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Subjective
CC of pain across the ball of the?
Duration
Onset
• • •
Course:
Precipitating event
• • •
Comments
static dyskinesia associated with the pain?
Pain is
a level Pain scale on the PAS with a
• • •
Pain NWB is a Pain Scale on the PAS.
Previous episode: Denies
Previous episode:
Previous treatment:
• • •
Comments
PMH:
Objective
Dorsalis pedis pulses are- Right
left
tibial pulses are graded at- right
Left
Digital hair growth is- Right
Left
CFT with the leg elevated- Right
Left
Evidence of ischemic skin changes?
Temperature, Texture, Turgor is
Rom of the motion- WNL
• • •
No pain with palpation of the metatarsal heads?
• • •
with ROM of the MPJ's?
• • •
Pain with Palpation of met heads
There is a
which foot?
• • •
negative Tinel's sign over
• • •
Which Side
no pain with palpation of the?
which foot?
Pain w Palp MET I/S
Mulder's sign was negative-right foot
metatarsal interspace left foot.
Mulder's Sign Positive
Please select
• • •
Assessment:
Please Select
• • •
Plan
Plan
• • •
Discussed with
What was discussed?
• • •
Recommendation for metatarsalgia was for
• • •
Diagnostic Block Neuroma
Orthotic Casting
Neuroma Pad RTO

Metatarsalgia IOV Medical Form

Podiatrist

Metatarsalgia IOV

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Published: Dec. 13, 2015, 2:55 p.m.
Doctor: Dr. History Physical
Rating: 0   /

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