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