Flexion exention lateral bending and rotation normal Strength 5 Shoulders

Flexion exention lateral bending and rotation normal

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Neck: symmetric, acanthosis nigricans noted. Flexion, exention, lateral bending and rotation normal. Strength +5 Shoulders: symmetric with no visible abnormalities noted. Flexion, Extension, and adduction normal bilaterally. Strength +5 Upper extremities: Bilateral arms, elbows, wrists and hands symmetric with no edema, masses, discoloration, deformity or visible abnormalities noted. Elbow flexion and extension normal, supination and pronation normal bilaterally. Elbow strength +5 bilaterally. Wrist flexion, extension and ulnar/radial deviation normal bilaterally. Wrist strength +5 bilaterally. Hand strength +5 bilaterally. Spinal extension and flexion reduced. Lateral bending and rotation reduced. Hips symmetric with no edema, masses, discoloration, deformity or visible abnormalities noted. Flexion, extension, abduction and adduction normal bilaterally. Strength +5 bilaterally. Lower extremities: Bilateral thighs, knees, and ankles symmetric with no edema, masses, discoloration, deformity or visible abnormalities noted. Knee flexion and extension normal bilaterally. Knee strength +5 bilaterally. Ankle strength +5 bilaterally. Feet symmetric with no visible abnormalities noted. New skin growth from healed wound noted on right foot. Arches equal with expected curvature. Eversion and inversion normal bilaterally. Plantar and dorsiflexion normal bilaterally. ROM exercises slow and with obvious signs of discomfort including grimacing General: Ms. Jones is a pleasant, obese 28-year-old African American woman in no acute distress. She is alert and oriented. She maintains eye contact throughout interview and examination. Musculoskeletal: Bilateral upper extremities without muscle atrophy or joint deformity. Bilateral upper extremities with full range of motion of shoulder, elbow, and wrist. No evidence of swollen joints or signs of infection. Bilateral lower extremities without muscle atrophy or joint deformity, full range of motion of bilateral hips, knees, and ankles. No evidence of swollen joints or signs of infection. Flexion, extension, lateral bending, and rotation of the spine with reduced ROM - pain and difficulty.
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