Lower Limbs
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#Lower Limbs S: Subjective Presenting Complaint: Past History: O: Objective Examination: **abnormalities** Normal ranges are in [square brackets]. (-) Resting posture (-) Lacerations, abrasions (-) Ecchymoses (-) Amputation (-) Scars (-) Peripheral pulses (-) Skin colour and texture (-) Shoe wear pattern - abnormal and/or asymmetrical Leg lengths, measured between the ASIS and medial malleolus (cm): - Right: - Left: Circumferences (cm): - Right thigh: - Left thigh: - Right calf: - Left calf: Neurological examination: (-) Right (-) Left Right hip: (-) Deformity (-) Tenderness Active ranges of motion (degrees): (-) Flexion [>100] (-) Extension [>19]: (-) Internal rotation [>20] (-) External rotation [>30] (-) Abduction [>25] (-) Adduction [>15] Left hip: (-) Deformity (-) Tenderness Active ranges of motion (degrees): (-) Flexion [>100] (-) Extension [>19]: (-) Internal rotation [>20] (-) External rotation [>30] (-) Abduction [>25] (-) Adduction [>15] Right knee: (-) Alignment (-) Effusion (-) Heat (-) Ligaments (-) Crepitus (-) McMurray sign Active ranges of motion (degrees): (-) Flexion [>110] (-) Extension [0] Left knee: (-) Alignment (-) Effusion (-) Heat (-) Ligaments (-) Crepitus (-) McMurray sign Active ranges of motion (degrees): (-) Flexion [>110] (-) Extension [0] Right ankle and hind foot: (-) Deformity (-) Swelling (-) Bruising (-) Ligaments (-) Crepitus Active ranges of motion (degrees): (-) Plantar flexion [>20] (-) Extension [>10] (-) Inversion [>20] (-) Eversion [>10] Left ankle and hind foot: (-) Deformity (-) Swelling (-) Bruising (-) Ligaments (-) Crepitus Active ranges of motion (degrees): (-) Plantar flexion [>20] (-) Extension [>10] (-) Inversion [>20] (-) Eversion [>10] Investigation Results: A: Assessment Clinical Summary: Diagnosis / DDx: P: Plan Investigations: Treatment: Referrals: Patient Education / Home Care Advice: Review:
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