CLINIBORG
Home
Contents
Recent
Privacy Policy
Terms
About
Lumbosacral Spine Examination Detailed
Apr 11, 2011
•
Mark Morgan
categories:
Objective/Exam
Lumbosacral Spine Examination (Detailed)
Detailed back examination (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.
None
Hyperlordotic
Flattened
<-- Lordosis
No
Yes
<-- Deformity
Skin inspection
Tenderness to palpation
Spasm/Guarding
Range of motion
Negative
Positive
Contralateral Positive
<-- Straight leg examination
Normal strength
Deficit
<-- Bilateral lower extremity strength
Normal sensation
Abnormal sensation
<-- Bilateral lower extremity sensation
Normal reflexes
Abnormal reflexes
<-- Bilateral lower extremity reflexes
Normal
Abnormal
<-- Bilateral lower extremity vascular exam
Normal
Abnormal Heel Walk
Abnormal Toe Walk
Both abnormal
<-- Heel and Toe walk
Normal
Abnormal
<-- Gait
Normal sensation and tone
Abnormal sensation and/or tone
<-- Pelvic/rectal exam
Additional notes
[/html][/conditional]
Calculate The Result!
Reset Form
Result - Copy and paste this output:
Copy to Clipboard
Please enable JavaScript to view the
comments powered by Disqus.