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Physical Exam
Vascular
Dorsalis pedis pulses are- Right
left
tibial pulses are graded at- right
left
Digital hair growth is- Right
left
CFT with the leg elevated- Right
Left
Evidence of ischemic skin changes?
Note Ischemic Changes
Temperature, Texture, and Turgor
• • •
Edema
• • •
Vascular Free Text
Neurologic Exam
5.07 monofilament test displayed
For both feet?
• • •
Vibratory sensation is- left foot
Vibratory sensation is- right foot
Proprioception is
• • •
Neurological Free Text
Dermatologic Exam
Xerosis
Xerosis Location
Skin Thin and Tight?
Nail Changes
Thickened nails
• • •
Hyperkeratotic Lesions
Hyperkeratotic Lesion Location
Presence of Wound
Describe Wound
Varicosities
Varicosity Location
Fat Pad Atrophy
Dermatological Free Text
Musculoskeletal Exam
Gait
Foot Type
Dorsiflexion Muscle Strength
Plantarflexion Muscle Strength
Inversion Muscle Strength
Eversion Muscle Strength
1st MTPJ
• • •
Midtarsal Joint ROM
• • •
Subtalar Joint MTPJ
• • •
Ankle Joint ROM
• • •
Pain Upon Palpation?
Pain Location
Musculoskeletal Free Text

Achilles Tendonitis Exam (SYN) Medical Form

Podiatrist

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Published: Dec. 24, 2021, 4:05 p.m.
Doctor: Dr. History Physical
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