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Upper Extremity
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Shoulder
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Shoulder selection
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Location
• • •
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Location Comments
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Quality
• • •
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Quality Comments
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Exacerbating Factors
• • •
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Exacerbating Comments
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Alleviating Factors
• • •
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Alleviating Comments
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Severity
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Severity Comments
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Upper Arm
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Arm selection
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Location
• • •
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Location Comments
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Quality
• • •
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Quality Comments
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Exacerbating Factors
• • •
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Exacerbating Comments
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Alleviating Factors
• • •
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Alleviating Comments
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Severity
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Severity Comments
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Elbow
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Elbow selection
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Location
• • •
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Location Comments
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Quality
• • •
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Quality Comments
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Exacerbating Factors
• • •
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Exacerbating Comments
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Alleviating Factors
• • •
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Alleviating Comments
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Severity
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Severity Comments
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Forearm
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Forearm selection
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Location
• • •
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Location Comments
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Quality
• • •
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Quality Comments
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Exacerbating Factors
• • •
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Exacerbating Comments
|
|
Alleviating Factors
• • •
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Alleviating Comments
|
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Severity
|
Severity Comments
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Wrist
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Wrist selection
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Location
• • •
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Location Comments
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Quality
• • •
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Quality Comments
|
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Exacerbating Factors
• • •
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Exacerbating Comments
|
|
Alleviating Factors
• • •
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Alleviating Comments
|
|
Severity
|
Severity Comments
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Hand
|
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Hand selection
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Location
• • •
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Location Comments
|
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Quality
• • •
|
Quality Comments
|
|
Exacerbating Factors
• • •
|
Exacerbating Comments
|
|
Alleviating Factors
• • •
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Alleviating Comments
|
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Severity
|
Severity Comments
|
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Finger
|
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Finger selection
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Location
• • •
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Location Comments
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Quality
• • •
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Quality Comments
|
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Exacerbating Factors
• • •
|
Exacerbating Comments
|
|
Alleviating Factors
• • •
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Alleviating Comments
|
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Severity
|
Severity Comments
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Lower Extremity
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Hip
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Hip selection
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Location
• • •
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Location Comments
|
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Quality
• • •
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Quality Comments
|
|
Exacerbating Factors
• • •
|
Exacerbating Comments
|
|
Alleviating Factors
• • •
|
Alleviating Comments
|
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Severity
|
Severity Comments
|
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Thigh
|
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Thigh selection
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Location
• • •
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Location Comments
|
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Quality
• • •
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Quality Comments
|
|
Exacerbating Factors
• • •
|
Exacerbating Comments
|
|
Alleviating Factors
• • •
|
Alleviating Comments
|
|
Severity
|
Severity Comments
|
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Knee
|
|
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Knee selection
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Location
• • •
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Location Comments
|
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Quality
• • •
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Quality Comments
|
|
Exacerbating Factors
• • •
|
Exacerbating Comments
|
|
Alleviating Factors
• • •
|
Alleviating Comments
|
|
Severity
|
Severity Comments
|
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Lower Leg
|
|
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Lower leg selection
|
|
|
Location
• • •
|
Location Comments
|
|
Quality
• • •
|
Quality Comments
|
|
Exacerbating Factors
• • •
|
Exacerbating Comments
|
|
Alleviating Factors
• • •
|
Alleviating Comments
|
|
Severity
|
Severity Comments
|
|
Ankle/Foot
|
|
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Ankle/Foot selection
|
|
|
Location
• • •
|
Location Comments
|
|
Quality
• • •
|
Quality Comments
|
|
Exacerbating Factors
• • •
|
Exacerbating Comments
|
|
Alleviating Factors
• • •
|
Alleviating Comments
|
|
Severity
|
Severity Comments
|
|
Toe
|
|
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Toe selection
|
|
|
Location
• • •
|
Location Comments
|
|
Quality
• • •
|
Quality Comments
|
|
Exacerbating Factors
• • •
|
Exacerbating Comments
|
|
Alleviating Factors
• • •
|
Alleviating Comments
|
|
Severity
|
Severity Comments
|
|
Spine
|
|
|
Neck
|
|
|
Location
• • •
|
Location Comments
|
|
Quality
• • •
|
Quality Comments
|
|
Exacerbating Factors
• • •
|
Exacerbating Comments
|
|
Alleviating Factors
• • •
|
Alleviating Comments
|
|
Radiating
• • •
|
Radiating Comments
|
|
Severity
|
Severity Comments
|
|
Back pain
|
|
|
Location
• • •
|
Location Comments
|
|
Quality
• • •
|
Quality Comments
|
|
Exacerbating Factors
• • •
|
Exacerbating Comments
|
|
Alleviating Factors
• • •
|
Alleviating Comments
|
|
Radiating
• • •
|
Radiating Comments
|
|
Severity
|
Severity Comments
|
|
Lower Back
|
|
|
Location
• • •
|
Location Comments
|
|
Quality
• • •
|
Quality Comments
|
|
Exacerbating Factors
• • •
|
Exacerbating Comments
|
|
Alleviating Factors
• • •
|
Alleviating Comments
|
|
Radiating
• • •
|
Radiating Comments
|
|
Severity
|
Severity Comments
|
|
Leg pain/sciatica
|
|
|
Location
• • •
|
Location Comments
|
|
Quality
• • •
|
Quality Comments
|
|
Exacerbating Factors
• • •
|
Exacerbating Comments
|
|
Alleviating Factors
• • •
|
Alleviating Comments
|
|
Radiating
• • •
|
Radiating Comments
|
|
Severity
|
Severity Comments
|
|
Other
|
|
|
Body part
|
|
|
Location
• • •
|
Location Comments
|
|
Quality
• • •
|
Quality Comments
|
|
Exacerbating Factors
• • •
|
Exacerbating Comments
|
|
Alleviating Factors
• • •
|
Alleviating Comments
|
|
Severity
|
Severity Comments
|
