Physical (Upper Limbs)
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Self-scoring is possible with some items, but examinations of
the upper limbs are best accomplished by a healthcare professional. |
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Score |
Normal expectations |
Recommended action steps |
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Upper limbs |
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Test for: [For each of 5 items below: passed test (score 0)/failed test
(score 1)] |
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Power |
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Positive response to test |
Failed test must be reported to a neurologist |
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Tone |
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Positive response to test |
Failed test must be reported to a neurologist |
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Reflex |
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Positive response to test |
Failed test must be reported to a neurologist |
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Coordination |
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Positive response to test |
Failed test must be reported to a neurologist |
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Sensation |
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Positive response to test |
Failed test must be reported to a neurologist |
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Joints |
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Range of motion (score 0 if full range achieved, otherwise 1) |
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Full range of flexion, extension, rotation at shoulders, elbows,
wrists, fingers |
Any limitations must be reported to a physician |
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Swelling/inflammation/pain (score 1 if present, otherwise 0) |
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No swelling, no redness, no edema, no pain |
If present, observations must be reported to a physician |
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Shape & Growth (score 0 if within norm, otherwise 1) |
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Smooth curvature |
Deviation from norm should be checked by physician for
underlying diseases |
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Coloration (score 0 if within norm, otherwise 1) |
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Pink |
Deviation from norm should be checked by physician for
underlying diseases |
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[none/weak /normal /bounding (score 0 if normal, 1 for all others)] |
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Normal rate = 60-100 bpm for adults, more details on pulse rate
in General appearance section |
Report to physician if off norm |
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[none/weak /normal /bounding (score 0 if normal, 1 for all others)] |
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Normal rate = 60-100 bpm for adults, more details on pulse rate
in General appearance section |
Report to physician if off norm |
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[Systolic/Diastolic mm Hg (score 0 if 90-120/70-80, 1 otherwise)] |
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At resting state: 120/80 mm Hg |
Deviation of 10 mm Hg
for either systolic or diastolic pressure should be discussed with physician |
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[yes (score 1)/no (score 0)] |
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Not palpable, no swelling, no asymmetry, no discoloration, no
increase in temperature, no pain reported by patient |
Swelling must be reported to physician |
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Overall score |
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Reminder:
Accumulated score of zero requires no further action. The user is encouraged to
discuss with a healthcare provider any line items scored as 1 and proceed with
remedial actions as appropriate. Save or print the table. All forms will reset
to blank state once the user exits the website.
"Prevention is better than cure" Desiderius Erasmus