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SIDE
LEFT Knee
RIGHT Knee
Pain Diagram
OBSERVATION
Open OBSERVATION
Observation WNL
Bruising
[+] Bruising Comments
• • •
Swelling
[+] Swelling Comments
• • •
Redness
[+] Redness Comments
• • •
Atrophy
• • •
Aberrant Patellar Tracking
ABN Knee Posture
• • •
Observation Comments
RANGE OF MOTION
Open KNEE ROM EXAM
Knee ROM WNL
Flexion (150)
Flexion Symptoms
• • •
Extension (0)
Extension Symptoms
• • •
Internal Rotation (5)
IR Symptoms
• • •
External Rotation (5)
ER Symptoms
• • •
MOTOR FUNCTION
Open MOTOR FUNCTION
MMT WNL
Grade 5/5
• • •
Grade 4/5
• • •
Grade 3/5
• • •
Grade 2/5
• • •
Grade 1/5
• • •
Grade 0/5
• • •
PAIN with MMT
• • •
ORTHOPEDIC TESTS
Open ORTHOPEDIC TESTS
Patellar Apprehension
[+] Patellar Apprehension Test
• • •
Fouchet's Test
[+] Fouchet's Test
• • •
Clarke's Test
Bounce Home Test
[+] Bounce Home Test
• • •
Valgus Stress @ 0
[+] Valgus Stress @ 0
• • •
Valgus Stress @ 30
[+] Valgus Stress @ 30
• • •
Varus Stress @ 0
[+] Varus Stress @ 0
• • •
Varus Stress @ 30
[+] Varus Stress @ 30
• • •
Anterior Drawer
[+] Anterior Drawer
• • •
Posterior Drawer
[+] Posterior Drawer
• • •
Lachman's Test
[+] Lachman's Test
• • •
McMurray's Test
[+] McMurray's Test
• • •
Pivot Shift Test
[+] Pivot Shift Test
• • •
Hughston's Plica Test
Apley's Compression Test
Apley's Distraction Test
[+] Apley's Distraction Test
• • •
Hyperflexion Compression Test
[+] Hyperflexion Compression Test
• • •
Othopedic Tests Comments

CALLICO EXAM: Knee Medical Form

Family Practitioner

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Published: Sept. 6, 2019, 4:21 p.m.
Doctor: Dr. History Physical
Rating: +1   /

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