAL for IT band tightness"]
[/conditional][conditional field="Q1" condition="(Q1).is('Low Back')"][checkbox name="MSKexamLowBackfreetext" memo="additional comments" value=""][/conditional][conditional field="MSKexamLowBackfreetext" condition="(MSKexamLowBackfreetext).is('')"]---[textarea rows="2"]
[/conditional][conditional field="Q1" condition="(Q1).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="MSKexamHipInspection1" condition="(MSKexamHipInspection1).is('GROSS DEFORMITY')"]. [textarea memo="description of abnormals" memo_color="orange" memo_size="small" rows="2"][/conditional][conditional field="MSKexamHipInspection" condition="(MSKexamHipInspection).is('--Inspection:')"]
[/conditional][conditional field="Q1" condition="(Q1).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|L greater trochanter/bursa|R anterior superior iliac spine|L anterior superior iliac spine|R ischial tuberosity|L ischial tuberosity|R Iliac crest|L Iliac crest|R IT band|L IT band|R anterior aspect of hip/acetabulum|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|L greater trochanter/bursa|R anterior superior iliac spine|L anterior superior iliac spine|R ischial tuberosity|L ischial tuberosity|R Iliac crest|L Iliac crest|R IT band|L IT band|R anterior aspect of hip/acetabulum|L anterior aspect of hip/acetabulum"]** [checkbox name="MSKexamHipPalpation22" value="other-"][/conditional][conditional field="MSKexamHipPalpation22" condition="(MSKexamHipPalpation22).is('other-')"] [text size="80"][/conditional][conditional field="MSKexamHipPalpation" condition="(MSKexamHipPalpation).is('--Palpation:')"]
[/conditional][conditional field="Q1" condition="(Q1).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|L flexion|R extension|L extension|R internal rotation|L internal rotation|R external rotation|L external rotation|R abduction|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|L flexion|R extension|L extension|R internal rotation|L internal rotation|R external rotation|L external rotation|R abduction|L abduction"]**
[/conditional][conditional field="Q1" condition="(Q1).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|L negative|R POSITIVE|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|L negative|R POSITIVE|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|L negative|R POSITIVE|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|L negative|R POSITIVE|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|L negative|R POSITIVE for hip flexor tightness|L POSITIVE for hip flexor tightness|R POSITIVE for quad 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|L normal|R ABNORMAL for IT band tightness|L ABNORMAL for IT band tightness"]
[/conditional][conditional field="Q1" condition="(Q1).is('R/L Hip')"][checkbox name="MSKexamHipfreetext" memo="additional comments" value=""][/conditional][conditional field="MSKexamHipfreetext" condition="(MSKexamHipfreetext).is('')"]---[textarea rows="2"]
[/conditional][conditional field="Q1" condition="(Q1).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|L GROSS EFFUSION|R ECCHYMOSIS|L ECCHYMOSIS|R LATERALLY DISPLACED PATELLA|R LATERALLY DISPLACED PATELLA"][/conditional][conditional field="MSKexamKneeInspection1" condition="(MSKexamKneeInspection1).is('R GROSS EFFUSION')||(MSKexamKneeInspection1).is('L GROSS EFFUSION')||(MSKexamKneeInspection1).is('R ECCHYMOSIS')||(MSKexamKneeInspection1).is('L ECCHYMOSIS')||(MSKexamKneeInspection1).is('R LATERALLY DISPLACED PATELLA')||(MSKexamKneeInspection1).is('L LATERALLY DISPLACED PATELLA')"]. [textarea memo="description of abnormals" memo_color="orange" memo_size="small" rows="2"][/conditional][conditional field="MSKexamHipInspection" condition="(MSKexamHipInspection).is('--Inspection:')"]
[/conditional][conditional field="Q1" condition="(Q1).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|L Quad tendon|R Patella|L Patella|R Patellar tendon|L Patellar tendon|R Medial Joint Line|L Medial Joint Line|R Lateral Joint Line|L Lateral Joint Line|R Pes Anserine Bursa|L Pes Anserine Bursa|R IT Band|L IT Band|R LCL Ligament|L LCL Ligament|R MCL Ligament|L MCL Ligament|R Popliteal Fossa|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|L Quad tendon|R Patella|L Patella|R Patellar tendon|L Patellar tendon|R Medial Joint Line|L Medial Joint Line|R Lateral Joint Line|L Lateral Joint Line|R Pes Anserine Bursa|L Pes Anserine Bursa|R IT Band|L IT Band|R LCL Ligament|L LCL Ligament|R MCL Ligament|L MCL Ligament|R Popliteal Fossa|L Popliteal Fossa"]** [checkbox name="MSKexamKneePalpation22" value="other-"][/conditional][conditional field="MSKexamKneePalpation22" condition="(MSKexamKneePalpation22).is('other-')"] [text size="80"][/conditional][conditional field="MSKexamKneePalpation" condition="(MSKexamKneePalpation).is('--Palpation:')"]. [select value="No palpable baker's cyst|PALPABLE BAKER'S CYST"]
[/conditional][conditional field="Q1" condition="(Q1).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|L flexion|R extension|L extension|R internal rotation|L internal rotation|R external 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|L flexion|R extension|L extension|R internal rotation|L internal rotation|R external rotation|L external rotation"]**
[/conditional][conditional field="Q1" condition="(Q1).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|L negative|R POSITIVE for hip flexor tightness|L POSITIVE for hip flexor tightness|R POSITIVE for quad 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|L normal|R ABNORMAL for hamstring tightness|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|L normal|R ABNORMAL for IT band tightness|L ABNORMAL for IT band tightness"]
[/conditional][conditional field="Q1" condition="(Q1).is('R/L Knee')"][checkbox name="MSKexamKneefreetext" memo="additional comments" value=""][/conditional][conditional field="MSKexamKneefreetext" condition="(MSKexamKneefreetext).is('')"]---[textarea rows="2"]
[/conditional][conditional field="Q1" condition="(Q1).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 ARCHES with weight bearing|REDUCED PLANTAR ARCH HEIGHTS with weight bearing|COMPLETE COLLAPSE OF PLANTAR ARCHES with weight bearing|R HALLUX VALGUS|L HALLUX VALGUS|R ANKLE GROSS EFFUSION|R ANKLE ECCHYMOSIS|L ANKLE GROSS EFFUSION|L ANKLE ECCHYMOSIS|R FOOT GROSS EDEMA|R FOOT ECCHYMOSIS|L FOOT GROSS EDEMA|L FOOT ECCHYMOSIS|Unable to assess d/t distracting pain"][/conditional][conditional field="MSKexamAnkleFootInspection1" condition="(MSKexamAnkleFootInspection1).is('R ANKLE GROSS EFFUSION')||(MSKexamAnkleFootInspection1).is('R ANKLE ECCHYMOSIS')||(MSKexamAnkleFootInspection1).is('L ANKLE GROSS EFFUSION')||(MSKexamAnkleFootInspection1).is('L ANKLE ECCHYMOSIS')||(MSKexamAnkleFootInspection1).is('R FOOT GROSS EDEMA')||(MSKexamAnkleFootInspection1).is('R FOOT ECCHYMOSIS')||(MSKexamAnkleFootInspection1).is('L FOOT GROSS EDEMA')||(MSKexamAnkleFootInspection1).is('L FOOT ECCHYMOSIS')"]. [textarea memo="description of abnormals" memo_color="orange" memo_size="small" rows="2"][/conditional][conditional field="MSKexamAnkleFootInspection" condition="(MSKexamAnkleFootInspection).is('--Inspection:')"]
[/conditional][conditional field="Q1" condition="(Q1).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 anterior talofibular ligament (ATFL)|R posterior talofibular ligament (PTFL)|R calcaneal fibular ligament (CFL)|R distal tibia/lateral malleolus|R medial malleolus|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 anterior talofibular ligament (ATFL)|L posterior talofibular ligament (PTFL)|L calcaneal fibular ligament (CFL)|L distal tibia/lateral malleolus|L medial malleolus|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 anterior talofibular ligament (ATFL)|R posterior talofibular ligament (PTFL)|R calcaneal fibular ligament (CFL)|R distal tibia/lateral malleolus|R medial malleolus|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 anterior talofibular ligament (ATFL)|L posterior talofibular ligament (PTFL)|L calcaneal fibular ligament (CFL)|L distal tibia/lateral malleolus|L medial malleolus|L deltoid ligament complex|L achilles tendon|L posterior calcaneus|L plantar fascia|L base of 5th metatarsal|L dorsal aspect of navicular bone"]** [checkbox name="MSKexamAnkleFootPalpation22" value="other-"][/conditional][conditional field="MSKexamAnkleFootPalpation22" condition="(MSKexamAnkleFootPalpation22).is('other-')"] [text size="80"][/conditional][conditional field="MSKexamAnkleFootPalpation" condition="(MSKexamAnkleFootPalpation).is('--Palpation:')"]
[/conditional][conditional field="Q1" condition="(Q1).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 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:')"][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="Q1" condition="(Q1).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|L negative|R POSITIVE|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|L negative|R POSITIVE|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|L normal|R POSITIVE|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|L normal|R POSITIVE|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|L normal|R POSITIVE|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|L normal|R POSITIVE|L POSITIVE"]
[/conditional][conditional field="Q1" condition="(Q1).is('R/L Ankle/Foot')"][checkbox name="MSKexamAnkleFootfreetext" memo="additional comments" value=""][/conditional][conditional field="MSKexamAnkleFootfreetext" condition="(MSKexamAnkleFootfreetext).is('')"]---[textarea rows="2"][/conditional]
[comment memo_size="small" memo="Adapted from content on https://fpnotebook.com/Ortho/Exam/AnklExm.htm"]
MSK Exam Types - Neck/Shoulder/Elbow/Wrist/Upperback/Lowback/Hip/Knee/Ankle&FootPHYSICAL EXAM non-MSK exam portion * *Select for location specific exam
Adapted from content on https://fpnotebook.com/Ortho/Exam/AnklExm.htm

Result - Copy and paste this output: