Patient Name: David McFaul Patient Date Of Birth : 19/10/1986 Last Saved 23/08/2022 at 21:01 by Lydia McFaul - Draft MSK Initial Present Complaint Present complaint Aggravating Factors Easing factors 24 Hour Pattern History of complaint Comments Medical/Drug History Previous Treatments Comments Medical/Drug History Past medical History Drug History Social history Work situation Home situation Uses Leisure/exercise Additional comments Observations Observation Functional Demonstration Progression Practice Name : Encompass Rehab Active range of movement Passive range of movement Muscle strengths Muscle length Neurological testing Dermatomes / Sensation Myotomes Neurodynamics Palpation Neural palpation Special tests Plan Treatment plan Assessment findings and treatment plan discussed and agreed with Treatment / advice Goals Body chart click image to annotate
