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DOC Left Knee Exam
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***Overall Exam Comments***
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Exam Comments
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Imaging
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Any Images Ordered or Reviewed?
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Previous X-rays reviewed
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Knee X-Rays?
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Normal 2 view knee
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X-Ray Views
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Comparison
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Comparison Date and Comments
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Normal Findings
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Normal Comments
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Abnormal Findings
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Abnormal Comments
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Impression:
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Comments:
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Bilateral Knee X-Rays?
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Normal 2 view standing bilateral AP
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X-Ray Views
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Comparison
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Comparison Date and Comments
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Normal Findings
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Normal Comments
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Abnormal Findings
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Abnormal Comments
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Impression:
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Comments:
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Pelvis X-Rays?
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Normal AP pelvis
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X-Ray Views
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Comparison
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Comparison Date and Comments
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Normal Findings
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Normal Comments
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Abnormal Findings
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Abnormal Comments
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Impression:
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Comments:
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MRI Reviewed?
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MRI Review Comments:
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CT Reviewed?
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CT Review Comments
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Ultrasound
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Complete/Limited
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Normal knee US exam
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Normal US Findings
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Normal US Comments
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Abnormal US Findings
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Abnormal US Comments
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Impression:
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Ultrasound Comments:
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Dx and Pathways
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Diagnoses
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Pain
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Contusion
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Abrasion
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Effusion
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Hemarthrosis
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Internal Derangement
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Meniscus Tear
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Meniscus Tear
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Medial
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Lateral
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Plica Syndrome
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MCL Sprain
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MCL Sprain
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LCL Sprain
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LCL Sprain
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ACL Sprain
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ACL Sprain
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PCL Sprain
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PCL Sprain
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Patello-Femoral Syndrome
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PFS Ant/Knee Sprain
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Hamstring Strain
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Patella Tendinitis
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Patella Tendonitis
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Quadriceps Tendinitis
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Quad Tendonitis
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PES Bursitis
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PES Bursitis
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Pre-patellar Bursitis
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Pre-patellar Bursitis
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Septic Pre-patellar Bursitis
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Osgood-Shlatter
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Osgood-Shlatter
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Gout
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Gout/Septic Knee
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IT Band Syndrome
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IT Band Syndrome
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Baker's Cyst
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Baker's Cyst
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Arthritis
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DJD
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Primary Osteoarthritis
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Post Traumatic
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Septic
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Hip DJD
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Patella Subluxation
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Patella Dislocation
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Patella Tendon Rupture
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Knee OCD (osteochondral defect)
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Pseudogout
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Knee Laceration
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Without Foreign Body
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With Foreign Body
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Quadriceps Strain
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Patella Chondromalacia
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Loose body
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Fx and Pathways
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Fractures
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Proximal Tibia
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Tibial Spine
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Tibial Spine Fx
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Closed
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Open
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Nonunion
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Medial Tibial Plateau
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Closed
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Open
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Nonunion
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Lateral Tibial Plateau
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Closed
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Open
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Nonunion
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Bicondylar Tibial Plateau
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Closed
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Open
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Nonunion
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Tibial Tuberosity
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Closed
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Open
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Nonunion
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Maisonneuve
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Closed
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Open
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Nonunion
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Distal Femur
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Stress Fracture
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Lateral Femoral Condyle
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Closed
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Open
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Nonunion
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Medial Femoral Condyle
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Closed
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Open
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Nonunion
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Supracondylar w/o Intracondylar Extension
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Closed
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Open
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Nonunion
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Supracondylar With Intracondylar Extension
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Closed
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Open
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Nonunion
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Patella Fractures
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Longitudinal
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Closed
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Open
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Nonunion
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Transverse
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Closed
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Open
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Nonunion
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Comminuted
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Closed
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Open
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Nonunion
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