WRIST & HANDAppearance* Normal Swelling Redness Erythema Deformity ScarsOtherPalpation*Observed Abnormality? Yes NoSensation Intact? Yes NoMoves Extremities w/o Deficit? Yes NoStrength 1 2 3 4 5Flexion Full LimitedLevelPainPlease enter a number from 0 to 10.ExplainExtension Full LimitedLevelPainPlease enter a number from 0 to 10.ExplainSupination Full LimitedLevelPainPlease enter a number from 0 to 10.ExplainPronation Full LimitedLevelPainPlease enter a number from 0 to 10.ExplainUlnar Deviation Full LimitedLevelPainPlease enter a number from 0 to 10.ExplainRadial Deviation 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 NoProceedural Sedation:Medication 1AtivanDilaudidDemerolFentanylKetamineMorphineValiumVerscelDoseMedication 2AtivanDilaudidDemerolFentanylKetamineMorphineValiumVerscelDoseMedication 3AtivanDilaudidDemerolFentanylKetamineMorphineValiumVerscelDose
