Objective/Exam Elements
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[comment memo="MSK Exam Types - Neck/Shoulder/Elbow/Wrist/Upperback/Lowback/Hip/Knee/Ankle&Foot"]
[comment memo="Location-generic portion of exam"]
Gen: well-developed, well-nourished, No apparent distress
HEENT: NC/AT
Chest: equal rise/fall, no increased work of breathing
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"] [text size="50"]
[comment memo="Select for location specific exam"]
[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"][conditional field="Q1" condition="(Q1).is('Neck')"]
Inspection: [checkbox value="Neck supple, no gross thyromegaly|normal curvature|CURVATURE ABNORMALLY STRAIGHT|CURVATURE KYPHOTIC"]. [text size="40"]

Palpation:
-[select value="No tenderness|TENDERNESS"] to palpation of the [checkbox value="R paraspinals|L paraspinals|midline/spinous processes|R suboccipal area|L suboccipital area|trapezial ridge|levator scapula|rhomboids|R 1st rib|L 1st rib"].
-[select value="No step-offs noted|ABNORMAL STEP-OFF NOTED-"] [text size="40"]

ROM: Cervical [select value="Not limited & not painful|LIMITED and PAINFUL"] in [checkbox value="flexion|extension|right side-bend|left side-bend|right rotation|left rotation"]. [text size="40"]

Special tests:
-Spurling's test [select value="negative|R POSITIVE|L POSITIVE"].
[text size="50"][/conditional][conditional field="Q1" condition="(Q1).is('R/L Shoulder')"]
Inspection: [checkbox value="no deformity|normal fairly developed musculature without atrophy|MUSCLE ATROPHY|SAGGING|GROSS EDEMA"]. [text size="30"]

Palpation: [select value="no pain|PAIN"] with palpation of the [checkbox value="AC joint|subacromial area|bicipital groove|pectoralis tendon"].

ROM: [select value="No pain or limitation|PAIN & limitation of ROM"] in [checkbox value="scarf test|internal rotation|external rotation|abduction|flexion|extension"]

Special tests:
-Spurling's test [select value="negative b/l|R POSITIVE|L POSITIVE"].
-Neer's [select value="negative for pain|POSITIVE for pain"].
-Hawkins-Kennedy [select value="negative for pain|POSITIVE for pain"].
-Modified Yergason's [select value="negative for pain|positive for pain"].
-Empty Can test [select value="negative for pain/weakness|pain but no weakness|pain and weakness"].
-Resisted internal rotation [select value="did not elicit pain|ELICITED PAIN"].
-Resisted external rotation [select value="did not elicit pain|ELICITED PAIN"].
-Instability/labral tests (Apprehension/Sulcus sign/Mayo Sheer/O'Brien/Crank) were [select value="negative|POSITIVE"].
[text size="40"][/conditional][conditional field="Q1" condition="(Q1).is('R/L Elbow')"]
Inspection: [checkbox value="No gross deformity|EDEMA|EFFUSION|ECCHYMOSIS"]. [text size="30"]

Palpation: [select value="No tenderness|TENDERNESS"] to palpation over [checkbox value="olecranon|antecubital fossa|medial epicondyle|lateral epicondyle"]. [text size="40"]

ROM: [select value="Not limited & not painful|LIMITED and PAINFUL"] in [checkbox value="flexion|extension"]
[text size="50"][/conditional][conditional field="Q1" condition="(Q1).is('R/L Wrist')"]
Inspection: [select value="No gross deformity|GROSS DEFORMITY-"] [text size="30"]

Palpation: [select value="No tenderness|TENDERNESS"] to palpation over [checkbox value="dorsal aspect|volar aspect|medial aspect|lateral aspect"]. [text size="40"]

ROM: [select value="Not limited & not painful|LIMITED and PAINFUL"] in [checkbox value="flexion|extension|abduction/adduction"]. [text size="40"]

Special tests:
-Tinel's test [select value="negative|POSITIVE"]
-Phalen's test [select value="negative|POSITIVE"]
-Reverse phalen's test [select value="negative|POSITVE"]
-Finklestein's test [select value="negative|POSITVE"]
[text size="50"][/conditional][conditional field="Q1" condition="(Q1).is('Upper Back')"]
Inspection:
-[checkbox value="No gross deformity|LEFT-SIDED PARASPINAL MUSCLE SPASM|RIGHT-SIDED PARASPINAL MUSCLE SPASM|GROSS/EXCESS LATERAL SPINAL CURVATURE|R SCAPULAR WINGING|L SCAPULAR WINGING"]. [text size="30"]
-[checkbox value="No gait abnormalities|ANTALGIC GAIT|TRENDELENBURG GAIT"].

Palpation:
-[select value="No tenderness|TENDERNESS"] to palpation over [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"].
-[select value="No step-offs noted|ABNORMAL STEP-OFF NOTED-"] [text size="40"]

ROM: Thoracolumbar [select value="Not limited & not painful|LIMITED and PAINFUL"] in [checkbox value="flexion|extension|right side-bend|left side-bend|right rotation|left rotation"]. [text size="40"]

Special tests:
-Spurling's test [select value="negative b/l|R POSITIVE|L POSITIVE"].
-Axial compression test [select value="negative|POSITIVE"]
[text size="50"][/conditional][conditional field="Q1" condition="(Q1).is('Low Back')"]
Inspection:
-[checkbox value="No gross deformity|LEFT-SIDED PARASPINAL MUSCLE SPASM|RIGHT-SIDED PARASPINAL MUSCLE SPASM|GROSS/EXCESS LATERAL SPINAL CURVATURE"]. [text size="30"]
-[checkbox value="No gait abnormalities|ANTALGIC GAIT|TRENDELENBURG GAIT"]. [text size="40"]

Palpation:
-[select value="No tenderness|TENDERNESS"] to palpation over [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"].
-[select value="No step-offs noted|ABNORMAL STEP-OFF NOTED-"] [text size="40"]

ROM: Thoracolumbar [select value="Not limited & not painful|LIMITED and PAINFUL"] in [checkbox value="flexion|extension|right side-bend|left side-bend|right rotation|left rotation"]. [text size="40"]

Special tests:
-Axial compression test [select value="negative|POSITIVE"]
-Straight leg raise test [select value="negative|POSITIVE ON RIGHT|POSITIVE ON LEFT"]
-Duncan/Ely test [checkbox value="negative|POSITIVE ON R|POSITIVE ON L"] (for quad tightness)
-Thomas test [checkbox value="negative|POSITIVE R hip flexor tightness|POSITIVE L hip flexor tightness|POSITIVE for R quad tightness|POSITIVE for R quad tightness"].
-Popliteal angle with passive knee extension- [checkbox value="normal b/l|R ABNORMAL/suggesting hamstring tightness|L ABNORMAL/suggesting hamstring tightness"]
[text size="50"][/conditional][conditional field="Q1" condition="(Q1).is('R/L Hip')"]
Inspection:
-[checkbox value="No gross deformity|GROSS DEFORMITY"] - [text size="30"]
-[checkbox value="No gait abnormalities|ANTALGIC GAIT|TRENDELENBURG GAIT"]
[text size="40"]

Palpation: [select value="No tenderness|TENDERNESS"] to palpation over [checkbox value="Greater Trochanter/Bursa|Anterior Superior Iliac Spine|Ischial tuberosity|Iliac crest|Iliotibial band|Anterior Aspect of Hip/Acetabulum"].
[text size="40"]

ROM: [select value="Not limited & not painful|LIMITED and PAINFUL"] in [checkbox value="flexion|extension|abduction|adduction|internal rotation|external rotation"]
[text size="40"]

Special tests:
-FADIR test [select value="negative|POSITIVE"]
-FABER test [select value="negative|POSITIVE"]
-Log roll test [select value="negative|POSITIVE"]
-Thomas test [select value="negative|POSITIVE"]
-Ober's test [select value="negative|POSITIVE"]
[textarea]
[comment memo="Adapted from content on https://www.orthobullets.com"][/conditional][conditional field="Q1" condition="(Q1).is('R/L Knee')"]
Inspection:
-[checkbox value="No gross deformity|GROSS EFFUSION|ECCHYMOSIS|LATERALLY DISPLACED PATELLA"][text size="30"]
-[select value="No gait abnormalities|GAIT ABNORMALITIES"] - [checkbox value="VARUS THRUST|ANTALGIC|LATERAL PATELLAR TRACKING|FLEXED KNEE GAIT"]
[text size="40"]

Palpation:
-[select value="No tenderness|TENDERNESS"] to palpation over [checkbox value="Patellar tendon|Medial Joint Line|Lateral Joint Line|Pes Anserine Bursa|Quad tendon|IT Band|LCL Ligament|MCL Ligament|Popliteal Fossa"].
-[select value="No palpable baker's cyst|PALPABLE BAKER'S CYST"].
[text size="40"]

ROM: [select value="Not limited & not painful|LIMITED and PAINFUL"] in [checkbox value="flexion|extension|internal rotation|external rotation"]
[text size="40"]

Special tests:
-Patellar apprehenson test [select value="negative|POSITIVE"]
-Varus test [select value="negative|POSITIVE"]
-Valgus test [select value="negative|POSITIVE"]
-Lachman's test [select value="negative|POSITIVE"]
-Anterior drawer test [select value="negative|POSITIVE"]
-Posterior drawer test [select value="negative|POSITIVE"]
-McMurray's test [select value="negative|POSITIVE"]
-Thessaly test [select value="negative|POSITIVE"]
[text area][/conditional][conditional field="Q1" condition="(Q1).is('R/L Ankle/Foot')"]
Inspection:
-Ankle- [checkbox value="No gross deformity|GROSS EFFUSION|ECCHYMOSIS|GROSS DISLOCATION"][text size="30"]
-Foot- [checkbox value="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|Unable to assess d/t distracting pain"]
-[select value="No gait abnormalities|GAIT ABNORMALITIES-"] [checkbox value="ANTALGIC but able to bear weight|UNABLE TO WEIGHT BEAR ON AFFECTED ANKLE|UNABLE TO WEIGHT BEAR ON AFFECTED FOOT"]
[text size="40"]

Palpation:
-[select value="No tenderness|TENDERNESS"] to palpation over [checkbox value="distal fibula|anterior talofibular ligament (ATFL)|posterior talofibular ligament (PTFL)|calcaneal fibular ligament (CFL)|distal tibia/lateral malleolus|medial malleolus|deltoid ligament complex|base of 5th metatarsal|dorsal aspect of navicular bone|proximal fibula"].
[text size="40"]

ROM:
Ankle- [select value="Not limited & not painful|LIMITED and PAINFUL"] in [checkbox value="flexion|extension|ankle inversion|ankle everson"]
Foot- [select value="Not limited & not painful|LIMITED and PAINFUL"] in [checkbox value="hallux flexion|hallux extension|flexion of lesser toes|extension of lesser toes|foot inversion|foot everson"]
[text size="40"]

Special tests:
-Talar tilt test [select value="negative|POSITIVE"]
-Anterior drawer test [select value="negative|POSITIVE"]
-Squeeze test [select value="negative|POSITIVE"]
-Ankle External Rotation Test (Syndesmotic Stress Test) [select value="negative|POSITIVE"]
-Thompson test [select value="negative|POSITIVE"]
[text size="40"]
[comment memo="Adapted from content on https://fpnotebook.com/Ortho/Exam/AnklExm.htm"][/conditional]
MSK Exam Types - Neck/Shoulder/Elbow/Wrist/Upperback/Lowback/Hip/Knee/Ankle&Foot
Location-generic portion of exam
Gen: well-developed, well-nourished, No apparent distress
HEENT: NC/AT
Chest: equal rise/fall, no increased work of breathing
Neurovascular:
Select for location specific exam
Result - Copy and paste this output: