Ortho assessment

basic physiotherapy ortho assessment format. it will be helpful to fourth bpt students.

1. ORTHO ASSESSMENT DR.SAMIR JADAV

2. ASSESSMENT NAME AGE GENDER OCCUPATION ADDRESS HAND DOMINANCE DATE OF ASSESSMENT DEMOGRAPHIC DETAILS

3. CHIEF COMPLAINTS HISTORY H/O PRESENT ILLNESS PAST MEDICAL HISTORY FAMILY HISTORY PERSONAL HISTORY SOCIOECONOMIC HISTORY FUNCTIONAL HISTORY

4. VITALS TEMP. - 98.6˚F/37˚C RESPI.RATE- 16-20/min HEARTRATE- 60-80 bpm B.P. - 120-80 mmHg ON OBSERVATION BODY BUILT POSTURE ATTITUDE OF LIMB ATTITUDE OF PATIENT EXTERNAL APPLIANCES DEFORMITIES WOUND/SCAR OEDEMA SKIN/TROPHIC CHANGES GAIT

5. ON PALPATION WARMTH TEXTURE OF SKIN TENDERNESS SPASM OEDEMA PULSE CREPITUS MUSCLE WASTING PAIN ASSESSMENT SIDE SITE DURATION

6. TYPE NATURE OF PAIN ONSET OF PAIN RADIATING PAIN A/F R/F INTENSITY OF PAIN: NPRS/VAS SCALE

7. ON EXAMINATION MUSCLE TONE ROM :- AROM PROM ENDFEEL JOINTPLAY MMT DTR - biceps,triceps , brachioradialis, knee, ankle jerk LIMB MEASUREMENT :- LENGTH, GIRTH GAIT

8. INVESTIGATIONS SPECIAL TESTS DIFFERENTIAL DIAGNOSIS DIAGNOSIS PROBLEM LIST

9. SHORT TERM GOALS LONG TERM GOALS MEANS