{
    "section": "exam-musc-skel-comp",
    "templateSet": "Sprain\/Strain, Ankle",
    "templates": [
        {
            "text": "1-Click normal exams",
            "template": "{children}",
            "children": [
                {
                    "text": "GEN: NAD",
                    "template": "GEN: no apparent distress"
                },
                {
                    "text": "NECK: NT, full ROM",
                    "template": "NECK: nontender, full range of motion"
                },
                {
                    "text": "RESP: clear to auscultation BL",
                    "template": "RESP: clear to auscultation bilaterally"
                },
                {
                    "text": "CV: no murmurs or gallops",
                    "template": "CV: no murmurs or gallops"
                },
                {
                    "text": "MUSC\/SKEL: NL muscle bulk\/tone",
                    "template": "MUSC\/SKEL: normal muscle bulk\/tone"
                },
                {
                    "text": "MUSC\/SKEL: feet warm, no erythema BL",
                    "template": "MUSC\/SKEL: feet warmth without erythema bilaterally"
                },
                {
                    "text": "MUSC\/SKEL: quads 5\/5 BL",
                    "template": "MUSC\/SKEL: quadriceps strength 5\/5 bilaterally"
                },
                {
                    "text": "MUSC\/SKEL: knees w\/o excess warmth BL",
                    "template": "MUSC\/SKEL: knees w\/o excess warmth BL"
                },
                {
                    "text": "MUSC\/SKEL: knees w\/o deformity BL",
                    "template": "MUSC\/SKEL: knees w\/o deformity BL"
                },
                {
                    "text": "EXT: no C\/C\/E",
                    "template": "EXT: no cyanosis\/clubbing\/edema"
                },
                {
                    "text": "EXT: dorsalis pedis\/ post tib pulse intact BL",
                    "template": "EXT: dorsalis pedis\/posterior tibialis pulses intact bilaterally"
                },
                {
                    "text": "EXT: foot dorsi\/plantars 5\/5 BL",
                    "template": "MUSC\/SKEL: foot dorsiflexion\/plantar flexion 5\/5 bilaterally"
                },
                {
                    "text": "EXT: no hand\/wrist swelling\/erythema",
                    "template": "MUSC\/SKEL: no hand\/wrist swelling\/erythema"
                },
                {
                    "text": "DERM: skin intact lower ext.",
                    "template": "DERM: skin intact lower extremity"
                },
                {
                    "text": "NEURO: AO x3",
                    "template": "NEURO: alert, oriented x3"
                },
                {
                    "text": "NEURO: patellar reflex intact BL",
                    "template": "NEURO: patellar reflexes intact bilaterally"
                },
                {
                    "text": "NEURO: Achilles reflex intact BL",
                    "template": "NEURO: Achilles reflexes intact bilaterally"
                },
                {
                    "text": "NEURO: LE sensation grossly intact BL",
                    "template": "NEURO: lower extremity sensation grossly intact bilaterally"
                }
            ]
        },
        {
            "text": "Pertinent findings",
            "template": "MUSC\/SKEL: {children}",
            "children": [
                {
                    "text": "ankles w\/o swelling\/erythema BL",
                    "template": "ankles w\/o swelling or erythema bilaterally"
                },
                {
                    "text": "gait NL",
                    "template": "gait NL"
                },
                {
                    "text": "R ankle\/leg findings",
                    "template": "Right-sided findings: {children}",
                    "children": [
                        {
                            "text": "ankle swelling",
                            "template": "ankle swelling",
                            "type": "plus-minus"
                        },
                        {
                            "text": "ankle erythema",
                            "template": "ankle erythema",
                            "type": "plus-minus"
                        },
                        {
                            "text": "ankle excess warmth",
                            "template": "ankle excess warmth",
                            "type": "plus-minus"
                        },
                        {
                            "text": "foot swelling",
                            "template": "foot swelling",
                            "type": "plus-minus"
                        },
                        {
                            "text": "foot erythema",
                            "template": "foot erythema",
                            "type": "plus-minus"
                        },
                        {
                            "text": "foot excess warmth",
                            "template": "foot excess warmth",
                            "type": "plus-minus"
                        },
                        {
                            "text": "calf swelling",
                            "template": "calf swelling",
                            "type": "plus-minus"
                        },
                        {
                            "text": "calf erythema",
                            "template": "calf erythema",
                            "type": "plus-minus"
                        },
                        {
                            "text": "calf excess warmth",
                            "template": "calf excess warmth",
                            "type": "plus-minus"
                        },
                        {
                            "text": "ecchymosis ankle area",
                            "template": "ecchymosis ankle area",
                            "type": "plus-minus"
                        },
                        {
                            "text": "ligamentous laxity",
                            "template": "ligamentous laxity",
                            "type": "plus-minus"
                        },
                        {
                            "text": "palpable Achilles tendon nodule",
                            "template": "palpable Achilles tendon nodule",
                            "type": "plus-minus"
                        },
                        {
                            "text": "bony deformity ankle area",
                            "template": "bony deformity ankle area",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "L ankle\/leg findings",
                    "template": "Left-sided findings: {children}",
                    "children": [
                        {
                            "text": "ankle swelling",
                            "template": "ankle swelling",
                            "type": "plus-minus"
                        },
                        {
                            "text": "ankle erythema",
                            "template": "ankle erythema",
                            "type": "plus-minus"
                        },
                        {
                            "text": "ankle excess warmth",
                            "template": "ankle excess warmth",
                            "type": "plus-minus"
                        },
                        {
                            "text": "foot swelling",
                            "template": "foot swelling",
                            "type": "plus-minus"
                        },
                        {
                            "text": "foot erythema",
                            "template": "foot erythema",
                            "type": "plus-minus"
                        },
                        {
                            "text": "foot excess warmth",
                            "template": "foot excess warmth",
                            "type": "plus-minus"
                        },
                        {
                            "text": "calf swelling",
                            "template": "calf swelling",
                            "type": "plus-minus"
                        },
                        {
                            "text": "calf erythema",
                            "template": "calf erythema",
                            "type": "plus-minus"
                        },
                        {
                            "text": "calf excess warmth",
                            "template": "calf excess warmth",
                            "type": "plus-minus"
                        },
                        {
                            "text": "ecchymosis ankle area",
                            "template": "ecchymosis ankle area",
                            "type": "plus-minus"
                        },
                        {
                            "text": "ligamentous laxity",
                            "template": "ligamentous laxity",
                            "type": "plus-minus"
                        },
                        {
                            "text": "palpable Achilles tendon nodule",
                            "template": "palpable Achilles tendon nodule",
                            "type": "plus-minus"
                        },
                        {
                            "text": "bony deformity ankle area",
                            "template": "bony deformity ankle area",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "R tenderness on exam",
                    "template": "Right side: {children}",
                    "children": [
                        {
                            "text": "diffuse tenderness",
                            "template": "diffuse tenderness"
                        },
                        {
                            "text": "med malleolus tenderness",
                            "template": "medial malleolus tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "lat malleolus tenderness",
                            "template": "lateral malleolus tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "post malleolus tenderness",
                            "template": "posterior malleolus tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles tendon tenderness",
                            "template": "Achilles tendon tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "deltoid ligament tenderness",
                            "template": "deltoid ligament tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "ant talofibular ligament tenderness",
                            "template": "anterior talofibular ligament tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "calcaneofibular ligament tenderness",
                            "template": "calcaneofibular ligament tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "4th metatarsal base tenderness",
                            "template": "4th metatarsal base tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "5th metatarsal base tenderness",
                            "template": "5th metatarsal base tenderness",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "L tenderness on exam",
                    "template": "Left side: {children}",
                    "children": [
                        {
                            "text": "diffuse tenderness",
                            "template": "diffuse tenderness"
                        },
                        {
                            "text": "med malleolus tenderness",
                            "template": "medial malleolus tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "lat malleolus tenderness",
                            "template": "lateral malleolus tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "post malleolus tenderness",
                            "template": "posterior malleolus tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "Achilles tendon tenderness",
                            "template": "Achilles tendon tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "deltoid ligament tenderness",
                            "template": "deltoid ligament tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "ant talofibular ligament tenderness",
                            "template": "anterior talofibular ligament tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "calcaneofibular ligament tenderness",
                            "template": "calcaneofibular ligament tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "4th metatarsal base tenderness",
                            "template": "4th metatarsal base tenderness",
                            "type": "plus-minus"
                        },
                        {
                            "text": "5th metatarsal base tenderness",
                            "template": "5th metatarsal base tenderness",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "R range of motion\/crepitus",
                    "template": "Right side: {children}",
                    "children": [
                        {
                            "text": "NL range of motion",
                            "template": "NL range of motion"
                        },
                        {
                            "text": "limited dorsiflexion",
                            "template": "limited dorsiflexion",
                            "type": "plus-minus"
                        },
                        {
                            "text": "limited plantar flexion",
                            "template": "limited plantar flexion",
                            "type": "plus-minus"
                        },
                        {
                            "text": "restricted rotation",
                            "template": "restricted rotation",
                            "type": "plus-minus"
                        },
                        {
                            "text": "ROM limited by pain",
                            "template": "ROM limited by pain",
                            "type": "plus-minus"
                        },
                        {
                            "text": "pain w\/ passive ROM",
                            "template": "pain w\/ passive ROM",
                            "type": "plus-minus"
                        },
                        {
                            "text": "crepitus",
                            "template": "crepitus in Achilles tendon",
                            "type": "plus-minus"
                        },
                        {
                            "text": "crepitus Achilles tendon",
                            "template": "crepitus in Achilles tendon",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "L range of motion\/crepitus",
                    "template": "Left side: {children}",
                    "children": [
                        {
                            "text": "NL range of motion",
                            "template": "NL range of motion"
                        },
                        {
                            "text": "limited dorsiflexion",
                            "template": "limited dorsiflexion",
                            "type": "plus-minus"
                        },
                        {
                            "text": "limited plantar flexion",
                            "template": "limited plantar flexion",
                            "type": "plus-minus"
                        },
                        {
                            "text": "restricted rotation",
                            "template": "restricted rotation",
                            "type": "plus-minus"
                        },
                        {
                            "text": "ROM limited by pain",
                            "template": "ROM limited by pain",
                            "type": "plus-minus"
                        },
                        {
                            "text": "pain w\/ passive ROM",
                            "template": "pain w\/ passive ROM",
                            "type": "plus-minus"
                        },
                        {
                            "text": "crepitus",
                            "template": "crepitus in Achilles tendon",
                            "type": "plus-minus"
                        },
                        {
                            "text": "crepitus Achilles tendon",
                            "template": "crepitus in Achilles tendon",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Pulses, sensation",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "sensation grossly intact in both feet",
                            "template": "sensation grossly intact in both feet"
                        },
                        {
                            "text": "distal pulses intact BL",
                            "template": "distal pulses intact BL"
                        },
                        {
                            "text": "R dorsalis pedis intact",
                            "template": "R dorsalis pedis intact"
                        },
                        {
                            "text": "R posterior tibial intact",
                            "template": "R posterior tibial intact"
                        },
                        {
                            "text": "L posterior tibial intact",
                            "template": "L posterior tibial intact"
                        },
                        {
                            "text": "R distal pulses diminished",
                            "template": "R distal pulses diminished"
                        },
                        {
                            "text": "L distal pulses diminished",
                            "template": "L distal pulses diminished"
                        },
                        {
                            "text": "unable to assess R distal pulses",
                            "template": "unable to assess R distal pulses"
                        },
                        {
                            "text": "unable to assess L distal pulses",
                            "template": "unable to assess L distal pulses"
                        },
                        {
                            "text": "R foot sensation grossly NL",
                            "template": "R foot sensation grossly NL"
                        },
                        {
                            "text": "L foot sensation grossly NL",
                            "template": "L foot sensation grossly NL"
                        },
                        {
                            "text": "R foot sensation diminished",
                            "template": "R foot sensation diminished"
                        },
                        {
                            "text": "L foot sensation diminished",
                            "template": "L foot sensation diminished"
                        }
                    ]
                },
                {
                    "text": "Maneuvers",
                    "template": "{children}",
                    "children": [
                        {
                            "text": "R Thompson test",
                            "template": "R Thompson test",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L Thompson test",
                            "template": "L Thompson test",
                            "type": "plus-minus"
                        },
                        {
                            "text": "R ankle anterior drawer test",
                            "template": "R ankle anterior drawer test",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L ankle anterior drawer test",
                            "template": "L ankle anterior drawer test",
                            "type": "plus-minus"
                        },
                        {
                            "text": "R talar tilt test",
                            "template": "R talar tilt test",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L talar tilt test",
                            "template": "L talar tilt test",
                            "type": "plus-minus"
                        },
                        {
                            "text": "R ankle squeeze test",
                            "template": "R ankle squeeze test",
                            "type": "plus-minus"
                        },
                        {
                            "text": "L ankle squeeze test",
                            "template": "L ankle squeeze test",
                            "type": "plus-minus"
                        }
                    ]
                },
                {
                    "text": "Other findings (describe)",
                    "template": "{text}",
                    "type": "alpha"
                }
            ]
        }
    ]
}