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DOC Left Hand/Wrist Exam
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Inspection (swelling, erythema, ecchymosis, warmth, wounds, deformity)
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Inspection Abnormal?
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Inspection ALL NORMAL?
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Swelling?
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Ecchymosis?
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Erythema?
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Increased Warmth?
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Masses?
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Open Wounds?
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Deformity?
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Inspection Comments
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Tenderness (dist rad/ulna, snuffbx,TFCC, digits)
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Tenderness Abnormal?
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Tenderness ALL NORMAL?
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Distal Radius?
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Distal Ulna?
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Snuffbox?
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TFCC?
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Thumb?
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Index?
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Middle?
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Ring?
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Small?
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Tenderness Comments
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Range of Motion (wrist, ltd pro/sup, ltd digits)
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ROM Abnormal?
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ROM ALL NORMAL?
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Limited Wrist ROM?
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Limited Pronation?
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Limited Supination?
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Limited Thumb?
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Limited Index?
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Limited Middle?
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Limited Ring?
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Limited Small?
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ROM Comments
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Strength (grip, wrist, intrinsic, pro/sup)
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Strength Abnormal?
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Strength ALL NORMAL?
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Decreased Grip Strength?
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Decreased Wrist Strength?
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Decreased Intrinsic Strength?
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Decreased Pronation Strength?
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Decreased Supination Strength?
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Strength Comments
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Neurologic (med, rad, ulnar, axil sensation and motor)
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Neurologic Abnormal?
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Neurologic ALL NORMAL?
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Decreased Median Nerve Sensation?
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Comments
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Decreased Median Nerve Motor Function?
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Comments
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Decreased Radial Nerve Sensation?
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Comments
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Decreased Radial Nerve Motor Function?
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Comments
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Decreased Ulnar Nerve Sensation?
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Comments
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Decreased Ulnar Nerve Motor Function?
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Comments
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Neurologic Comments
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Vascular
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Radial Pulse Palpable?
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Vascular Comments
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Imaging and Labs
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Wrist X-Ray?
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X-Ray Views
• • •
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Comparison
• • •
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Comparison Date and Comments
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Normal Findings
• • •
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Normal Comments
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Abnormal Findings
• • •
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Abnormal Comments
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Impression:
• • •
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Comments:
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Hand X-Ray?
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X-Ray Views
• • •
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Comparison
• • •
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Comparison Date and Comments
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Normal Findings
• • •
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Normal Comments
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Abnormal Findings
• • •
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Abnormal Comments
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Impression:
• • •
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Comments:
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Forearm X-Ray?
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X-Ray Views
• • •
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Comparison
• • •
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Comparison Date and Comments
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Normal Findings
• • •
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Normal Comments
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Abnormal Findings
• • •
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Abnormal Comments
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Impression:
• • •
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Comments:
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Finger X-Ray?
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X-Ray Views
• • •
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Comparison
• • •
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Comparison Date and Comments
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Normal Findings
• • •
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Normal Comments
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Abnormal Findings
• • •
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Abnormal Comments
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Impression:
• • •
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Comments:
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Ultrasound Utilized?
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Ultrasound Comments:
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