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Shoulder Exam – Detailed
Apr 4, 2011
•
Mark Morgan
categories:
Objective/Exam
Musculoskeletal & Rheumatology
Detailed shoulder exam (for New level 3 or established level 4)
Casual
Well
Disheveled
<– General appearance
Male
Female
<– Sex
None
Mild
Moderate
Severe
<– Distress level
x4
x3
x2
x1
x0
<– Alert and oriented
Vital signs (pulse, respirations, and blood pressure) were taken and placed in the confidential medical chart.
Left
Right
<-- Shoulder side
Deformity
Atrophy - mild
Atrophy - moderate
Atrophy - severe
Deformity and atrophy
<– Deformity/Atrophy
None
Diffusely
Specific Tenderness
<-- Tenderness to palpation
Range of Motion
Motor Strength
Normal reflex and sensation
Abnormal reflex/Normal Sensation
Normal reflex/Abnormal sensation
Abnormal reflex and sensation
<-- Neurological Exam
Vascular examination
Negative
Apprehensive
Sulcus
Drawer
<-- Stability test
Negative
Neer
Hawkins
Neer and Hawkins
<-- Impingement
Normal
erythema
ecchymosis
<-- Skin exam--inspection
Normal
Subcutaneous tenderness
<-- Skin exam--palpation subcutaneous
Additional notes
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