Ankle & Foot Inside Outside Appearance NormalSwellingRednessErythemaDeformityScars Palpation 1. Distal Fibula R L 2. Distal Tibia R L 3. ATFL R L 4. Anterior Aspect of Calcaneous R L 5. Insertion of Achilles R L 6. Other Observed Abnormality? Yes NoSensation Intact? Yes NoMoves Extremities w/o Deficit? Yes NoStrength - Select -12345 Range of MotionPlantar Flexion FullLimited LevelPainExplain Dorsi Flexion FullLimited LevelPainExplain Inversion FullLimited LevelPainExplain Eversion FullLimited LevelPainExplain Procedure Note Consent Skin Cleaned with Chlohexadine Other Tender Points Injected with:Dextrose PRP Joint Injection:Dextrose PRP Stem Cell Resolution of Symptoms? Yes No Tolerated Well? Yes No Procedural Sedation: Medication 1: - Select -AtivanDilaudidDemerolFentanylKetamineMorphineValiumVerscel DoseMedication 2: - Select -AtivanDilaudidDemerolFentanylKetamineMorphineValiumVerscel DoseMedication 3: - Select -AtivanDilaudidDemerolFentanylKetamineMorphineValiumVerscel Dose
