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SUBJECTIVE
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Left/Right
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Pain
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Tendonitis
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Fracture
• • •
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Other
• • •
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Subjective comments
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SUBJECTIVE
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General [-]
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General [+]
• • •
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General Comments
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Quality of pain
• • •
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Duration of pain
• • •
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Periph. Vasc. [-]
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Periph. Vasc. [+]
• • •
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Periph. Vasc. Comments
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MSK [-]
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MSK [+]
• • •
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MSK Comments
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Neurologic [-]
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Neurologic [+]
• • •
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Neuro Comments
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