{
    "section": "exam-gu-rectal-focus",
    "templateSet": "Urinary Incontinence, Female",
    "templates": [
        {
            "text": "1-Click normal exams",
            "template": "{children}",
            "children": [
                {
                    "text": "GEN: NAD",
                    "template": "GEN: NAD"
                },
                {
                    "text": "BLADDER: nondistended, no masses",
                    "template": "GU\/RECTAL: bladder nondistended, no masses"
                },
                {
                    "text": "GU: no CVA, suprapubic tenderness",
                    "template": "GU\/RECTAL: no CVA tenderness, no suprapubic tenderness"
                },
                {
                    "text": "PELVIC: no vaginal mucosa atrophy",
                    "template": "GU\/RECTAL: no atrophy of the vaginal mucosa"
                },
                {
                    "text": "PELVIC: NL vaginal tone, no prolapse",
                    "template": "GU\/RECTAL: NL vaginal tone, no prolapse"
                },
                {
                    "text": "PELVIC: cervix midline, no CMT",
                    "template": "GU\/RECTAL: cervix midline, no CMT"
                }
            ]
        },
        {
            "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": "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": "Bladder",
                    "template": "GU\/RECTAL: bladder: {children}",
                    "children": [
                        {
                            "text": "normal",
                            "template": "(+) normal"
                        },
                        {
                            "text": "tender",
                            "template": "tender",
                            "type": "plus-minus"
                        },
                        {
                            "text": "masses",
                            "template": "masses",
                            "type": "plus-minus"
                        },
                        {
                            "text": "distended",
                            "template": "distended",
                            "type": "plus-minus"
                        },
                        {
                            "text": "cystocele",
                            "template": "cystocele",
                            "type": "plus-minus"
                        },
                        {
                            "text": "suprapubic tenderness",
                            "template": "suprapubic tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "bladder stress test",
                            "template": "bladder stress test",
                            "type": "plus-minus"
                        },
                        {
                            "text": "bladder distended",
                            "template": "bladder distended",
                            "type": "plus-minus"
                        },
                        {
                            "text": "leak with Valsalva, supine",
                            "template": "leak with Valsalva, supine",
                            "type": "plus-minus"
                        },
                        {
                            "text": "leak with Valsalva, upright",
                            "template": "leak with Valsalva, upright",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Urethra",
                    "template": "GU\/RECTAL: urethra: {children}",
                    "children": [
                        {
                            "text": "Q tip test",
                            "template": "Q tip test",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Vagina",
                    "template": "GU\/RECTAL: vagina: {children}",
                    "children": [
                        {
                            "text": "NL appearance",
                            "template": "NL appearance"
                        },
                        {
                            "text": "NL pelvic support",
                            "template": "NL pelvic support"
                        },
                        {
                            "text": "vaginal tone decreased",
                            "template": "vaginal tone decreased",
                            "type": "plus-minus"
                        },
                        {
                            "text": "vaginal prolapse",
                            "template": "vaginal prolapse",
                            "type": "plus-minus"
                        },
                        {
                            "text": "pale vaginal mucosa",
                            "template": "pale vaginal mucosa",
                            "type": "plus-minus"
                        },
                        {
                            "text": "atrophy",
                            "template": "atrophy",
                            "type": "plus-minus"
                        },
                        {
                            "text": "discharge",
                            "template": "discharge",
                            "type": "plus-minus"
                        },
                        {
                            "text": "lesions",
                            "template": "lesions",
                            "type": "plus-minus"
                        },
                        {
                            "text": "bleeding",
                            "template": "bleeding",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Cervix",
                    "template": "GU\/RECTAL: cervix: {children}",
                    "children": [
                        {
                            "text": "NL appearance",
                            "template": "NL appearance"
                        },
                        {
                            "text": "midline",
                            "template": "midline"
                        },
                        {
                            "text": "lesions",
                            "template": "lesions",
                            "type": "plus-minus"
                        },
                        {
                            "text": "discharge",
                            "template": "discharge",
                            "type": "plus-minus"
                        },
                        {
                            "text": "bleeding",
                            "template": "bleeding",
                            "type": "plus-minus"
                        },
                        {
                            "text": "specimens obtained for smear",
                            "template": "specimens obtained for smear",
                            "type": "plus-minus"
                        },
                        {
                            "text": "specimens obtained for culture",
                            "template": "specimens obtained for culture",
                            "type": "plus-minus"
                        },
                        {
                            "text": "s\/p surgical removal",
                            "template": "s\/p surgical removal"
                        }
                    ]
                },
                {
                    "text": "Uterus",
                    "template": "GU\/RECTAL: uterus: {children}",
                    "children": [
                        {
                            "text": "no abnormalities",
                            "template": "no abnormalities"
                        },
                        {
                            "text": "NL position",
                            "template": "NL position"
                        },
                        {
                            "text": "NL mobility",
                            "template": "NL mobility"
                        },
                        {
                            "text": "NL contour",
                            "template": "NL contour"
                        },
                        {
                            "text": "enlarged",
                            "template": "enlarged",
                            "type": "plus-minus"
                        },
                        {
                            "text": "prolapse",
                            "template": "prolapse",
                            "type": "plus-minus"
                        },
                        {
                            "text": "tender",
                            "template": "tender",
                            "type": "plus-minus"
                        },
                        {
                            "text": "s\/p hysterectomy",
                            "template": "s\/p hysterectomy"
                        }
                    ]
                },
                {
                    "text": "Adnexa, R",
                    "template": "GU\/RECTAL: Adnexa, R: {children}",
                    "children": [
                        {
                            "text": "no abnormalities",
                            "template": "no abnormalities"
                        },
                        {
                            "text": "tender",
                            "template": "tender",
                            "type": "plus-minus"
                        },
                        {
                            "text": "masses",
                            "template": "masses",
                            "type": "plus-minus"
                        },
                        {
                            "text": "nodules",
                            "template": "nodules",
                            "type": "plus-minus"
                        },
                        {
                            "text": "enlarged",
                            "template": "enlarged",
                            "type": "plus-minus"
                        },
                        {
                            "text": "s\/p salpingectomy",
                            "template": "s\/p salpingectomy"
                        }
                    ]
                },
                {
                    "text": "Adnexa, L",
                    "template": "GU\/RECTAL: Adnexa, L: {children}",
                    "children": [
                        {
                            "text": "no abnormalities",
                            "template": "no abnormalities"
                        },
                        {
                            "text": "tender",
                            "template": "tender",
                            "type": "plus-minus"
                        },
                        {
                            "text": "masses",
                            "template": "masses",
                            "type": "plus-minus"
                        },
                        {
                            "text": "nodules",
                            "template": "nodules",
                            "type": "plus-minus"
                        },
                        {
                            "text": "enlarged",
                            "template": "enlarged",
                            "type": "plus-minus"
                        },
                        {
                            "text": "s\/p salpingectomy",
                            "template": "s\/p salpingectomy"
                        }
                    ]
                },
                {
                    "text": "Adnexae, BL",
                    "template": "GU\/RECTAL: Adnexae, BL: {children}",
                    "children": [
                        {
                            "text": "no abnormalities",
                            "template": "no abnormalities"
                        },
                        {
                            "text": "tender",
                            "template": "tender",
                            "type": "plus-minus"
                        },
                        {
                            "text": "masses",
                            "template": "masses",
                            "type": "plus-minus"
                        },
                        {
                            "text": "nodules",
                            "template": "nodules",
                            "type": "plus-minus"
                        },
                        {
                            "text": "enlarged",
                            "template": "enlarged",
                            "type": "plus-minus"
                        },
                        {
                            "text": "s\/p salpingectomy",
                            "template": "s\/p salpingectomy"
                        }
                    ]
                },
                {
                    "text": "Anorectal area",
                    "template": "GU\/RECTAL: Anus\/rectum: {children}",
                    "children": [
                        {
                            "text": "no abnormalities",
                            "template": "no abnormalities"
                        },
                        {
                            "text": "NL tone",
                            "template": "NL tone"
                        },
                        {
                            "text": "rectal tone decreased",
                            "template": "rectal tone decreased",
                            "type": "plus-minus"
                        },
                        {
                            "text": "hard stool in vault",
                            "template": "hard stool in vault",
                            "type": "plus-minus"
                        },
                        {
                            "text": "perianal lesions",
                            "template": "perianal lesions",
                            "type": "plus-minus"
                        },
                        {
                            "text": "external hemorrhoids",
                            "template": "external hemorrhoids",
                            "type": "plus-minus"
                        },
                        {
                            "text": "internal hemorrhoids",
                            "template": "internal hemorrhoids",
                            "type": "plus-minus"
                        },
                        {
                            "text": "rectocele",
                            "template": "rectocele",
                            "type": "plus-minus"
                        },
                        {
                            "text": "masses",
                            "template": "masses",
                            "type": "plus-minus"
                        },
                        {
                            "text": "stool positive for occult blood",
                            "template": "stool positive for occult blood"
                        },
                        {
                            "text": "stool negative for occult blood",
                            "template": "stool negative for occult blood"
                        },
                        {
                            "text": "gross blood noted on DRE",
                            "template": "gross blood noted on DRE"
                        }
                    ]
                },
                {
                    "text": "Strength, RLE",
                    "template": "MUSC\/SKEL: RLE {children}",
                    "children": [
                        {
                            "text": "weakness",
                            "template": "weakness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "+1\/5",
                            "template": "+1\/5"
                        },
                        {
                            "text": "+2\/5",
                            "template": "+2\/5"
                        },
                        {
                            "text": "+3\/5",
                            "template": "+3\/5"
                        },
                        {
                            "text": "+4\/5",
                            "template": "+4\/5"
                        },
                        {
                            "text": "+5\/5",
                            "template": "+5\/5"
                        }
                    ]
                },
                {
                    "text": "Strength, LLE",
                    "template": "MUSC\/SKEL: LLE {children}",
                    "children": [
                        {
                            "text": "weakness",
                            "template": "weakness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "+1\/5",
                            "template": "+1\/5"
                        },
                        {
                            "text": "+2\/5",
                            "template": "+2\/5"
                        },
                        {
                            "text": "+3\/5",
                            "template": "+3\/5"
                        },
                        {
                            "text": "+4\/5",
                            "template": "+4\/5"
                        },
                        {
                            "text": "+5\/5",
                            "template": "+5\/5"
                        }
                    ]
                },
                {
                    "text": "Strength, BL LE",
                    "template": "MUSC\/SKEL: BL LE {children}",
                    "children": [
                        {
                            "text": "LE weakness",
                            "template": "LE weakness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "+1\/5",
                            "template": "+1\/5"
                        },
                        {
                            "text": "+2\/5",
                            "template": "+2\/5"
                        },
                        {
                            "text": "+3\/5",
                            "template": "+3\/5"
                        },
                        {
                            "text": "+4\/5",
                            "template": "+4\/5"
                        },
                        {
                            "text": "+5\/5",
                            "template": "+5\/5"
                        }
                    ]
                },
                {
                    "text": "Back",
                    "template": "MUSC\/SKEL: {children}",
                    "children": [
                        {
                            "text": "R CVA tenderness",
                            "template": "R CVA tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L CVA tenderness",
                            "template": "L CVA tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "BL CVA tenderness",
                            "template": "BL CVA tenderness",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Neuro, R",
                    "template": "NEURO: R {children}",
                    "children": [
                        {
                            "text": "NL gait",
                            "template": "(+) NL gait"
                        },
                        {
                            "text": "gait ataxia",
                            "template": "gait ataxia",
                            "type": "plus-minus"
                        },
                        {
                            "text": "foot drop",
                            "template": "foot drop",
                            "type": "plus-minus"
                        },
                        {
                            "text": "LE spasticity",
                            "template": "LE spasticity",
                            "type": "plus-minus"
                        },
                        {
                            "text": "LE sensation decreased",
                            "template": "LE sensation decreased",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR not elicited",
                            "template": "patellar DTR not elicited",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +1",
                            "template": "patellar DTR +1",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +2",
                            "template": "patellar DTR +2",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +3",
                            "template": "patellar DTR +3",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +4",
                            "template": "patellar DTR +4",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR not elicited",
                            "template": "Achilles DTR not elicited",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +1",
                            "template": "Achilles DTR +1",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +2",
                            "template": "Achilles DTR +2",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +3",
                            "template": "Achilles DTR +3",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +4",
                            "template": "Achilles DTR +4",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Babinski elicited",
                            "template": "Babinski elicited",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Neuro, L",
                    "template": "NEURO: L {children}",
                    "children": [
                        {
                            "text": "NL gait",
                            "template": "(+) NL gait"
                        },
                        {
                            "text": "gait ataxia",
                            "template": "gait ataxia",
                            "type": "plus-minus"
                        },
                        {
                            "text": "foot drop",
                            "template": "foot drop",
                            "type": "plus-minus"
                        },
                        {
                            "text": "LE spasticity",
                            "template": "LE spasticity",
                            "type": "plus-minus"
                        },
                        {
                            "text": "LE sensation decreased",
                            "template": "LE sensation decreased",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR not elicited",
                            "template": "patellar DTR not elicited",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +1",
                            "template": "patellar DTR +1",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +2",
                            "template": "patellar DTR +2",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +3",
                            "template": "patellar DTR +3",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +4",
                            "template": "patellar DTR +4",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR not elicited",
                            "template": "Achilles DTR not elicited",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +1",
                            "template": "Achilles DTR +1",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +2",
                            "template": "Achilles DTR +2",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +3",
                            "template": "Achilles DTR +3",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +4",
                            "template": "Achilles DTR +4",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Babinski elicited",
                            "template": "Babinski elicited",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Neuro, BL",
                    "template": "NEURO: BL {children}",
                    "children": [
                        {
                            "text": "NL gait",
                            "template": "(+) NL gait"
                        },
                        {
                            "text": "gait ataxia",
                            "template": "gait ataxia",
                            "type": "plus-minus"
                        },
                        {
                            "text": "foot drop",
                            "template": "foot drop",
                            "type": "plus-minus"
                        },
                        {
                            "text": "LE spasticity",
                            "template": "LE spasticity",
                            "type": "plus-minus"
                        },
                        {
                            "text": "decreased LE sensation",
                            "template": "decreased LE sensation",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR not elicited",
                            "template": "patellar DTR not elicited",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +1",
                            "template": "patellar DTR +1",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +2",
                            "template": "patellar DTR +2",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +3",
                            "template": "patellar DTR +3",
                            "type": "plus-minus"
                        },
                        {
                            "text": "patellar DTR +4",
                            "template": "patellar DTR +4",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR not elicited",
                            "template": "Achilles DTR not elicited",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +1",
                            "template": "Achilles DTR +1",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +2",
                            "template": "Achilles DTR +2",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +3",
                            "template": "Achilles DTR +3",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles DTR +4",
                            "template": "Achilles DTR +4",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Babinski elicited",
                            "template": "Babinski elicited",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Sensation decrease, dermatomal pattern",
                    "template": "NEURO: sensation decreased in a dermatomal pattern: {text}",
                    "type": "alpha"
                },
                {
                    "text": "Other findings (describe)",
                    "template": "Other findings: {text}",
                    "type": "alpha"
                }
            ]
        }
    ]
}