HIPAppearance* Normal Swelling Redness Erythema Deformity ScarsOtherPalpation* 1. Greater Trochanter R L 2. Pubis R L 3. Ilia R L 4. OtherObserved Abnormality? Yes NoSensation Intact? Yes NoMoves Extremities w/o Deficit? Yes NoStrength 1 2 3 4 5Range of MotionFlexion Full LimitedLevelPainPlease enter a number from 0 to 10.ExplainExtension Full LimitedLevelPainPlease enter a number from 0 to 10.ExplainAvduction Full LimitedLevelPainPlease enter a number from 0 to 10.ExplainAduction Full LimitedLevelPainPlease enter a number from 0 to 10.ExplainInternal Rotation Full LimitedLevelPainPlease enter a number from 0 to 10.ExplainExternal Rotation Full LimitedLevelPainPlease enter a number from 0 to 10.ExplainProcedure Note Consent Skin Cleaned with Chlohexadine OtherTender Points Injected with: Dextrose PRPJoint Injection: Dextrose PRP Stem CellResolution of Symptoms? Yes NoTolerated Well? Yes NoMedication 1AtivanDilaudidDemerolFentanylKetamineMorphineValiumVerscelDoseMedication 2AtivanDilaudidDemerolFentanylKetamineMorphineValiumVerscelDoseMedication 3AtivanDilaudidDemerolFentanylKetamineMorphineValiumVerscelDose
