NEUROLOGICAL Physical Exam
NEUROLOGICAL: Gait: [select name="GAIT" value="steady coordinated gait|abnormal"][conditional field="GAIT" condition="(GAIT).is('abnormal')"][checkbox value="walks with assistance| chronic unsteady gait|an unsteady uncoordinated gait|a slow unsteady gait|walks on heels and toes with out problems|has difficulty with walking"][/conditional] [text] Cranial nerves: [select value="II-XII intact|abnormal"] [text] Sensation: [select value="intact and symmetric at upper and lower extremities bilaterally|abnormal"] [text] Strength: [select value="intact and symmetric at upper and lower extremities bilaterally|abnormal"] [text] Reflexes: [checkbox name="did not tolerate DTR testing" value="did not tolerate DTR testing"] [checkbox memo="Right Biceps" name="RB" value=""][conditional field="RB" condition="(RB).is('')"]Right Biceps: [select value="2+ (normal). |0 (absent). |1+ (hypoactive). |2+ (normal). |3+ (hyperactive without clonus). |4+ (hyperactive with clonus). "][/conditional][checkbox memo="Left Biceps" name="LB" value=""][conditional field="LB" condition="(LB).is('')"]Left Biceps: [select value="2+ (normal). |0 (absent). |1+ (hypoactive). |2+ (normal). |3+ (hyperactive without clonus). |4+ (hyperactive with clonus). "][/conditional][checkbox memo="Right Triceps" name="RT" value=""][conditional field="RT" condition="(RT).is('')"]Right Triceps: [select value="2+ (normal). |0 (absent). |1+ (hypoactive). |2+ (normal). |3+ (hyperactive without clonus). |4+ (hyperactive with clonus). "][/conditional][checkbox memo="Left Triceps" name="LT" value=""][conditional field="LT" condition="(LT).is('')"]Left Triceps: [select value="2+ (normal). |0 (absent). |1+ (hypoactive). |2+ (normal). |3+ (hyperactive without clonus). |4+ (hyperactive with clonus). "][/conditional][checkbox memo="Right Forearm" name="RF" value=""][conditional field="RF" condition="(RF).is('')"]Right Forearm: [select value="2+ (normal). |0 (absent). |1+ (hypoactive). |2+ (normal). |3+ (hyperactive without clonus). |4+ (hyperactive with clonus). "][/conditional][checkbox memo="Left Forearm" name="LF" value=""][conditional field="LF" condition="(LF).is('')"]Left Forearm: [select value="2+ (normal). |0 (absent). |1+ (hypoactive). |2+ (normal). |3+ (hyperactive without clonus). |4+ (hyperactive with clonus). "][/conditional][checkbox memo="Right Patella" name="RP" value=""][conditional field="RP" condition="(RP).is('')"]Right Patella: [select value="2+ (normal). |0 (absent). |1+ (hypoactive). |2+ (normal). |3+ (hyperactive without clonus). |4+ (hyperactive with clonus). "][/conditional][checkbox memo="Left Patella" name="LP" value=""][conditional field="LP" condition="(LP).is('')"]Left Patella: [select value="2+ (normal). |0 (absent). |1+ (hypoactive). |2+ (normal). |3+ (hyperactive without clonus). |4+ (hyperactive with clonus). "][/conditional][checkbox memo="Right Ankle" name="RA" value=""][conditional field="RA" condition="(RA).is('')"]Right Ankle: [select value="2+ (normal). |0 (absent). |1+ (hypoactive). |2+ (normal). |3+ (hyperactive without clonus). |4+ (hyperactive with clonus). "][/conditional][checkbox memo="Left Ankle" name="LA" value=""][conditional field="LA" condition="(LA).is('')"]Left Ankle: [select value="2+ (normal). |0 (absent). |1+ (hypoactive). |2+ (normal). |3+ (hyperactive without clonus). |4+ (hyperactive with clonus). "][/conditional] Rapid alternating movements: [select value="normal|abnormal"] [text] Rhomberg: [select value="negative|postive"] [text] Babinski: [select value="negative|postive"] [text] The following other neurologic findings were found: [textarea default=""]
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Sandbox Metrics: Structured Data Index 0.78, 48 form elements, 19 boilerplate words, 7 text boxes, 1 text areas, 12 checkboxes, 17 drop downs, 11 conditionals, 42 total clicks
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