{
    "section": "exam-musc-skel-focus",
    "templateSet": "Sprain\/Strain, Shoulder",
    "templates": [
        {
            "text": "1-Click normal exams",
            "template": "{children}",
            "children": [
                {
                    "text": "GEN: NAD",
                    "template": "GEN: no apparent distress"
                },
                {
                    "text": "EXT: no C\/C\/E",
                    "template": "EXT: no cyanosis\/clubbing\/edema"
                },
                {
                    "text": "EXT: NL UE muscle bulk\/tone",
                    "template": "MUSC\/SKEL: normal upper extremity muscle bulk\/tone"
                },
                {
                    "text": "EXT: UE w\/ FROM BL",
                    "template": "MUSC\/SKEL: upper extremities with full range of motion bilaterally"
                },
                {
                    "text": "DERM: UE skin intact, no discolor",
                    "template": "DERM: upper extremity skin intact and no discoloration"
                },
                {
                    "text": "NEURO: AO x3",
                    "template": "NEURO: alert, oriented x3"
                }
            ]
        },
        {
            "text": "Pertinent findings",
            "template": "{children}",
            "children": [
                {
                    "text": "R shoulder\/arm findings",
                    "template": "MUSC\/SKEL: Right-sided findings: {children}",
                    "children": [
                        {
                            "text": "bony shoulder deformity",
                            "template": "bony shoulder deformity",
                            "type": "plus-minus"
                        },
                        {
                            "text": "shoulder symmetry w\/ unaffected side",
                            "template": "shoulder symmetry with unaffected side",
                            "type": "plus-minus"
                        },
                        {
                            "text": "shoulder effusion",
                            "template": "shoulder effusion",
                            "type": "plus-minus"
                        },
                        {
                            "text": "shoulder swelling",
                            "template": "shoulder swelling",
                            "type": "plus-minus"
                        },
                        {
                            "text": "shoulder erythema",
                            "template": "shoulder erythema",
                            "type": "plus-minus"
                        },
                        {
                            "text": "shoulder w\/ excess warmth",
                            "template": "shoulder with excess warmth",
                            "type": "plus-minus"
                        },
                        {
                            "text": "ecchymosis shoulder area",
                            "template": "ecchymosis shoulder area",
                            "type": "plus-minus"
                        },
                        {
                            "text": "arm swelling",
                            "template": "arm swelling",
                            "type": "plus-minus"
                        },
                        {
                            "text": "arm erythema",
                            "template": "arm erythema",
                            "type": "plus-minus"
                        },
                        {
                            "text": "arm w\/ excess warmth",
                            "template": "arm with excess warmth",
                            "type": "plus-minus"
                        },
                        {
                            "text": "hand swelling",
                            "template": "hand swelling",
                            "type": "plus-minus"
                        },
                        {
                            "text": "hand erythema",
                            "template": "hand erythema",
                            "type": "plus-minus"
                        },
                        {
                            "text": "hand w\/ excess warmth",
                            "template": "hand with excess warmth",
                            "type": "plus-minus"
                        },
                        {
                            "text": "ligamentous laxity",
                            "template": "ligamentous laxity",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "L shoulder\/arm findings",
                    "template": "MUSC\/SKEL: Left-sided findings: {children}",
                    "children": [
                        {
                            "text": "bony shoulder deformity",
                            "template": "bony shoulder deformity",
                            "type": "plus-minus"
                        },
                        {
                            "text": "shoulder symmetry w\/ unaffected side",
                            "template": "shoulder symmetry with unaffected side",
                            "type": "plus-minus"
                        },
                        {
                            "text": "shoulder effusion",
                            "template": "shoulder effusion",
                            "type": "plus-minus"
                        },
                        {
                            "text": "shoulder swelling",
                            "template": "shoulder swelling",
                            "type": "plus-minus"
                        },
                        {
                            "text": "shoulder erythema",
                            "template": "shoulder erythema",
                            "type": "plus-minus"
                        },
                        {
                            "text": "shoulder w\/ excess warmth",
                            "template": "shoulder w\/ excess warmth",
                            "type": "plus-minus"
                        },
                        {
                            "text": "ecchymosis shoulder area",
                            "template": "ecchymosis shoulder area",
                            "type": "plus-minus"
                        },
                        {
                            "text": "arm swelling",
                            "template": "arm swelling",
                            "type": "plus-minus"
                        },
                        {
                            "text": "arm erythema",
                            "template": "arm erythema",
                            "type": "plus-minus"
                        },
                        {
                            "text": "arm w\/ excess warmth",
                            "template": "arm w\/ excess warmth",
                            "type": "plus-minus"
                        },
                        {
                            "text": "hand swelling",
                            "template": "hand swelling",
                            "type": "plus-minus"
                        },
                        {
                            "text": "hand erythema",
                            "template": "hand erythema",
                            "type": "plus-minus"
                        },
                        {
                            "text": "hand w\/ excess warmth",
                            "template": "hand w\/ excess warmth",
                            "type": "plus-minus"
                        },
                        {
                            "text": "ligamentous laxity",
                            "template": "ligamentous laxity",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "RUE tenderness on exam",
                    "template": "MUSC\/SKEL: Right side: {children}",
                    "children": [
                        {
                            "text": "diffuse tenderness",
                            "template": "diffuse tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "deltoid tenderness",
                            "template": "deltoid tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "acromium tenderness",
                            "template": "acromium tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "humerus tenderness",
                            "template": "humerus tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "scapula tenderness",
                            "template": "scapula tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "clavicle tenderness",
                            "template": "clavicle tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "sub-acromial bursa tenderness",
                            "template": "sub-acromial bursa tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "bicipital groove tenderness",
                            "template": "bicipital groove tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "AC joint tenderness",
                            "template": "AC joint tenderness",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "LUE tenderness on exam",
                    "template": "MUSC\/SKEL: Left side: {children}",
                    "children": [
                        {
                            "text": "diffuse tenderness",
                            "template": "diffuse tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "deltoid tenderness",
                            "template": "deltoid tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "acromium tenderness",
                            "template": "acromium tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "humerus tenderness",
                            "template": "humerus tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "scapula tenderness",
                            "template": "scapula tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "clavicle tenderness",
                            "template": "clavicle tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "sub-acromial bursa tenderness",
                            "template": "sub-acromial bursa tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "bicipital groove tenderness",
                            "template": "bicipital groove tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "AC joint tenderness",
                            "template": "AC joint tenderness",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "RUE range of motion",
                    "template": "MUSC\/SKEL: Right upper extremity range of motion: {children}",
                    "children": [
                        {
                            "text": "full range of active motion",
                            "template": "full range of active motion",
                            "type": "plus-minus"
                        },
                        {
                            "text": "limited by pain",
                            "template": "limited by pain",
                            "type": "plus-minus"
                        },
                        {
                            "text": "restricted internal rotation",
                            "template": "restricted internal rotation",
                            "type": "plus-minus"
                        },
                        {
                            "text": "restricted external rotation",
                            "template": "restricted external rotation",
                            "type": "plus-minus"
                        },
                        {
                            "text": "pain w\/ elevation\/abduction",
                            "template": "pain with elevation\/abduction",
                            "type": "plus-minus"
                        },
                        {
                            "text": "full range of passive motion",
                            "template": "full range of passive motion",
                            "type": "plus-minus"
                        },
                        {
                            "text": "pain w\/ passive ROM",
                            "template": "pain with passive range of motion",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "LUE range of motion",
                    "template": "MUSC\/SKEL: Left upper extremity range of motion: {children}",
                    "children": [
                        {
                            "text": "full range of active motion",
                            "template": "full range of active motion",
                            "type": "plus-minus"
                        },
                        {
                            "text": "limited by pain",
                            "template": "limited by pain",
                            "type": "plus-minus"
                        },
                        {
                            "text": "restricted internal rotation",
                            "template": "restricted internal rotation",
                            "type": "plus-minus"
                        },
                        {
                            "text": "restricted external rotation",
                            "template": "restricted external rotation",
                            "type": "plus-minus"
                        },
                        {
                            "text": "pain w\/ elevation\/abduction",
                            "template": "pain with elevation\/abduction",
                            "type": "plus-minus"
                        },
                        {
                            "text": "full range of passive motion",
                            "template": "full range of passive motion",
                            "type": "plus-minus"
                        },
                        {
                            "text": "pain w\/ passive ROM",
                            "template": "pain with passive range of motion",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "EXT: pulses, sensation",
                    "template": "EXT: {children}",
                    "children": [
                        {
                            "text": "R distal pulses intact",
                            "template": "right distal pulses intact",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L distal pulses intact",
                            "template": "left distal pulses intact",
                            "type": "plus-minus"
                        },
                        {
                            "text": "R distal sensation intact",
                            "template": "right distal sensation intact",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L distal sensation intact",
                            "template": "left distal sensation intact",
                            "type": "plus-minus"
                        },
                        {
                            "text": "R deltoid sensation intact",
                            "template": "right deltoid sensation intact",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L deltoid sensation intact",
                            "template": "left deltoid sensation intact",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Maneuvers",
                    "template": "MUSC\/SKEL: Maneuvers: {children}",
                    "children": [
                        {
                            "text": "drop arm test",
                            "template": "drop arm test",
                            "type": "plus-minus"
                        },
                        {
                            "text": "empty can test",
                            "template": "empty can test",
                            "type": "plus-minus"
                        },
                        {
                            "text": "lift off test",
                            "template": "lift off test",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Neer sign",
                            "template": "Neer sign",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Hawkin test",
                            "template": "Hawkin test",
                            "type": "plus-minus"
                        },
                        {
                            "text": "painful arc sign",
                            "template": "painful arc sign",
                            "type": "plus-minus"
                        },
                        {
                            "text": "weakness w\/ ext rotation",
                            "template": "weakness with external rotation",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Other findings (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        }
    ]
}