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Office Location
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EXAM TYPE
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What kind of accident?
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End time of exam
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New Field
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General Statements
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Start time of exam
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Comments on general findings
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Time spent in review of records
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Comments on head
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Opening statement/handedness
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Comments on eye
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Head findings
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Comments on ear
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Eye findings
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Comments on nose
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Ear findings
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Comments on oropharynx
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Nose findings
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Comments on neck
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Oropharynx findings
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Comments on cardiovascular
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Neck Soft Tissue Findings
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Comments on pulmonary
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Cardiovascular findings
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Comments on abdomen
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Pulmonary
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Comments on male GU
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Abdominal findings
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Comments on female GU
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Male GU
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Comments on skin
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Female GU
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NORMAL EXAM C-SPINE
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Skin findings
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C-SPINE ROM CHANGE
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C-SPINE FINDINGS ON
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C-SPINE FINGER SPREAD
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C-SPINE ROM
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C-SPINE WRIST EXTENSION (RADIAL N)
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C-SPINE MUSCLE PALPATION
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C-SPINE REFLEXES
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C-SPINE THUMB EXTENSION (radial n.)
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COMMENTS RE: C-SPINE EXAM
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C-SPINE WRIST FLEXION (M&U NERVE)
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SHOULDER ROM CHANGE
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C-SPINE GRIP
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Site of clavicular tenderness
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ROM MEASUREMENTS C-SPINE:
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STERNO-CLAVICULAR JOINT
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Shoulder NO is NOrmal:
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ACROMIO-CLAVICULAR JOINT
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SHOULDER ROM
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TRAP MUSCLE PAIN AREA
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CLAVICULAR TENDERNESS?
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POST. SHOULDER
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Sterno-clavicular joint pain
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SHOULDER ATROPHY
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ACROMIO-CLAVICULAR JOINT
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Drop arm
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TRAPEZIUS MUSCLE PAIN?
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Cross-Arm
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POST.SHOULDER EXAM NO=NORMAL
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Painful Arc
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SHOULDER MUSCLE ATROPHY
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Hawkin's test
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Apley Scratch
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Yergason Test
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Neer's Test
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Spurling's Test
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Patte/Hornblower's Test
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ELBOW ROM
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Lift off test
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BICEPS
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Apprehension Test
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MEDIAL HUMERAL EPICONDYLE
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Speed's Maneuver
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RADIAL HEAD
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FREE WRITE SHOULDER
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NEUROVASCULAR
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Elbow NO is NOrmal:
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SITE SWELLING W/H/F
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SITE MAX ELBOW PAIN
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SITE ECCHYMOSIS W/H/F
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ELBOW ROM CHANGE
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TINEL'S SIGN
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TRICEPS
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ELBOW TINEL
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LATERAL HUMERAL EPICONDYLE
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ROM FINGERS
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OLECRANON
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RADIAL DEVIATION
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COMMENTS RE: ELBOW EXAM
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ROM HIPS
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W/H/F NO is NOrmal:
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PAIN/TENDERNESS THIGHS
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SWELLING W/H/F
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PELVIS LEVEL
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ECCHYMOSIS W/H/F
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LEFT SLR SITTING
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NEUROVASCULAR W/H/F
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DORSIFLEXION LEFT
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PHALEN
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MUSCLE STRENGTH DECREASED
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ROM WRIST
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DECREASED SENSATION LEGS
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ULNAR DEVIATION
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LEFT KNEE REFLEXES DECREASED?
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COMMENTS RE: W/H/F EXAM
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LEFT KNEE REFLEXES INCREASED?
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HIPS
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LEFT ANKLE REFLEXES DECREASED?
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PAIN/TENDERNESS HIPS
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LEFT ANKLE REFLEXES INCREASED?
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COMMENTS RE: HIPS
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PALPATION LOWER BACK
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L & T SPINE FINDINGS ON
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STANDING ALIGNMENT KNEES
• • •
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LEGS EQUAL LENGTH
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PATELLA
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RIGHT SLR SITTING
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POPLITEAL FOSSA
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DORSIFLEXION RIGHT
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LATERAL COLLATERAL LIGAMENT
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SLR WITH DIVERSION
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VARUS STRESS
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MUSCLE STRENGTH NORMAL
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POSTERIOR DRAWER SIGN
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SENSATION NORMAL
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ROM KNEE
• • •
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RIGHT KNEE REFLEXES DECREASED?
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McMURRAY EXAM
• • •
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RIGHT KNEE REFLEXES INCREASED
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SENSATION NORMAL?
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RIGHT ANKLE REFLEXES DECREASED?
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COMMENTS RE: KNEE EXAM
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RIGHT ANKLE REFLEXES INCREASED?
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ECCHYMOSIS A/F
• • •
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FLEX-ABDUCTION/EXT ROTATION HIPS
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TENDERNESS A/F
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COMMENTS RE: LUMBAR EXAM
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COMMENTS RE: A/F EXAM
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Knee NO is NOrmal:
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OBJECTIVE COMMENTS
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LEG LENGTHS EQUAL?
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OBJECTIVE COMMENTS
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SWELLING KNEE
• • •
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OBJECTIVE COMMENTS
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QUADS
• • •
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EXAM TYPE
• • •
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MEDIAL COLLATERAL LIGAMENT
• • •
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VALGUS STRESS
• • •
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ANTERIOR DRAWER SIGN
• • •
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TIBIAL TUBERCLE
• • •
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LACHMAN TEST KNEE
• • •
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JOINT LINE TENDERNESS
• • •
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APPEARANCE KNEE
• • •
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A/F NO is NOrmal:
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SWELLING/APPEARANCE A/F
• • •
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ROM A/F
• • •
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ACHILLES TENDON
• • •
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OBJECTIVE COMMENTS
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OBJECTIVE COMMENTS
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OBJECTIVE COMMENTS
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OBJECTIVE COMMENTS
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Office Location
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What kind of accident?
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New Field
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