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Physical Assessment:
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Vital signs: as noted.
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Quick PE normals:
• • •
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General /Constitutional-select
• • •
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abnml free textGeneral /Constitutional
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HEENT-select
• • •
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HEENT Abnormal
• • •
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abnml freetextHEENT
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Neck-select
• • •
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Neck Abnormal
• • •
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comments
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Lungs select
• • •
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Lungs Abnormal
• • •
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Lungs Comments
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Cardiac/Vascular-select
• • •
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Cardiovascular Abnormal
• • •
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Cardiovascular Comments
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Breasts select
• • •
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Breasts Abnormal
• • •
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Breasts Comments
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Abdomen select
• • •
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Abdomen Abnormal
• • •
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Abdomen Comments
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GU-select
• • •
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abnml freetextGU
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Musculoskeletal-select
• • •
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Musculoskeletal Abnormal
• • •
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Comments Musculoskeletal
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lymph/edema-select
• • •
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Lymph Comments
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Skin-select
• • •
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abnml free textSkin
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select Psych
• • •
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Comment Psych
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select Neuro
• • •
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Neuro Abnormal
• • •
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Neurological Comments
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DM Foot Exam
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Detailed (Diabetic) Foot Exam
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Look at both feet
• • •
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Ask the patient:
• • •
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Dorsalis Pedis: Left
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Dorsalis Pedis: Right
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Posterior Tibial: Left
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Posterior Tibial: Right
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Left Monofilament
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Right Monofilament
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Left light touch sensation
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Right light touch sensation
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Left Vibratory sense
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Right Vibratory sense
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Diabetic foot complications (all that apply)
• • •
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Amputation: Date/side and level
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