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Physical Exam
Right Knee
Left Knee
Alignment [-]
Alignment [+]
Skin [-]
Skin [+]
• • •
Effusion [-]
Effusion [+]
Baker's cyst [+]
Baker's cyst size
Synovial thickening [-]
Synovial thickening [+]
Tenderness [-]
Location of tenderness
• • •
Extension [-]
Extension [+]
• • •
Flexion [-]
Flexion [+]
• • •
Pain with ROM [-]
Pain with ROM [+]
• • •
Crepitus [-]
Crepitus [+]
• • •
McMurray's [-]
McMurray's [+]
• • •
Anterior Drawer [-]
Anterior Drawer [+]
Lachman test [-]
Lachman test [+]
• • •
Posterior sag [-]
Posterior sag [+]
Posterior drawer [-]
Posterior drawer [+]
Quad active test [-]
Quad active test [+]
MCL [-]
MCL [+]
• • •
LCL [-]
LCL [+]
• • •
Patellar grind [-]
Patellar grind [+]
Active extension
Active extension weakness
• • •
Apprehension sign [-]
Apprehension sign [+]
Motor exam [-]
Motor exam [+]
• • •
Sensory exam [-]
Sensory exam [+]
• • •
DTR [-]
DTR [+]
• • •
LE edema [-]
LE edema [+]
• • •
Exam comment
Office xray three views [-]
Office xray 2 views [-]
Office xrays 3 views [+]
• • •
Office xrays 2 views [+]
• • •
Office xrays comment
Outside xrays [+]
DOS
Outside xrays findings [+]
• • •
Outside xrays [-]
• • •
Xray comment
MRI
• • •
MRI DOS
MRI [-]
MRI [+]
MRI ligaments
• • •
MRI meniscus
• • •
MRI chondral
• • •
MRI contusion
• • •
MRI effusion
MRI fracture
• • •
MRI loose body
MRI Bakers cyst
MRI arthritis
• • •
MRI comment

Knee sports exam Medical Form

Orthopedic Surgeon

There are 34 copies in use.
Published: Oct. 30, 2013, 5:37 p.m.
Doctor: Dr. History Physical
Rating: 0   /

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