| 
               Lower extremity physical exam 
  
  
  
  
 | 
          
            
               | 
          
          
| 
               normal PE 
  
  
  
  
 | 
          
            
               General/Constitutional WNL 
  
  
  
  
 | 
          
          
| 
               Neuro WNL 
  
  
  
  
 | 
          
            
               Neuro Abnormal 
  
  
  • • •
  
 | 
          
          
| 
               | 
          
            
               Additional Comments: 
  
  
  
  
 | 
          
          
| 
               Vascular WNL 
  
  
  
  
 | 
          
            
               Vascular Abnormal 
  
  
  • • •
  
 | 
          
          
| 
               | 
          
            
               Vascular Comments 
  
  
  
  
 | 
          
          
| 
               Lymphatic WNL (popliteal nodes - ) 
  
  
  
  
 | 
          
            
               | 
          
          
| 
               Derm: WNL 
  
  
  
  
 | 
          
            
               | 
          
          
| 
               ingrown- no infection 
  
  
  • • •
  
 | 
          
            
               Onychomycosis 
  
  
  • • •
  
 | 
          
          
| 
               ingrown follow up 
  
  
  
  
 | 
          
            
               Calluses 
  
  
  • • •
  
 | 
          
          
| 
               Plantar verruca- laterality/location/size 
  
  
  
  
 | 
          
            
               | 
          
          
| 
               Derm Comments: 
  
  
  
  
 | 
          
            
               | 
          
          
| 
               | 
          
            
               onychomycosis 
  
  
  • • •
  
 | 
          
          
| 
               Gait/Biomechanical WNL 
  
  
  
  
 | 
          
            
               Gait Abnormal:  
  
  
  • • •
  
 | 
          
          
| 
               | 
          
            
               plantar fasciitis 
  
  
  
  
 | 
          
          
| 
               Orthopedic: WNL 
  
  
  
  
 | 
          
            
               Plantar fasciitis 
  
  
  
  
 | 
          
          
| 
               Additional Comments: 
  
  
  
  
 | 
          
            
               | 
          
          
| 
               mild ttp 
  
  
  
  
 | 
          
            
               | 
          
          
| 
               moderate ttp 
  
  
  
  
 | 
          
            
               severe ttp  
  
  
  
  
 | 
          
          
