PHYSICAL EXAMINATION:
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General WNL
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MSK Spasm
• • •
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Lumbar Spine
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Lumbar WNL
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Lumbar Facet
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Right Radicular
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Right Radicular + Weakness (WC)
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Left Radicular
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Left Radicular + Weakness (WC)
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Lumbar Comment
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Cervical Spine
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Cervical WNL
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Cervical Facet
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Right C Radicular
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Right C Radicular + Weakness (WC)
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Left C Radicular
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Left C Radicular + Weakness (WC)
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Cervical Comment
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Shoulder
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Right Shoulder
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Left Shoulder
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Right Shoulder WNL
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Left Shoulder WNL
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Right Shoulder Pertinent Negatives
• • •
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Left Shoulder Pertinent Negatives
• • •
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Right Shoulder Pertinent Positives
• • •
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Left Shoulder Pertinent Positives
• • •
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Right Shoulder Comments
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Left Shoulder Comments
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Knee Exam
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Right Knee
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Left Knee
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Right Knee WNL
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Left Knee WNL
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Right Knee Negatives
• • •
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Left Knee Negatives
• • •
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Right Knee Positives
• • •
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Left Knee Positives
• • •
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Right Knee Comments
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Left Knee Comments
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Foot/Ankle
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Right Foot/Ankle
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Left Foot/Ankle
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Right Foot/Ankle WNL
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Left Foot/Ankle WNL
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Right Foot/Ankle Negatives
• • •
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Left Foot/Ankle Negatives
• • •
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Right Foot/Ankle Positives
• • •
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Left Foot/Ankle Positives
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Right Foot/Ankle Comment
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Left Foot/Ankle Comment
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Other Exams (Free Text)
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