{
    "section": "exam-musc-skel-focus",
    "templateSet": "Gout",
    "templates": [
        {
            "text": "1-Click normal exams",
            "template": "{children}",
            "children": [
                {
                    "text": "GEN: NAD",
                    "template": "GEN: NAD"
                },
                {
                    "text": "JOINTS: no erythema",
                    "template": "MUSC\/SKEL: no joint erythema"
                },
                {
                    "text": "JOINTS: no warmth",
                    "template": "MUSC\/SKEL: no joint warmth"
                },
                {
                    "text": "JOINTS: no swelling",
                    "template": "MUSC\/SKEL: no joint swelling"
                },
                {
                    "text": "JOINTS: 1st MTP joint normal",
                    "template": "MUSC\/SKEL: 1st metatarsophalangeal joint"
                },
                {
                    "text": "DERM: no subcutaneous nodules",
                    "template": "DERM: no subcutaneous nodules"
                }
            ]
        },
        {
            "text": "Pertinent findings",
            "template": "{children}",
            "children": [
                {
                    "text": "Gen",
                    "template": "GEN: {children}",
                    "children": [
                        {
                            "text": "overweight",
                            "template": "overweight",
                            "type": "plus-minus"
                        },
                        {
                            "text": "obese",
                            "template": "obese",
                            "type": "plus-minus"
                        },
                        {
                            "text": "morbidly obese",
                            "template": "morbidly obese",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Respiratory",
                    "template": "RESP: {children}",
                    "children": [
                        {
                            "text": "lungs CTA BL",
                            "template": "lungs CTA BL",
                            "type": "plus-minus"
                        },
                        {
                            "text": "R lung, NL ausc and perc",
                            "template": "NL auscultation\/percussion R lung",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L lung, NL ausc and perc",
                            "template": "NL auscultation\/percussion L lung",
                            "type": "plus-minus"
                        },
                        {
                            "text": "rales",
                            "template": "rales",
                            "type": "plus-minus"
                        },
                        {
                            "text": "wheezes",
                            "template": "wheezes",
                            "type": "plus-minus"
                        },
                        {
                            "text": "rhonchi",
                            "template": "rhonchi",
                            "type": "plus-minus"
                        },
                        {
                            "text": "decreased respiratory effort",
                            "template": "decreased respiratory effort",
                            "type": "plus-minus"
                        },
                        {
                            "text": "use of acc mm of respiration",
                            "template": "use of acc mm of respiration",
                            "type": "plus-minus"
                        },
                        {
                            "text": "labored breathing",
                            "template": "labored breathing",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Cardiovascular",
                    "template": "CV: {children}",
                    "children": [
                        {
                            "text": "regular rate and rhythm",
                            "template": "regular rate and rhythm",
                            "type": "plus-minus"
                        },
                        {
                            "text": "regular rhythm",
                            "template": "regular rhythm",
                            "type": "plus-minus"
                        },
                        {
                            "text": "irregularly irregular rhythm",
                            "template": "irregularly irregular rhythm",
                            "type": "plus-minus"
                        },
                        {
                            "text": "paced rhythm",
                            "template": "paced rhythm",
                            "type": "plus-minus"
                        },
                        {
                            "text": "distant heart sounds",
                            "template": "distant heart sounds",
                            "type": "plus-minus"
                        },
                        {
                            "text": "murmur",
                            "template": "murmur",
                            "type": "plus-minus"
                        },
                        {
                            "text": "S3 gallop",
                            "template": "S3 gallop",
                            "type": "plus-minus"
                        },
                        {
                            "text": "S4 gallop",
                            "template": "S4 gallop",
                            "type": "plus-minus"
                        },
                        {
                            "text": "cardiac rub",
                            "template": "cardiac rub",
                            "type": "plus-minus"
                        },
                        {
                            "text": "pericardial rub",
                            "template": "pericardial rub",
                            "type": "plus-minus"
                        },
                        {
                            "text": "PMI displaced",
                            "template": "PMI displaced",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Abdomen",
                    "template": "GI: abdominal exam: {children}",
                    "children": [
                        {
                            "text": "distended",
                            "template": "distended",
                            "type": "plus-minus"
                        },
                        {
                            "text": "flat",
                            "template": "flat",
                            "type": "plus-minus"
                        },
                        {
                            "text": "obese",
                            "template": "obese",
                            "type": "plus-minus"
                        },
                        {
                            "text": "bowel sounds intact",
                            "template": "bowel sounds intact",
                            "type": "plus-minus"
                        },
                        {
                            "text": "bowel sounds diminished",
                            "template": "bowel sounds diminished",
                            "type": "plus-minus"
                        },
                        {
                            "text": "bowel sounds absent",
                            "template": "bowel sounds absent",
                            "type": "plus-minus"
                        },
                        {
                            "text": "enlarged abdominal aorta",
                            "template": "enlarged abdominal aorta",
                            "type": "plus-minus"
                        },
                        {
                            "text": "abdominal aortic bruit",
                            "template": "abdominal aortic bruit",
                            "type": "plus-minus"
                        },
                        {
                            "text": "tenderness with palpation",
                            "template": "tenderness with palpation",
                            "type": "plus-minus"
                        },
                        {
                            "text": "rebound",
                            "template": "rebound",
                            "type": "plus-minus"
                        },
                        {
                            "text": "guarding",
                            "template": "guarding",
                            "type": "plus-minus"
                        },
                        {
                            "text": "rigidity",
                            "template": "rigidity",
                            "type": "plus-minus"
                        },
                        {
                            "text": "mass",
                            "template": "mass",
                            "type": "plus-minus"
                        },
                        {
                            "text": "hepatomegaly",
                            "template": "hepatomegaly",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Derm",
                    "template": "DERM: {children}",
                    "children": [
                        {
                            "text": "malar rash",
                            "template": "malar rash",
                            "type": "plus-minus"
                        },
                        {
                            "text": "livedo reticularis",
                            "template": "livedo reticularis",
                            "type": "plus-minus"
                        },
                        {
                            "text": "hand redness",
                            "template": "hand redness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "stasis dermatitis",
                            "template": "stasis dermatitis",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Musc\/Skel",
                    "template": "MUSC\/SKEL: {children}",
                    "children": [
                        {
                            "text": "pain with passive movement",
                            "template": "pain with passive movement",
                            "type": "plus-minus"
                        },
                        {
                            "text": "pain with active movement",
                            "template": "pain with active movement",
                            "type": "plus-minus"
                        },
                        {
                            "text": "pain with palpation",
                            "template": "pain with palpation",
                            "type": "plus-minus"
                        },
                        {
                            "text": "allodynia",
                            "template": "allodynia",
                            "type": "plus-minus"
                        },
                        {
                            "text": "bony enlargement",
                            "template": "bony enlargement",
                            "type": "plus-minus"
                        },
                        {
                            "text": "joint swelling",
                            "template": "joint swelling",
                            "type": "plus-minus"
                        },
                        {
                            "text": "joint effusion",
                            "template": "joint effusion",
                            "type": "plus-minus"
                        },
                        {
                            "text": "joint erythema",
                            "template": "joint erythema",
                            "type": "plus-minus"
                        },
                        {
                            "text": "joint warmth",
                            "template": "joint warmth",
                            "type": "plus-minus"
                        },
                        {
                            "text": "joint warmth",
                            "template": "joint warmth",
                            "type": "plus-minus"
                        },
                        {
                            "text": "crepitance",
                            "template": "crepitance",
                            "type": "plus-minus"
                        },
                        {
                            "text": "flexion intact",
                            "template": "flexion intact",
                            "type": "plus-minus"
                        },
                        {
                            "text": "extension intact",
                            "template": "extension intact",
                            "type": "plus-minus"
                        },
                        {
                            "text": "pronation intact",
                            "template": "pronation intact",
                            "type": "plus-minus"
                        },
                        {
                            "text": "supination intact",
                            "template": "supination intact",
                            "type": "plus-minus"
                        },
                        {
                            "text": "range of motion intact",
                            "template": "range of motion intact",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Tender points",
                    "template": "MUSC\/SKEL: tender points: {children}",
                    "children": [
                        {
                            "text": "R occipital",
                            "template": "R occipital",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L occipital",
                            "template": "L occipital",
                            "type": "plus-minus"
                        },
                        {
                            "text": "R low cervical",
                            "template": "R low cervical",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L low cervical",
                            "template": "L low cervical",
                            "type": "plus-minus"
                        },
                        {
                            "text": "R trapezius",
                            "template": "R trapezius",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L trapezius",
                            "template": "L trapezius",
                            "type": "plus-minus"
                        },
                        {
                            "text": "R supraspinatus",
                            "template": "R supraspinatus",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L supraspinatus",
                            "template": "L supraspinatus",
                            "type": "plus-minus"
                        },
                        {
                            "text": "R 2nd rib",
                            "template": "R 2nd rib",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L 2nd rib",
                            "template": "L 2nd rib",
                            "type": "plus-minus"
                        },
                        {
                            "text": "R elbow",
                            "template": "R elbow",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L elbow",
                            "template": "L elbow",
                            "type": "plus-minus"
                        },
                        {
                            "text": "R gluteal",
                            "template": "R gluteal",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L gluteal",
                            "template": "L gluteal",
                            "type": "plus-minus"
                        },
                        {
                            "text": "R greater trochanter",
                            "template": "R greater trochanter",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L greater trochanter",
                            "template": "L greater trochanter",
                            "type": "plus-minus"
                        },
                        {
                            "text": "R knees (medial fat pad)",
                            "template": "R knees (medial fat pad)",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L knees (medial fat pad)",
                            "template": "L knees (medial fat pad)",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Strength, R",
                    "template": "MUSC\/SKEL: {children} strength",
                    "children": [
                        {
                            "text": "0\/5 RUE",
                            "template": "0\/5 RUE"
                        },
                        {
                            "text": "+1\/5 RUE",
                            "template": "+1\/5 RUE"
                        },
                        {
                            "text": "+2\/5 RUE",
                            "template": "+2\/5 RUE"
                        },
                        {
                            "text": "+3\/5 RUE",
                            "template": "+3\/5 RUE"
                        },
                        {
                            "text": "+4\/5 RUE",
                            "template": "+4\/5 RUE"
                        },
                        {
                            "text": "+5\/5 RUE",
                            "template": "+5\/5 RUE"
                        },
                        {
                            "text": "0\/5 RLE",
                            "template": "0\/5 RLE"
                        },
                        {
                            "text": "+1\/5 RLE",
                            "template": "+1\/5 RLE"
                        },
                        {
                            "text": "+2\/5 RLE",
                            "template": "+2\/5 RLE"
                        },
                        {
                            "text": "+3\/5 RLE",
                            "template": "+3\/5 RLE"
                        },
                        {
                            "text": "+4\/5 RLE",
                            "template": "+4\/5 RLE"
                        },
                        {
                            "text": "+5\/5 RLE",
                            "template": "+5\/5 RLE"
                        }
                    ]
                },
                {
                    "text": "Strength, L",
                    "template": "MUSC\/SKEL: {children} strength",
                    "children": [
                        {
                            "text": "0\/5 LUE",
                            "template": "0\/5 LUE"
                        },
                        {
                            "text": "+1\/5 LUE",
                            "template": "+1\/5 LUE"
                        },
                        {
                            "text": "+2\/5 LUE",
                            "template": "+2\/5 LUE"
                        },
                        {
                            "text": "+3\/5 LUE",
                            "template": "+3\/5 LUE"
                        },
                        {
                            "text": "+4\/5 LUE",
                            "template": "+4\/5 LUE"
                        },
                        {
                            "text": "+5\/5 LUE",
                            "template": "+5\/5 LUE"
                        },
                        {
                            "text": "0\/5 LLE",
                            "template": "0\/5 LLE"
                        },
                        {
                            "text": "+1\/5 LLE",
                            "template": "+1\/5 LLE"
                        },
                        {
                            "text": "+2\/5 LLE",
                            "template": "+2\/5 LLE"
                        },
                        {
                            "text": "+3\/5 LLE",
                            "template": "+3\/5 LLE"
                        },
                        {
                            "text": "+4\/5 LLE",
                            "template": "+4\/5 LLE"
                        },
                        {
                            "text": "+5\/5 LLE",
                            "template": "+5\/5 LLE"
                        }
                    ]
                },
                {
                    "text": "Strength, BL",
                    "template": "MUSC\/SKEL: {children} strength",
                    "children": [
                        {
                            "text": "0\/5 BL UE",
                            "template": "0\/5 BL UE"
                        },
                        {
                            "text": "+1\/5 BL UE",
                            "template": "+1\/5 BL UE"
                        },
                        {
                            "text": "+2\/5 BL UE",
                            "template": "+2\/5 BL UE"
                        },
                        {
                            "text": "+3\/5 BL UE",
                            "template": "+3\/5 BL UE"
                        },
                        {
                            "text": "+4\/5 BL UE",
                            "template": "+4\/5 BL UE"
                        },
                        {
                            "text": "+5\/5 BL UE",
                            "template": "+5\/5 BL UE"
                        },
                        {
                            "text": "0\/5 BL LE",
                            "template": "0\/5 BL LE"
                        },
                        {
                            "text": "+1\/5 BL LE",
                            "template": "+1\/5 BL LE"
                        },
                        {
                            "text": "+2\/5 BL LE",
                            "template": "+2\/5 BL LE"
                        },
                        {
                            "text": "+3\/5 BL LE",
                            "template": "+3\/5 BL LE"
                        },
                        {
                            "text": "+4\/5 BL LE",
                            "template": "+4\/5 BL LE"
                        },
                        {
                            "text": "+5\/5 BL LE",
                            "template": "+5\/5 BL LE"
                        }
                    ]
                },
                {
                    "text": "Back",
                    "template": "MUSC\/SKEL: {children}",
                    "children": [
                        {
                            "text": "ankylosing spondylitis exam",
                            "template": "ankylosing spondylitis exam"
                        },
                        {
                            "text": "upright posture",
                            "template": "upright posture",
                            "type": "plus-minus"
                        },
                        {
                            "text": "stooped posture",
                            "template": "stooped posture",
                            "type": "plus-minus"
                        },
                        {
                            "text": "NL lumbar flexure",
                            "template": "NL lumbar flexure",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Neuro, R",
                    "template": "NEURO: R {children}",
                    "children": [
                        {
                            "text": "normal",
                            "template": "side NL"
                        },
                        {
                            "text": "LE distal sensation decreased",
                            "template": "LE distal sensation decreased",
                            "type": "plus-minus"
                        },
                        {
                            "text": "focal weakness of UE",
                            "template": "focal weakness of UE",
                            "type": "plus-minus"
                        },
                        {
                            "text": "focal weakness of LE",
                            "template": "focal weakness of LE",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR not elicited",
                            "template": "patellar DTR not elicited"
                        },
                        {
                            "text": "patellar DTR +1",
                            "template": "patellar DTR +1"
                        },
                        {
                            "text": "patellar DTR +2",
                            "template": "patellar DTR +2"
                        },
                        {
                            "text": "patellar DTR +3",
                            "template": "patellar DTR +3"
                        },
                        {
                            "text": "patellar DTR +4",
                            "template": "patellar DTR +4"
                        },
                        {
                            "text": "Achilles DTR not elicited",
                            "template": "Achilles DTR not elicited"
                        },
                        {
                            "text": "Achilles DTR +1",
                            "template": "Achilles DTR +1"
                        },
                        {
                            "text": "Achilles DTR +2",
                            "template": "Achilles DTR +2"
                        },
                        {
                            "text": "Achilles DTR +3",
                            "template": "Achilles DTR +3"
                        },
                        {
                            "text": "Achilles DTR +4",
                            "template": "Achilles DTR +4"
                        }
                    ]
                },
                {
                    "text": "Neuro, L",
                    "template": "NEURO: L {children}",
                    "children": [
                        {
                            "text": "normal",
                            "template": "side NL"
                        },
                        {
                            "text": "LE distal sensation decreased",
                            "template": "LE distal sensation decreased",
                            "type": "plus-minus"
                        },
                        {
                            "text": "focal weakness of UE",
                            "template": "focal weakness of UE",
                            "type": "plus-minus"
                        },
                        {
                            "text": "focal weakness of LE",
                            "template": "focal weakness of LE",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR not elicited",
                            "template": "patellar DTR not elicited"
                        },
                        {
                            "text": "patellar DTR +1",
                            "template": "patellar DTR +1"
                        },
                        {
                            "text": "patellar DTR +2",
                            "template": "patellar DTR +2"
                        },
                        {
                            "text": "patellar DTR +3",
                            "template": "patellar DTR +3"
                        },
                        {
                            "text": "patellar DTR +4",
                            "template": "patellar DTR +4"
                        },
                        {
                            "text": "Achilles DTR not elicited",
                            "template": "Achilles DTR not elicited"
                        },
                        {
                            "text": "Achilles DTR +1",
                            "template": "Achilles DTR +1"
                        },
                        {
                            "text": "Achilles DTR +2",
                            "template": "Achilles DTR +2"
                        },
                        {
                            "text": "Achilles DTR +3",
                            "template": "Achilles DTR +3"
                        },
                        {
                            "text": "Achilles DTR +4",
                            "template": "Achilles DTR +4"
                        }
                    ]
                },
                {
                    "text": "Neuro, BL",
                    "template": "NEURO: BL {children}",
                    "children": [
                        {
                            "text": "normal",
                            "template": "side NL"
                        },
                        {
                            "text": "LE distal sensation decreased",
                            "template": "LE distal sensation decreased",
                            "type": "plus-minus"
                        },
                        {
                            "text": "focal weakness of UE",
                            "template": "focal weakness of UE",
                            "type": "plus-minus"
                        },
                        {
                            "text": "focal weakness of LE",
                            "template": "focal weakness of LE",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR not elicited",
                            "template": "patellar DTR not elicited"
                        },
                        {
                            "text": "patellar DTR +1",
                            "template": "patellar DTR +1"
                        },
                        {
                            "text": "patellar DTR +2",
                            "template": "patellar DTR +2"
                        },
                        {
                            "text": "patellar DTR +3",
                            "template": "patellar DTR +3"
                        },
                        {
                            "text": "patellar DTR +4",
                            "template": "patellar DTR +4"
                        },
                        {
                            "text": "Achilles DTR not elicited",
                            "template": "Achilles DTR not elicited"
                        },
                        {
                            "text": "Achilles DTR +1",
                            "template": "Achilles DTR +1"
                        },
                        {
                            "text": "Achilles DTR +2",
                            "template": "Achilles DTR +2"
                        },
                        {
                            "text": "Achilles DTR +3",
                            "template": "Achilles DTR +3"
                        },
                        {
                            "text": "Achilles DTR +4",
                            "template": "Achilles DTR +4"
                        }
                    ]
                },
                {
                    "text": "Neuro",
                    "template": "NEURO: {children}",
                    "children": [
                        {
                            "text": "gait ataxia",
                            "template": "gait ataxia",
                            "type": "plus-minus"
                        },
                        {
                            "text": "dysarthria",
                            "template": "dysarthria",
                            "type": "plus-minus"
                        },
                        {
                            "text": "confused",
                            "template": "confused",
                            "type": "plus-minus"
                        },
                        {
                            "text": "appears depressed",
                            "template": "appears depressed",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Other findings (describe)",
                    "template": "Other findings: {text}",
                    "type": "alpha"
                }
            ]
        }
    ]
}