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@@ -0,0 +1,2000 @@
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+{
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+ "section": "exam-musc-skel-comp",
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+ "templateSet": "Fibromyalgia",
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+ "templates": [
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+ {
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+ "text": "1-Click normal exams",
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+ "template": "{children}",
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+ "children": [
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+ {
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+ "text": "GEN: NAD, well-groomed",
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+ "template": "GEN: NAD, well-groomed"
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+ },
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+ {
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+ "text": "HEENT: no iritis",
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+ "template": "HEENT: no iritis"
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+ },
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+ {
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+ "text": "NECK: no thyromegaly or mass",
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+ "template": "NECK: no thyromegaly or mass"
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+ },
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+ {
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+ "text": "JOINTS: no erythema\/warmth",
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+ "template": "MUSC\/SKEL: no joint erythema\/warmth"
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+ },
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+ {
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+ "text": "JOINTS: no swelling\/effusion",
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+ "template": "MUSC\/SKEL: no joint swelling or effusion"
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+ },
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+ {
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+ "text": "JOINTS: FROM, no limitation",
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+ "template": "MUSC\/SKEL: joints with full range of motion, no limitation"
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+ },
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+ {
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+ "text": "MUSC\/SKEL: no bony deformity",
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+ "template": "MUSC\/SKEL: no bony deformity"
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+ },
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+ {
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+ "text": "MUSC\/SKEL: strength intact BL U and LE",
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+ "template": "MUSC\/SKEL: strength intact BL upper and lower extremities"
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+ },
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+ {
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+ "text": "MUSC\/SKEL: NL muscle bulk\/ tone",
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+ "template": "MUSC\/SKEL: NL muscle bulk\/ tone"
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+ },
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+ {
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+ "text": "BACK: NL posture, NL lumbar flexion",
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+ "template": "MUSC\/SKEL: Back posture NL, NL lumbar flexion"
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+ },
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+ {
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+ "text": "EXT: no MCP ulnar deviation",
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+ "template": "EXT: no ulnar deviation of MCP"
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+ },
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+ {
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+ "text": "EXT: no c\/e\/c",
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+ "template": "EXT: no c\/e\/c"
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+ },
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+ {
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+ "text": "EXT: peripheral pulses intact BL",
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+ "template": "EXT: peripheral pulses intact BL"
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+ },
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+ {
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+ "text": "DERM: no malar rash",
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+ "template": "DERM: no malar rash"
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+ },
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+ {
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+ "text": "NEURO: sensation NL throughout",
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+ "template": "NEURO: sensation NL throughout"
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+ },
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+ {
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+ "text": "NEURO: DTRs intact\/non-diminished BL",
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+ "template": "NEURO: DTRs intact\/non-diminished"
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+ },
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+ {
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+ "text": "NEURO: AO x 3",
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+ "template": "NEURO: alert, oriented x 3"
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+ },
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+ {
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+ "text": "PSYCH: NL mood and affect",
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+ "template": "PSYCH: NL mood and affect"
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+ }
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+ ]
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+ },
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+ {
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+ "text": "Pertinent findings",
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+ "template": "{children}",
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+ "children": [
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+ {
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+ "text": "Gen",
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+ "template": "GEN: {children}",
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+ "children": [
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+ {
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+ "text": "overweight",
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+ "template": "overweight",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "obese",
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+ "template": "obese",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "morbidly obese",
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+ "template": "morbidly obese",
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+ "type": "plus-minus"
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+ }
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+ ]
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+ },
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+ {
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+ "text": "HEENT",
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+ "template": "HEENT: {children}",
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+ "children": [
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+ {
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+ "text": "dull expression",
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+ "template": "dull expression",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "puffy face",
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+ "template": "puffy face",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "rounded\/moon face",
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+ "template": "rounded\/moon face",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "periorbital edema",
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+ "template": "periorbital edema",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "loss of lateral third of eyebrow",
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+ "template": "loss of lateral third of eyebrow",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "macroglossia",
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+ "template": "macroglossia",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "lid lag",
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+ "template": "lid lag",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "exophthalmos",
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+ "template": "exophthalmos",
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+ "type": "plus-minus"
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+ }
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+ ]
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+ },
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+ {
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+ "text": "Neck",
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+ "template": "NECK: {children}",
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+ "children": [
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+ {
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+ "text": "thyromegaly",
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+ "template": "thyromegaly",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "palpable thyroid",
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+ "template": "palpable thyroid",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "thyroid bruit",
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+ "template": "thyroid bruit",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "thyroid mass",
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+ "template": "thyroid mass",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "thyroid nodule",
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+ "template": "thyroid nodule",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "thyroid nodules",
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+ "template": "thyroid nodules",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "s\/p thyroidectomy",
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+ "template": "s\/p thyroidectomy",
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+ "type": "plus-minus"
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+ }
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+ ]
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+ },
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+ {
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+ "text": "Respiratory",
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+ "template": "RESP: {children}",
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+ "children": [
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+ {
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+ "text": "lungs CTA BL",
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+ "template": "lungs CTA BL",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "R lung, NL ausc and perc",
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+ "template": "NL auscultation\/percussion R lung",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "L lung, NL ausc and perc",
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+ "template": "NL auscultation\/percussion L lung",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "rales",
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+ "template": "rales",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "wheezes",
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+ "template": "wheezes",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "rhonchi",
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+ "template": "rhonchi",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "decreased respiratory effort",
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+ "template": "decreased respiratory effort",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "use of acc mm of respiration",
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+ "template": "use of acc mm of respiration",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "labored breathing",
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+ "template": "labored breathing",
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+ "type": "plus-minus"
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+ }
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+ ]
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+ },
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+ {
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+ "text": "Cardiovascular",
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+ "template": "CV: {children}",
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+ "children": [
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+ {
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+ "text": "regular rate and rhythm",
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+ "template": "regular rate and rhythm",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "regular rhythm",
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+ "template": "regular rhythm",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "irregularly irregular rhythm",
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+ "template": "irregularly irregular rhythm",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "bradycardia",
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+ "template": "bradycardia",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "tachycardia",
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+ "template": "tachycardia",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "paced rhythm",
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+ "template": "paced rhythm",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "distant heart sounds",
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+ "template": "distant heart sounds",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "murmur",
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+ "template": "murmur",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "S3 gallop",
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+ "template": "S3 gallop",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "S4 gallop",
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+ "template": "S4 gallop",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "cardiac rub",
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+ "template": "cardiac rub",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "pericardial rub",
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+ "template": "pericardial rub",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "PMI displaced",
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+ "template": "PMI displaced",
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+ "type": "plus-minus"
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+ }
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+ ]
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+ },
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+ {
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+ "text": "Abdomen",
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+ "template": "GI: abdominal exam: {children}",
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+ "children": [
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+ {
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+ "text": "distended",
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+ "template": "distended",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "flat",
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+ "template": "flat",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "obese",
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+ "template": "obese",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "bowel sounds intact",
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+ "template": "bowel sounds intact",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "bowel sounds diminished",
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+ "template": "bowel sounds diminished",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "bowel sounds absent",
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+ "template": "bowel sounds absent",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "enlarged abdominal aorta",
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+ "template": "enlarged abdominal aorta",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "abdominal aortic bruit",
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+ "template": "abdominal aortic bruit",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "tenderness with palpation",
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+ "template": "tenderness with palpation",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "rebound",
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+ "template": "rebound",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "guarding",
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+ "template": "guarding",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "rigidity",
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+ "template": "rigidity",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "mass",
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+ "template": "mass",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "hepatomegaly",
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+ "template": "hepatomegaly",
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+ "type": "plus-minus"
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+ }
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+ ]
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+ },
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+ {
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+ "text": "Derm",
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+ "template": "DERM: {children}",
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+ "children": [
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+ {
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+ "text": "malar rash",
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+ "template": "malar rash",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "livedo reticularis",
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+ "template": "livedo reticularis",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "hand redness",
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+ "template": "hand redness",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "stasis dermatitis, LLE",
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+ "template": "stasis dermatitis, LLE",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "Beau's lines",
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+ "template": "Beau's lines",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "Terry's lines",
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+ "template": "Terry's lines",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "skin lumps at injection site",
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+ "template": "skin lumps at injection site",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "acanthosis nigricans",
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+ "template": "acanthosis nigricans",
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+ "type": "plus-minus"
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+ }
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+ ]
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+ },
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+ {
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+ "text": "Musc\/Skel",
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+ "template": "MUSC\/SKEL: {children}",
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+ "children": [
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+ {
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+ "text": "allodynia",
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+ "template": "allodynia",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "joint swelling",
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+ "template": "joint swelling",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "joint effusion",
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+ "template": "joint effusion",
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+ "type": "plus-minus"
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+ },
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+ {
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+ "text": "joint erythema",
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+ "template": "joint erythema",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "joint warmth",
|
|
|
+ "template": "joint warmth",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "ulnar deviation, R MCP",
|
|
|
+ "template": "ulnar deviation, R MCP",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "ulnar deviation, L MCP",
|
|
|
+ "template": "ulnar deviation, L MCP",
|
|
|
+ "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": "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": "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": "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\/Psych",
|
|
|
+ "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": "disoriented",
|
|
|
+ "template": "disoriented",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "anxious appearing",
|
|
|
+ "template": "anxious appearing",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "appears depressed",
|
|
|
+ "template": "appears depressed",
|
|
|
+ "type": "plus-minus"
|
|
|
+ }
|
|
|
+ ]
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "CN II, Acuity\/Fields, R",
|
|
|
+ "template": "NEURO: CN II, R visual acuity\/visual fields: {children}",
|
|
|
+ "children": [
|
|
|
+ {
|
|
|
+ "text": "visual acuity intact",
|
|
|
+ "template": "(+) visual acuity intact"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "decreased visual acuity",
|
|
|
+ "template": "(+) decreased visual acuity"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "monocular blindness",
|
|
|
+ "template": "monocular blindness",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "right hemianopsia",
|
|
|
+ "template": "right hemianopsia",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "left hemianopsia",
|
|
|
+ "template": "left hemianopsia",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "right upper quadrantopsia",
|
|
|
+ "template": "right upper quadrantopsia",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "left upper quadrantopsia",
|
|
|
+ "template": "left upper quadrantopsia",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "right lower quadrantopsia",
|
|
|
+ "template": "right lower quadrantopsia",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "left upper quadrantopsia",
|
|
|
+ "template": "left upper quadrantopsia",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "left lower quadrantopsia",
|
|
|
+ "template": "left lower quadrantopsia",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "macular sparing",
|
|
|
+ "template": "macular sparing",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "central vision loss",
|
|
|
+ "template": "central vision loss",
|
|
|
+ "type": "plus-minus"
|
|
|
+ }
|
|
|
+ ]
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "CN II, Acuity\/Fields, L",
|
|
|
+ "template": "NEURO: CN II, L visual acuity\/visual fields: {children}",
|
|
|
+ "children": [
|
|
|
+ {
|
|
|
+ "text": "visual acuity intact",
|
|
|
+ "template": "(+) visual acuity intact"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "decreased visual acuity",
|
|
|
+ "template": "(+) decreased visual acuity"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "monocular blindness",
|
|
|
+ "template": "monocular blindness",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "right hemianopsia",
|
|
|
+ "template": "right hemianopsia",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "left hemianopsia",
|
|
|
+ "template": "left hemianopsia",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "right upper quadrantopsia",
|
|
|
+ "template": "right upper quadrantopsia",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "left upper quadrantopsia",
|
|
|
+ "template": "left upper quadrantopsia",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "right lower quadrantopsia",
|
|
|
+ "template": "right lower quadrantopsia",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "left upper quadrantopsia",
|
|
|
+ "template": "left upper quadrantopsia",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "left lower quadrantopsia",
|
|
|
+ "template": "left lower quadrantopsia",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "macular sparing",
|
|
|
+ "template": "macular sparing",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "central vision loss",
|
|
|
+ "template": "central vision loss",
|
|
|
+ "type": "plus-minus"
|
|
|
+ }
|
|
|
+ ]
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "CN II, Acuity\/Fields, BL",
|
|
|
+ "template": "NEURO: CN II, BL visual acuity\/visual fields: {children}",
|
|
|
+ "children": [
|
|
|
+ {
|
|
|
+ "text": "visual acuity intact",
|
|
|
+ "template": "(+) visual acuity intact"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "decreased visual acuity",
|
|
|
+ "template": "(+) decreased visual acuity"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "monocular blindness",
|
|
|
+ "template": "monocular blindness",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "right hemianopsia",
|
|
|
+ "template": "right hemianopsia",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "left hemianopsia",
|
|
|
+ "template": "left hemianopsia",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "right upper quadrantopsia",
|
|
|
+ "template": "right upper quadrantopsia",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "left upper quadrantopsia",
|
|
|
+ "template": "left upper quadrantopsia",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "right lower quadrantopsia",
|
|
|
+ "template": "right lower quadrantopsia",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "left upper quadrantopsia",
|
|
|
+ "template": "left upper quadrantopsia",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "left lower quadrantopsia",
|
|
|
+ "template": "left lower quadrantopsia",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "macular sparing",
|
|
|
+ "template": "macular sparing",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "central vision loss",
|
|
|
+ "template": "central vision loss",
|
|
|
+ "type": "plus-minus"
|
|
|
+ }
|
|
|
+ ]
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "CN II: Pupil, R",
|
|
|
+ "template": "NEURO: CN II, R pupil: {children}",
|
|
|
+ "children": [
|
|
|
+ {
|
|
|
+ "text": "normal size",
|
|
|
+ "template": "(+) normal size"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "midline",
|
|
|
+ "template": "(+) midline"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "enlarged",
|
|
|
+ "template": "enlarged",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "miosis",
|
|
|
+ "template": "miosis",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "eccentric",
|
|
|
+ "template": "eccentric",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "irregularly shaped",
|
|
|
+ "template": "irregularly shaped",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "reactive to light",
|
|
|
+ "template": "reactive to light",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "accommodation intact",
|
|
|
+ "template": "accommodation intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ }
|
|
|
+ ]
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "CN II: Pupil, L",
|
|
|
+ "template": "NEURO: CN II, L pupil: {children}",
|
|
|
+ "children": [
|
|
|
+ {
|
|
|
+ "text": "normal size",
|
|
|
+ "template": "(+) normal size"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "midline",
|
|
|
+ "template": "(+) midline"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "enlarged",
|
|
|
+ "template": "enlarged",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "miosis",
|
|
|
+ "template": "miosis",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "eccentric",
|
|
|
+ "template": "eccentric",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "irregularly shaped",
|
|
|
+ "template": "irregularly shaped",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "reactive to light",
|
|
|
+ "template": "reactive to light",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "accommodation intact",
|
|
|
+ "template": "accommodation intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ }
|
|
|
+ ]
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "CN II: Pupil, BL",
|
|
|
+ "template": "NEURO: CN II, BL pupils: {children}",
|
|
|
+ "children": [
|
|
|
+ {
|
|
|
+ "text": "normal size",
|
|
|
+ "template": "(+) normal size"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "midline",
|
|
|
+ "template": "(+) midline"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "enlarged",
|
|
|
+ "template": "enlarged",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "miosis",
|
|
|
+ "template": "miosis",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "eccentric",
|
|
|
+ "template": "eccentric",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "irregularly shaped",
|
|
|
+ "template": "irregularly shaped",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "reactive to light",
|
|
|
+ "template": "reactive to light",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "accommodation intact",
|
|
|
+ "template": "accommodation intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ }
|
|
|
+ ]
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "CN III\/IV\/VI, R",
|
|
|
+ "template": "NEURO: CN III\/IV\/VI, R: {children}",
|
|
|
+ "children": [
|
|
|
+ {
|
|
|
+ "text": "intact and nonfocal",
|
|
|
+ "template": "(+) intact and nonfocal"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "upward gaze impaired",
|
|
|
+ "template": "upward gaze impaired",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "downward gaze impaired",
|
|
|
+ "template": "downward gaze impaired",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "inward gaze impaired",
|
|
|
+ "template": "inward gaze impaired",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "outward gaze impaired",
|
|
|
+ "template": "outward gaze impaired",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "dysconjugate gaze",
|
|
|
+ "template": "dysconjugate gaze",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "horizontal nystagmus",
|
|
|
+ "template": "horizontal nystagmus",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "vertical nystagmus",
|
|
|
+ "template": "vertical nystagmus",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "miosis",
|
|
|
+ "template": "miosis",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "ptosis",
|
|
|
+ "template": "ptosis",
|
|
|
+ "type": "plus-minus"
|
|
|
+ }
|
|
|
+ ]
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "CN III\/IV\/VI, L",
|
|
|
+ "template": "NEURO: CN III\/IV\/VI, L: {children}",
|
|
|
+ "children": [
|
|
|
+ {
|
|
|
+ "text": "intact and nonfocal",
|
|
|
+ "template": "(+) intact and nonfocal"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "upward gaze impaired",
|
|
|
+ "template": "upward gaze impaired",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "downward gaze impaired",
|
|
|
+ "template": "downward gaze impaired",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "inward gaze impaired",
|
|
|
+ "template": "inward gaze impaired",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "outward gaze impaired",
|
|
|
+ "template": "outward gaze impaired",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "dysconjugate gaze",
|
|
|
+ "template": "dysconjugate gaze",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "horizontal nystagmus",
|
|
|
+ "template": "horizontal nystagmus",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "vertical nystagmus",
|
|
|
+ "template": "vertical nystagmus",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "miosis",
|
|
|
+ "template": "miosis",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "ptosis",
|
|
|
+ "template": "ptosis",
|
|
|
+ "type": "plus-minus"
|
|
|
+ }
|
|
|
+ ]
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "CN III\/IV\/VI, BL",
|
|
|
+ "template": "NEURO: CN III\/IV\/VI, BL: {children}",
|
|
|
+ "children": [
|
|
|
+ {
|
|
|
+ "text": "intact and nonfocal",
|
|
|
+ "template": "(+) intact and nonfocal"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "upward gaze impaired",
|
|
|
+ "template": "upward gaze impaired",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "downward gaze impaired",
|
|
|
+ "template": "downward gaze impaired",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "inward gaze impaired",
|
|
|
+ "template": "inward gaze impaired",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "outward gaze impaired",
|
|
|
+ "template": "outward gaze impaired",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "dysconjugate gaze",
|
|
|
+ "template": "dysconjugate gaze",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "horizontal nystagmus",
|
|
|
+ "template": "horizontal nystagmus",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "vertical nystagmus",
|
|
|
+ "template": "vertical nystagmus",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "miosis",
|
|
|
+ "template": "miosis",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "ptosis",
|
|
|
+ "template": "ptosis",
|
|
|
+ "type": "plus-minus"
|
|
|
+ }
|
|
|
+ ]
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "CN V, R",
|
|
|
+ "template": "NEURO: CN V, R: {children}",
|
|
|
+ "children": [
|
|
|
+ {
|
|
|
+ "text": "intact and nonfocal",
|
|
|
+ "template": "(+) intact and nonfocal"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "temporal muscle strength intact",
|
|
|
+ "template": "temporal muscle strength intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "masseter muscle strength intact",
|
|
|
+ "template": "masseter muscle strength intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "corneal reflex intact",
|
|
|
+ "template": "corneal reflex intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "forehead sensation intact",
|
|
|
+ "template": "forehead sensation intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "cheek sensation intact",
|
|
|
+ "template": "cheek sensation intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "jaw strength intact",
|
|
|
+ "template": "jaw strength intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ }
|
|
|
+ ]
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "CN V, L",
|
|
|
+ "template": "NEURO: CN V, L: {children}",
|
|
|
+ "children": [
|
|
|
+ {
|
|
|
+ "text": "intact and nonfocal",
|
|
|
+ "template": "(+) intact and nonfocal"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "temporal muscle strength intact",
|
|
|
+ "template": "temporal muscle strength intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "masseter muscle strength intact",
|
|
|
+ "template": "masseter muscle strength intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "corneal reflex intact",
|
|
|
+ "template": "corneal reflex intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "forehead sensation intact",
|
|
|
+ "template": "forehead sensation intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "cheek sensation intact",
|
|
|
+ "template": "cheek sensation intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "jaw strength intact",
|
|
|
+ "template": "jaw strength intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ }
|
|
|
+ ]
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "CN V, BL",
|
|
|
+ "template": "NEURO: CN V, BL: {children}",
|
|
|
+ "children": [
|
|
|
+ {
|
|
|
+ "text": "intact and nonfocal",
|
|
|
+ "template": "(+) intact and nonfocal"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "temporal muscle strength intact",
|
|
|
+ "template": "temporal muscle strength intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "masseter muscle strength intact",
|
|
|
+ "template": "masseter muscle strength intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "corneal reflex intact",
|
|
|
+ "template": "corneal reflex intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "forehead sensation intact",
|
|
|
+ "template": "forehead sensation intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "cheek sensation intact",
|
|
|
+ "template": "cheek sensation intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "jaw strength intact",
|
|
|
+ "template": "jaw strength intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ }
|
|
|
+ ]
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "CN VII, R",
|
|
|
+ "template": "NEURO: CN VII, R: {children}",
|
|
|
+ "children": [
|
|
|
+ {
|
|
|
+ "text": "intact and nonfocal",
|
|
|
+ "template": "(+) intact and nonfocal"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "facial asymmetry present",
|
|
|
+ "template": "facial asymmetry present",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "facial droop present",
|
|
|
+ "template": "facial droop present",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "eyebrow raise intact",
|
|
|
+ "template": "eyebrow raise intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "eye close vs resistance intact",
|
|
|
+ "template": "ability to close right eye against resistance intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "cheek puff intact",
|
|
|
+ "template": "cheek puff intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ }
|
|
|
+ ]
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "CN VII, L",
|
|
|
+ "template": "NEURO: CN VII, L: {children}",
|
|
|
+ "children": [
|
|
|
+ {
|
|
|
+ "text": "intact and nonfocal",
|
|
|
+ "template": "(+) intact and nonfocal"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "facial asymmetry present",
|
|
|
+ "template": "facial asymmetry present",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "facial droop present",
|
|
|
+ "template": "facial droop present",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "eyebrow raise intact",
|
|
|
+ "template": "eyebrow raise intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "eye close vs resistance intact",
|
|
|
+ "template": "ability to close right eye against resistance intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "cheek puff intact",
|
|
|
+ "template": "cheek puff intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ }
|
|
|
+ ]
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "CN VII, BL",
|
|
|
+ "template": "NEURO: CN VII, BL: {children}",
|
|
|
+ "children": [
|
|
|
+ {
|
|
|
+ "text": "intact and nonfocal",
|
|
|
+ "template": "(+) intact and nonfocal"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "facial asymmetry present",
|
|
|
+ "template": "facial asymmetry present",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "facial droop present",
|
|
|
+ "template": "facial droop present",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "eyebrow raise intact",
|
|
|
+ "template": "eyebrow raise intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "eye close vs resistance intact",
|
|
|
+ "template": "ability to close right eye against resistance intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "cheek puff intact",
|
|
|
+ "template": "cheek puff intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ }
|
|
|
+ ]
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "CN VIII, R",
|
|
|
+ "template": "NEURO: CN VIII, R: {children}",
|
|
|
+ "children": [
|
|
|
+ {
|
|
|
+ "text": "intact and nonfocal",
|
|
|
+ "template": "(+) intact and nonfocal"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "decreased hearing",
|
|
|
+ "template": "decreased hearing",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "deaf",
|
|
|
+ "template": "deaf",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "Weber normal",
|
|
|
+ "template": "Weber normal",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "Weber right lateralization",
|
|
|
+ "template": "Weber right lateralization",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "Weber left lateralization",
|
|
|
+ "template": "Weber left lateralization",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "Rinne normal",
|
|
|
+ "template": "normal Rinne (air conduction greater than bone bilaterally)",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "Rinne positive, right",
|
|
|
+ "template": "Rinne positive (air conduction worse than bone on right)",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "Rinne positive, left",
|
|
|
+ "template": "Rinne positive (air conduction worse than bone on left)",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "Rinne negative, right",
|
|
|
+ "template": "Rinne negative (air conduction better than bone on right)",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "Rinne negative, left",
|
|
|
+ "template": "Rinne negative (air conduction better than bone on left)",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "caloric reflex test intact",
|
|
|
+ "template": "caloric reflex test intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ }
|
|
|
+ ]
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "CN VIII, L",
|
|
|
+ "template": "NEURO: CN VIII, L: {children}",
|
|
|
+ "children": [
|
|
|
+ {
|
|
|
+ "text": "intact and nonfocal",
|
|
|
+ "template": "(+) intact and nonfocal"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "decreased hearing",
|
|
|
+ "template": "decreased hearing",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "deaf",
|
|
|
+ "template": "deaf",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "Weber normal",
|
|
|
+ "template": "Weber normal",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "Weber right lateralization",
|
|
|
+ "template": "Weber right lateralization",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "Weber left lateralization",
|
|
|
+ "template": "Weber left lateralization",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "Rinne normal",
|
|
|
+ "template": "normal Rinne (air conduction greater than bone bilaterally)",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "Rinne positive, right",
|
|
|
+ "template": "Rinne positive (air conduction worse than bone on right)",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "Rinne positive, left",
|
|
|
+ "template": "Rinne positive (air conduction worse than bone on left)",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "Rinne negative, right",
|
|
|
+ "template": "Rinne negative (air conduction better than bone on right)",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "Rinne negative, left",
|
|
|
+ "template": "Rinne negative (air conduction better than bone on left)",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "caloric reflex test intact",
|
|
|
+ "template": "caloric reflex test intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ }
|
|
|
+ ]
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "CN VIII, BL",
|
|
|
+ "template": "NEURO: CN VIII, BL: {children}",
|
|
|
+ "children": [
|
|
|
+ {
|
|
|
+ "text": "intact and nonfocal",
|
|
|
+ "template": "(+) intact and nonfocal"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "decreased hearing",
|
|
|
+ "template": "decreased hearing",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "deaf",
|
|
|
+ "template": "deaf",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "Weber normal",
|
|
|
+ "template": "Weber normal",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "Weber right lateralization",
|
|
|
+ "template": "Weber right lateralization",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "Weber left lateralization",
|
|
|
+ "template": "Weber left lateralization",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "Rinne normal",
|
|
|
+ "template": "normal Rinne (air conduction greater than bone bilaterally)",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "Rinne positive, right",
|
|
|
+ "template": "Rinne positive (air conduction worse than bone on right)",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "Rinne positive, left",
|
|
|
+ "template": "Rinne positive (air conduction worse than bone on left)",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "Rinne negative, right",
|
|
|
+ "template": "Rinne negative (air conduction better than bone on right)",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "Rinne negative, left",
|
|
|
+ "template": "Rinne negative (air conduction better than bone on left)",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "caloric reflex test intact",
|
|
|
+ "template": "caloric reflex test intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ }
|
|
|
+ ]
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "CN IX\/X",
|
|
|
+ "template": "NEURO: CN IX\/X: {children}",
|
|
|
+ "children": [
|
|
|
+ {
|
|
|
+ "text": "intact and nonfocal",
|
|
|
+ "template": "(+) intact and nonfocal"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "swallowing intact",
|
|
|
+ "template": "(+) ability to swallow intact"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "gag reflex intact",
|
|
|
+ "template": "(+) gag reflex intact"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "uvula deviation to right",
|
|
|
+ "template": "uvula deviation to right",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "uvula deviation to left",
|
|
|
+ "template": "uvula deviation to left",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "hoarse voice quality present",
|
|
|
+ "template": "hoarse voice quality present",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "nasal voice quality present",
|
|
|
+ "template": "nasal voice quality present",
|
|
|
+ "type": "plus-minus"
|
|
|
+ }
|
|
|
+ ]
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "CN XI, R",
|
|
|
+ "template": "NEURO: CN XI, R: {children}",
|
|
|
+ "children": [
|
|
|
+ {
|
|
|
+ "text": "intact and nonfocal",
|
|
|
+ "template": "(+) intact and nonfocal"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "shoulder shrug intact",
|
|
|
+ "template": "shoulder shrug intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "head turn vs resistance intact",
|
|
|
+ "template": "ability to turn head against resistance intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "trapezius muscle atrophy",
|
|
|
+ "template": "trapezius muscle atrophy",
|
|
|
+ "type": "plus-minus"
|
|
|
+ }
|
|
|
+ ]
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "CN XI, L",
|
|
|
+ "template": "NEURO: CN XI, L: {children}",
|
|
|
+ "children": [
|
|
|
+ {
|
|
|
+ "text": "intact and nonfocal",
|
|
|
+ "template": "(+) intact and nonfocal"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "shoulder shrug intact",
|
|
|
+ "template": "shoulder shrug intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "head turn vs resistance intact",
|
|
|
+ "template": "ability to turn head against resistance intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "trapezius muscle atrophy",
|
|
|
+ "template": "trapezius muscle atrophy",
|
|
|
+ "type": "plus-minus"
|
|
|
+ }
|
|
|
+ ]
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "CN XI, BL",
|
|
|
+ "template": "NEURO: CN XI, BL: {children}",
|
|
|
+ "children": [
|
|
|
+ {
|
|
|
+ "text": "intact and nonfocal",
|
|
|
+ "template": "(+) intact and nonfocal"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "shoulder shrug intact",
|
|
|
+ "template": "shoulder shrug intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "head turn vs resistance intact",
|
|
|
+ "template": "ability to turn head against resistance intact",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "trapezius muscle atrophy",
|
|
|
+ "template": "trapezius muscle atrophy",
|
|
|
+ "type": "plus-minus"
|
|
|
+ }
|
|
|
+ ]
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "CN XII",
|
|
|
+ "template": "NEURO: CN XII: {children}",
|
|
|
+ "children": [
|
|
|
+ {
|
|
|
+ "text": "intact and nonfocal",
|
|
|
+ "template": "(+) intact and nonfocal"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "speech articulation impaired",
|
|
|
+ "template": "speech articulation impaired",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "tongue midline without deviation",
|
|
|
+ "template": "tongue midline without deviation",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "tongue deviated to right",
|
|
|
+ "template": "tongue deviated to right",
|
|
|
+ "type": "plus-minus"
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "tongue deviated to left",
|
|
|
+ "template": "tongue deviated to left",
|
|
|
+ "type": "plus-minus"
|
|
|
+ }
|
|
|
+ ]
|
|
|
+ },
|
|
|
+ {
|
|
|
+ "text": "Other findings (describe)",
|
|
|
+ "template": "Other findings: {text}",
|
|
|
+ "type": "alpha"
|
|
|
+ }
|
|
|
+ ]
|
|
|
+ }
|
|
|
+ ]
|
|
|
+}
|