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Subjective
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Chief Complaint
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Duration
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Onset
• • •
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Course:
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Precipitating event
• • •
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static dyskinesia associated with the pain?
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Pain is
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a level Pain scale on the PAS with a
• • •
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Pain NWB is a Pain Scale on the PAS.
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having difficulty with shoe fit?
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Previous episode: Denies
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Previous episode:
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PMH:
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Objective
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Dorsalis pedis pulses are- Right
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left
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tibial pulses are graded at- right
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Left
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Digital hair growth is- Right
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Left
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CFT with the leg elevated- Right
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Left
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Evidence of ischemic skin changes?
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Temperature, Texture, Turgor is
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Rom of the motion- WNL
• • •
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Hammertoe
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No pain with palpation of the metatarsal heads
• • •
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with ROM of the MPJ's
• • •
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Pain with Palpation of met heads
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There is a
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which foot?
• • •
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negative Tinel's sign over
• • •
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Which Side
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Xray Report Starter
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Assessment:
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Assessment:
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Plan:
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Plan:
• • •
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Discussed with
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What was discussed?
• • •
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Pt wants to Proceed with Surgery
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Return appointment
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