HISTORY:
leg pain for
Onset: , following
Location:
Radiation:
Severity: , / 10
Type:
Pattern: ,
Worsening factors:
, up to °, over
Treatments tried: ,
Occupation:
Other elements:
EXAM:
General appearance:
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Neck:
Heart: ,
Lungs: ,
Abdomen: , , ,
Skin:
Extremities: , , cap refill , pulses ,
Musculoskeletal: joints ,
Lumbar spine: on , range of motion
Hip: : on , range of motion
Knee: : on , range of motion
Ankle: : on , range of motion
Foot: : on , range of motion
ASSESSMENT:
DDx:
PLAN:
- X-ray
- MRI
- Doppler ultrasound
- CT-angio of the legs
- Bone scan
- Blood work: , , , , , ,
- Rest and elevation
- Heat or cold therapy
-
-
-
- Physical therapy
- Compression stockings
- Referral to orthopedic surgeon
- Referral to rheumatologist
- Referral to vascular surgeon
- Follow-up in
- Return if pain worsens, if new symptoms develop such as swelling or redness, or if symptoms do not improve with treatment