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Body Diagram
Cervical
Adhesion sites/Tenderness notes
Adhesion sites/Tenderness - Cervical
• • •
Adhesion sites/Tenderness - Shoulder/Arm
• • •
Adhesion sites/Tenderness - Forearm/Wrist
• • •
Adhesion sites/Tenderness - Hand
• • •
Adhesion sites/Tenderness Detail notes
Cervical exam notes
Cervical ROM
Flex N:55
Ext N:45
LLF N:40
RLF N:40
LR N:70
RR N:70
Cervical ROM notes
Cervical Ortho
Upper cross
Soto-Hall
VAT Test (L) (Ext +RR+ RLF)
VAT Test (R) (Ext +LR+ LLF)
Foram compres L
Foram compres R
Shoulder depress L
Shoulder depress R
Bakody's sign L
Bakody's sign R
Upper limb (nerve) tension test L
• • •
Upper limb (nerve) tension test R
• • •
Eden's L
Eden's R
Adson's L
Adson's R
Wright's L
Wright's R
Cervical Ortho notes
Cervical Ortho notes
Shoulder
Shoulder ROM
Flex L N:180
Flex R N:180
Abd L N:180
Abd R N:180
ER L N:90
ER R N:90
IR L N:70
IR R N:70
Add L N:45
Add R N:45
Ext L N:60
Ext R N:60
Shoulder ROM notes
Shoulder Ortho
Scapulothoracic Rhythm L
Scapulothoracic Rhythm R
Appley 1 L
Appley 1 R
Appley 2 L
Appley 2 R
Appley 3 L
Appley 3 R
Neer's L
Neer's R
Hawkin L
Hawkin R
Speed's L
Speed's R
Ant stab L
Ant stab R
Crank L
Crank R
Suprasp L
Suprasp R
ER test L
ER test R
Serrates Ant L
Serrates Ant R
Shoulder Ortho notes
Shoulder Ortho notes
Elbow
Elbow ROM
Flex R N:150
Flex L N:150
Ext R N:0
Ext L N:0
Pron R N:80
Pron L N:80
Supn R N:80
Supn L N:80
Elbow ROM notes
Elbow Ortho
Valgus R
Valgus L
Varus R
Varus L
Mill's R
Mill's L
3rd digit ext R
3rd fing ext L
Cozen's R
Cozen's L
Elbow Ortho notes
Elbow Ortho notes
Wrist
Wrist ROM
Flex R N:80
Flex L N:80
Ext R N:70
Ext L N:70
Rad dev R N:20
Rad dev L N:20
Uln dev R N:30
Uln dev L N:30
Wrist ROM notes
Wrist Ortho
Durkan's R
Durken's L
Tinel's R
Tinel's L
Phalen's R
Phalen's L
Finkelstein R
Finkelstein L
Froment's R
Froment's L
Pinch grip R
Pinch grip L
Bunnell's R
Bunnell's L
Wrist Ortho notes
Wrist Ortho notes
Neurological Exam
Cervical Neuro
Cervial Neuro notes
C5 S L
S R
M (Biceps) L
M R
M (arm abduction) L
M R
DTR L
DTR R
C6 S L
S R
M (brachioradialis) L
M R
M (wrist extensors) L
M R
DTR L
DTR R
C7 S L
S R
M (Triceps) L
M R
M (wrist flexors) L
M R
DTR L
DTR R
C8 S L
S R
M (finger flexion) L
M R
T1 S L
S R
M (finger abd/add) L
M R
Neuro notes
Neuro notes
Cranial Nerve
Cranial Neuro notes
Cranial Nerves: (II, III, IV, VI) - Normal
If No - Cranial Nerves (II, III, IV, VI) abnormal findings
Cranial Nerves (V) - Normal
If No - Cranial Nerves (V) abnormal findings
Cranial Nerves (VII) - Normal
If No - Cranial Nerves (VII) abnormal findings
Cranial Nerves (VIII) - Normal
If No - Cranial Nerves (VIII) abnormal findings
Cranial Nerves (IX, X) - Normal
If No - Cranial Nerves (IX, X) abnormal findings
Cranial Nerves (XI) - Normal
If No - Cranial Nerves (XI) abnormal findings
Cranial Nerves (XII) - Normal
If No - Cranial Nerves (XII) abnormal findings
Peripheral nerve entrapment
Peripheral Nerve Entrapment notes
STT
Median
Ulnar
Radial
Deep radial
Supf radial
Pulse Dx
Pulse diagram
(R) Cun:
(R) Guan:
(R) Chi:
(L) Cun:
(L) Guan:
(L) Chi:
Pulse (R)
Pulse (L)
Pulse overall
Ren Ying vs Cun Kou Pulse Size
Cun Kou vs Ren Ying Pulse Size
"Zao" - Ren Ying Cun Kou Pulse
Meridian Dx from Ren Ying Cun Kou Pulse
Pulse notes

Cervical and Upper Extremity Exam Medical Form

Chiropractor

Action Performance Care

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Published: Sept. 22, 2023, 1:41 a.m.
Doctor: Dr. History Physical
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