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Body Diagram
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Cervical
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Adhesion sites/Tenderness notes
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Adhesion sites/Tenderness - Cervical
• • •
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Adhesion sites/Tenderness - Shoulder/Arm
• • •
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Adhesion sites/Tenderness - Forearm/Wrist
• • •
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Adhesion sites/Tenderness - Hand
• • •
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Adhesion sites/Tenderness Detail notes
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Cervical exam notes
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Cervical ROM
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Flex N:55
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Ext N:45
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LLF N:40
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RLF N:40
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LR N:70
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RR N:70
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Cervical ROM notes
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Cervical Ortho
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Upper cross
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Soto-Hall
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Foram compres L
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Foram compres R
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Shoulder depress L
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Shoulder depress R
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Bakody's sign L
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Bakody's sign R
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Upper limb tension test L
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Upper limb tension test R
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Eden's L
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Eden's R
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Adson's L
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Adson's R
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Wright's L
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Wright's R
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Cervical Ortho notes
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Cervical Ortho notes
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Shoulder
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Shoulder ROM
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Flex L N:180
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Flex R N:180
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Abd L N:180
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Abd R N:180
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ER L N:90
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ER R N:90
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IR L N:70
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IR R N:70
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Add L N:45
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Add R N:45
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Ext L N:60
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Ext R N:60
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Shoulder ROM notes
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Shoulder Ortho
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Scapulothoracic Rhythm L
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Scapulothoracic Rhythm R
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Appley 1 L
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Appley 1 R
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Appley 2 L
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Appley 2 R
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Appley 3 L
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Appley 3 R
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Neer's L
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Neer's R
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Hawkin L
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Hawkin R
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Speed's L
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Speed's R
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Ant stab L
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Ant stab R
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Crank L
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Crank R
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Suprasp L
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Suprasp R
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ER test L
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ER test R
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Serrates Ant L
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Serrates Ant R
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Shoulder Ortho notes
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Shoulder Ortho notes
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Elbow
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Elbow ROM
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Flex L N:150
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Flex R N:150
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Ext L N:0
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Ext R N:0
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Pron L N:80
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Pron R N:80
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Supn L N:80
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Supn R N:80
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Elbow ROM notes
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Elbow Ortho
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Valgus L
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Valgus R
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Varus L
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Varus R
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Mill's L
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Mill's R
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3rd fing ext L
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3rd fing ext R
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Cozen's L
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Cozen's R
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Elbow Ortho notes
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Elbow Ortho notes
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Wrist
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Wrist ROM
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Flex L N:80
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Flex R N:80
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Ext L N:70
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Ext R N:70
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Rad dev L N:20
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Rad dev R N:20
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Uln dev L N:30
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Uln dev R N:30
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Wrist ROM notes
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Wrist Ortho
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Durkan's L
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Durken's R
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Tinel's L
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Tinel's R
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Phalen's L
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Phalen's R
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Finkelstein L
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Finkelstein R
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Froment's L
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Froment's R
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Pinch grip L
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Pinch grip R
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Bunnell's L
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Bunnell's R
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Wrist Ortho notes
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Wrist Ortho notes
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Neurological Exam
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Cervical Neuro
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Cervial Neuro notes
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C5 S L
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S R
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M L
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M R
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DTR L
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DTR R
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C6 S L
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S R
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M L
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M R
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DTR L
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DTR R
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C7 S L
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S R
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M L
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M R
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DTR L
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DTR R
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C8 S L
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S R
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M L
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M R
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T1 S L
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S R
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M L
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M R
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Neuro notes
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Neuro notes
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Cranial Nerve
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Cranial Neuro notes
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Cranial Nerves: (II, III, IV, VI) - Normal
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If No - Cranial Nerves (II, III, IV, VI) abnormal findings
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Cranial Nerves (V) - Normal
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If No - Cranial Nerves (V) abnormal findings
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Cranial Nerves (VII) - Normal
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If No - Cranial Nerves (VII) abnormal findings
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Cranial Nerves (VIII) - Normal
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If No - Cranial Nerves (VIII) abnormal findings
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Cranial Nerves (IX, X) - Normal
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If No - Cranial Nerves (IX, X) abnormal findings
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Cranial Nerves (XI) - Normal
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If No - Cranial Nerves (XI) abnormal findings
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Cranial Nerves (XII) - Normal
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If No - Cranial Nerves (XII) abnormal findings
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Peripheral nerve entrapment
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Peripheral Nerve Entrapment notes
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STT
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Median
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Ulnar
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Radial
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Deep radial
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Supf radial
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Pulse Dx
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Pulse diagram
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(R) Cun:
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(R) Guan:
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(R) Chi:
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(L) Cun:
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(L) Guan:
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(L) Chi:
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Pulse (R)
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Pulse (L)
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