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Consultation
Posture
• • •
Cervical Spine Flexion
Pain with C/S Flexion?
Cervical Spine Extension
Pain with C/S Extension?
Cervical Spine Right Lat Flex
Pain with C/S Right Lat Flex?
Cervical Spine Left Lat Flex
Pain with C/S Left Lat Flex?
Cervical Spine Right Rotation
Pain with C/S Right Rotation?
Cervical Spine Left Rotation
Pain with C/S Left Rotation?
George's Maneuver Positive?
Maximum Cervical Compression
• • •
Shoulder Depression
• • •
Cervical Distraction Positive?
Additional C/S Testing
Left Deltoid Ms Test
Right Deltoid Ms Test
Biceps Reflex
• • •
Triceps Reflex
• • •
Lumbar Spine Flexion
Pain with L/S Flexion?
Lumbar Spine Extension
Pain with L/S Extension?
Lumbar Spine Right Lat Flex
Pain with L/S Right Lat Flex
Lumbar Spine Left Lat Flex
Pain with L/S Left Lat Flex?
Kemp's Test
• • •
Ely's Test
• • •
SLR
• • •
Additional L/S Testing
Left Psoas Ms Test
Right Psoas Ms Test
Patellar Reflex
• • •
Achilles Reflex
• • •
Additional Findings

CIHFC Physical Exam Medical Form

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Charge into Health Exam

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Published: April 29, 2013, 2:03 p.m.
Doctor: Dr. History Physical
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