Check how your note looks!

Foot Injury

Age:  years old

Gender: 



HISTORY:

Presents with a  foot pain following an injury   ago

Mechanism of injury:  

Location is 

Radiation  to 

Rated at  / 10 

Described as 

Pattern 

Worsening factors: 

Alleviating factors: , 

Occupation: 



Associated symptoms: *Try using right-click for negatives*



















Contributing factors:









no history of: , 





EXAM:

Foot: 

Inspection: , 

Palpation:  on 

Range of motion: 

- Dorsiflexion: 

- Plantarflexion: 

- Inversion: 

- Eversion: 

- Toe flexion: 

- Toe extension: 

Strength: , except  on  

Neurovascular: pulses , cap refill  sec, sensation 

Special tests:

- Tinel sign: 

- Morton neuroma squeeze test: 

Gait: , 





ASSESSMENT:

 

DDx: foot sprain, foot contusion, foot fracture, ankle sprain, ankle fracture, metatarsal fracture, Lisfranc injury, Achilles tendon rupture, plantar fasciitis, stress fracture, turf toe, midfoot sprain, calcaneal fracture, gout, septic arthritis, osteochondritis dissecans





PLAN:

Investigations:

- Foot X-ray

- CT scan of the foot

- MRI of the foot

Treatments:

- Rest, ice, compression, elevation (RICE)

- 

- 

- Walking boot

- Orthotics

- Physical therapy

-  for  

Further care:

- Referral to orthopedic surgeon

- Referral to podiatrist

- Follow-up in  

- Return if inability to bear weight or if symptoms do not improve with treatment

HISTORY: Associated symptoms: EXAM: Foot: ASSESSMENT: PLAN:

Note copied!