Objective assessment Objective notes

  • cough
    HIV
  • dizzinessnocturnal pain/ drop attacks/
  • coughspeaking/ swallowing problem

  • dizziness
    dizziness
  • coughcancer/ inflammatory arthritis
  • dizziness
    TB
  • cough
    weight loss/ fevers
  • dizziness
    less than 20/ more than 55
  • cough
    double vision
  • cough
    severe pain
  • cough
    spinal cord compression
  • cough
    significant vertebral tenderness
  • cough
    neck trauma/ surgery
  • cough
    preceding trauma or neck surgery

Please seek medical help if any of the above apply or else confirm that you have checked that none do.

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      Health check Before you begin, have you experienced any of the following? If yes, seek doctor as soon as possible. 1: Night sweats? 2: Recent fever? 3: Change in bladder/bowel habits, more specifically urine retention/faecal incontinence? 4: Unexplained weight loss? 5: Cough more than 3 weeks duration +\- blood in sputum? 6: Pain down both legs? 7: Poor controlled leg movement? 8: Loss of feeling down both legs or around buttocks or inner surface of thighs?
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Objective Diagnosis:

please make a note of your diagnosis number and name that appears here before clicking the 'next' button

 

Elbow objective analysis

Has there been a recent accident, fall or trauma?

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Elbow objective analysis

Has there been an onset of pain following frequent lifting or twisting the arm?

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Elbow objective analysis

Is there a deformity anywhere?

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Elbow objective analysis

Is the patient over 60 and affected by increased global joint swelling?

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Elbow objective analysis

Feel the outside of the elbow, is it painful?

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Elbow objective analysis

Feel the inside of the elbow, is it painful?

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Elbow objective analysis

Is increased muscle tension evident?

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Elbow objective analysis

Are there any pins and needles or numbness?

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Elbow objective analysis

Lightly touch both arms, does it feel the same both sides?

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Elbow objective analysis

Pick up skin and roll it between fingers…does it feel painful and tight?

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Elbow objective analysis

Resist flexion of the wrist, is it painful?

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Elbow objective analysis

Is there a bulge in the middle of the bicep region?

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Elbow objective analysis

Resist extension of the wrist, is it painful?

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Elbow objective analysis

Is there any obvious bony deformity and bruising?

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Elbow objective analysis

Is there an obvious swelling on the bony back of the elbow?

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Objective notes alert

Things to observe:

Here, we outline the objective results of your assessment, the progress towards functional goals and any treatments performed. Include details of any interventions, as well as frequency, duration and equipment used. The therapist should indicate changes in the patient's status, as well as communication with colleagues, family or carers.

Try to avoid:

  • Giving no detail
  • Summary detail such as: "ROM exercises given"

essentially, note:

  • range of movement (split into passive and active)
  • muscle strength
  • neurological assessment
  • gait
  • function

Using notes:

Simply type a note and press "Enter" key. You can edit existing notes or delete a note. To delete all your notes, use "Clear". However, as this will remove all notes on this page it is advised to copy and paste them into a document and store them elsewhere before clearing them here.

Elbow Objective Assessment notes

 

my Objective notes symbol objective

(after listening to my patient's account and from observing all signs and clues given)

  • My observations are...

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(use info button below for guidance)

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