twigfiddle.com - Fiddle metd1q v4 - Created on May 25, 2023 13:01

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    </head>
    <body class="c22 doc-content">
        <div>
            <p class="c7 c13">
                <span class="c4"></span>
            </p>
            <p class="c7 c13">
                <span class="c4"></span>
            </p>
        </div>
        <h3 class="c27" id="h.7wbhgdg3y9u7">
            <span class="c16">{{ providerDocName }}</span>
        </h3>
        <p class="c30">
            <span class="c5">{{ facilityAddress }}</span>
        </p>
        <p class="c7">
        <!--Need to appercase names --> 
            <span class="c5">IN REFERENCE &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;{{ patientName }}</span>
        </p>
        <p class="c7">
            <span class="c5">DATE OF BIRTH &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;{{ patientDOB }}</span>
        </p>
        <p class="c7">
            <span class="c5">DATE OF INJURY &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;{{ policyNumberDOI }}</span>
        </p>
        <p class="c7">
            <span class="c5">DATE OF REPORT &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;{{ visitDate }}</span>
        </p>
        <p class="c19">
            <span class="c9">INITIAL CONSULTATION</span>
        </p>
        <p class="c3">
            <span class="c9">CHIEF COMPLAINT</span>
        </p>
        <p class="c2">
            <span class="c0">{{ titleSex }} {{patientName}} is a {{ patienYearsOld }}-year-old {{ patientSex }}, who has been referred to the pain clinic with the chief complaint of {{ painBodyPart[0] }} pain.</span>
        </p>
        <p class="c3">
            <span class="c9">HISTORY OF PRESENT ILLNESS</span>
        </p>
        <p class="c2">
            <span class="c0">{{ titleSex }} {{patientName}} states that on the date of {{ sexProcessiveAdjective }} injury, which was {{ policyNumberDOI }}, <span class="lowercase">{{ sexSubjectPronoun }}</span> was involved in a {{ accidentType }}, where <span class="lowercase">{{ sexSubjectPronoun }}</span> was the {{ placedInCar }} of the vehicle that was involved in a {{ damageSide }} collision. Following the injury, {{ sexSubjectPronoun }} developed pain in {{ sexProcessiveAdjective }} {{ painBodyPart[0] }} radiating to the {{ painRadiationPartSide[0] }} {{ painRadiationPartSide[1] }}. {{ sexSubjectPronoun }} has had physical therapy for 1 session. {{ sexSubjectPronoun }} is taking {{ currentMedications }} for {{ sexProcessiveAdjective }} pain. {{ sexSubjectPronoun }} has had {{ similarInjurySatus }} similar injuries in the past.{{ sexSubjectPronoun }} is referred to the pain clinic for further evaluation.</span>
        </p>
        <p class="c3">
            <span class="c9">PAST MEDICAL HISTORY</span>
        </p>
        <p class="c2">
            <span class="c0">{{ sexSubjectPronoun }} has had {{ similarInjurySatus }} similar injuries in the past.</span>
        </p>
        <p class="c3">
            <span class="c9">CURRENT SYMPTOMS: &nbsp;<!--Need to appercase painBodyPart -->{{ painBodyPart[0] }}</span>
        </p>
        <p class="c12">
            <span class="c0">{{ sexSubjectPronoun }} is {{ handDominant }}-hand-dominant. Pain is {{ painFrequency }} and {{ painSeverity[1] }}, {{ painSide[0] }}. There is {{ painBodyPart[0] }} {{ painBodyPartState[0] }}, {{ painBodyPartState[1] }}, muscle {{ painBodyPartMuscleState[0] }}. &nbsp;Pain radiates to the {{ painRadiationPartSide[0] }} {{ painRadiationPart }}.</span>
        </p>
        <p class="c12 c13">
            <span class="c0"></span>
        </p>
        <p class="c12">
            <span class="c0">The symptoms are {{ symptomsIncreaseActivityStatus }} increased by twisting, turning, extending and flexing the {{ painBodyPart[0] }}, and {{ symptomsIncreaseActivityStatus }} keeping it in an awkward or prolonged position.</span>
        </p>
        <p class="c12 c13">
            <span class="c0"></span>
        </p>
        <p class="c12">
            <span class="c0">The symptoms are {{ symptomsIncreaseActivityUseStatus }} increased by activity involving the use of muscles of the {{ painBodyPart[0] }}, vigorous activity, bending over, and cold environment.</span>
        </p>
        <p class="c3">
            <span class="c9">PHYSICAL EXAMINATION</span>
        </p>
        <p class="c2 c13">
            <span class="c9"></span>
        </p>
        <p class="c36">
            <span class="c5">GENERAL APPEARANCE</span>
        </p>
        <p class="c3">
            <span class="c6">The patient presents as a {{ patientHeight[0] }}-foot {{ patientHeight[1] }}-inch, {{ patientWeight }}-pound male, who moves around the examining room with slow and deliberate gait</span>
        </p>
        <!--Show different body part name on latin depending from the painBodyPart[] (Neck(cervical), MidleBack(thoracic), Lower Back(Lumbar))-->
        <p class="c10">
            <span class="c5">SPINAL EXAMINATION - CERVICAL SPINE</span>
        </p>
        <p class="c2">
            <span class="c0">Palpation of the spine reveals tenderness (graded 0=none; 1+=mild; 2+=moderate; and 3+=marked) in the following regions:</span>
        </p>
        <p class="c3">
            <span class="c24">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span>
            <span class="c0">Right &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Midline &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Left</span>
        </p>
        <!--Show different list depending from the painBodyPart[] (Neck(cervical)=neckSpinalExamRegion, MidleBack(thoracic)=midleBackSpinalExamRegion, Lower Back(Lumbar)=lowerBackSpinalExamRegion)-->
        <p class="c8">
            <span class="c0">&nbsp;{{ neckSpinalExamRegion[0] }}: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;{{ spinalExamGrade[2] }} &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;{{ spinalExamGrade[1] }} &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;{{ spinalExamGrade[1] }}</span>
        </p>
        <p class="c8">
            <span class="c0">&nbsp;{{ neckSpinalExamRegion[1] }}: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;{{ spinalExamGrade[2] }} &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;{{ spinalExamGrade[1] }} &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;{{ spinalExamGrade[1] }}</span>
        </p>
        <p class="c8">
            <span class="c0">&nbsp;{{ neckSpinalExamRegion[2] }}: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;{{ spinalExamGrade[2] }} &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;{{ spinalExamGrade[1] }} &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;{{ spinalExamGrade[1] }}</span>
        </p>
        <p class="c8">
            <span class="c0">&nbsp;{{ neckSpinalExamRegion[3] }}: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;{{ spinalExamGrade[2] }} &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;{{ spinalExamGrade[1] }} &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;{{ spinalExamGrade[1] }}</span>
        </p>
        <!--Show different body part name on latin depending from the painBodyPart[] (Neck(cervical), MidleBack(thoracic), Lower Back(Lumbar))-->
        <p class="c33">
            <span class="c5">RANGE OF MOTION - CERVICAL SPINE</span>
        </p>
        <p class="c7">
            <span class="c6">&nbsp;</span>
            <span class="c20 c26 c28">Range of motion degrees are an average of three motions performed by the patient.</span>
        </p>
        <p class="c21">
            <span class="c6">&nbsp;</span>
            <span class="c15">Cervical Spine Range of Motion &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Degrees &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Pain</span>
        </p>
        <p class="c1">
            <span class="c0">Flexion: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;28 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;+</span>
        </p>
        <p class="c1">
            <span class="c0">Extension: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;15 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;+</span>
        </p>
        <p class="c1">
            <span class="c0">Right Bending: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;15 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;+</span>
        </p>
        <p class="c1">
            <span class="c0">Left Bending: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;35 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;+</span>
        </p>
        <p class="c1">
            <span class="c0">Right Rotation: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;35 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;+</span>
        </p>
        <p class="c1">
            <span class="c0">Left Rotation: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;57 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;+</span>
        </p>
        <p class="c35">
            <span class="c24">SENSATION TESTING &ndash;CERVICAL SPINE </span>
        </p>
        <p class="c21">
            <span class="c0">Sensory testing to light touch and cold (by alcohol swab) is intact bilaterally symmetric in C5-T1 dermatomes</span>
        </p>
        <p class="c10">
            <span class="c5">MOTOR STRENGTH - UPPER EXTREMITIES</span>
        </p>
        <p class="c8">
            <span class="c0">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Right &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Left</span>
        </p>
        <p class="c1">
            <span class="c0">Deltoids: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;5/5 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;5/5</span>
        </p>
        <p class="c1">
            <span class="c0">Rotator Cuffs: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;5/5 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;5/5</span>
        </p>
        <p class="c1">
            <span class="c0">Biceps: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;5/5 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;5/5</span>
        </p>
        <p class="c1">
            <span class="c0">Triceps: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;5/5 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;5/5</span>
        </p>
        <p class="c1">
            <span class="c0">Supinators: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;5/5 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;5/5</span>
        </p>
        <p class="c1">
            <span class="c0">Pronator Teres: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;5/5 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;5/5</span>
        </p>
        <p class="c1">
            <span class="c0">Wrist Extensors: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;5/5 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;5/5</span>
        </p>
        <p class="c1">
            <span class="c0">Wrist Flexors: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;5/5 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;5/5</span>
        </p>
        <p class="c1">
            <span class="c0">Hand Intrinsics: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;5/5 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;5/5</span>
        </p>
        <p class="c10">
            <span class="c5">REFLEXES - UPPER EXTREMITIES</span>
        </p>
        <p class="c8">
            <span class="c0">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Right &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Left</span>
        </p>
        <p class="c1">
            <span class="c0">Biceps: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;1+ &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;1+</span>
        </p>
        <p class="c1">
            <span class="c0">Triceps: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;1+ &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;1+</span>
        </p>
        <p class="c1">
            <span class="c0">Brachioradialis: &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;1+ &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;1+</span>
        </p>
        <p class="c10">
            <span class="c6">&nbsp;</span>
            <span class="c5">SPECIAL TESTS - CERVICAL SPINE</span>
        </p>
        <p class="c8">
            <span class="c0">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Left &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Right &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Expected</span>
        </p>
        <p class="c1">
            <span class="c0">Cervical Compression Test &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Negative &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Positive &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Negative</span>
        </p>
        <p class="c1">
            <span class="c0">Cervical Facet Loading Maneuver &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Negative &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Negative &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Negative</span>
        </p>
        <p class="c1">
            <span class="c0">Cervical Facet Tenderness &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Negative &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Negative &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Negative</span>
        </p>
        <p class="c3">
            <span class="c24 c25">DIAGNOSTIC STUDIES</span>
        </p>
        <p class="c3">
            <span class="c0">None.</span>
        </p>
        <p class="c3">
            <span class="c24 c25">INITIAL ASSESSMENT</span>
        </p>
        <p class="c3">
            <span class="c0">Cervical radiculopathy. </span>
        </p>
        <p class="c3">
            <span class="c24 c25">TREATMENT PLAN</span>
        </p>
        <p class="c11">
            <span class="c6">1.</span>
            <span class="c31">&nbsp;&nbsp;&nbsp;</span>
            <span class="c6">MRI scan of the cervical spine.</span>
        </p>
        <p class="c11">
            <span class="c6">2.</span>
            <span class="c31">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span>
            <span class="c0">Nonsteroidal anti-inflammatories for his pain.</span>
        </p>
        <p class="c11">
            <span class="c6">3.</span>
            <span class="c31">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span>
            <span class="c0">Follow up in 1 month.</span>
        </p>
        <p class="c3">
            <span class="c9">DISCUSSION</span>
        </p>
        <p class="c18">
            <span class="c6 c26 c37">We had the pleasure to evaluate Mr. </span>
            <span class="c6">Aguilera Rojas</span>
            <span class="c6 c23">&nbsp;for a Pain Management Consultation with respect to injuries sustained in the above captioned accident. I have reviewed all of my records and diagnostic studies available as summarized above, in conjunction with this evaluation.</span>
        </p>
        <p class="c18">
            <span class="c0">&nbsp;&hellip;..</span>
        </p>
        <p class="c18 c26">
            <span class="c24 c20 c32">DISCLOSURE NOTICE:</span>
        </p>
        <p class="c18 c26">
            <span class="c6 c20">This report is for medical/legal assessment of injuries and is not to be construed as a complete physical examination for general health purposes. Only those symptoms which are believed to have been involved in the injury or that might relate to the injury have been assessed. The patient has the right to obtain an evaluation for general health purposes with a personal physician. </span>
            <span class="c14">[VT1] </span>
        </p>
        <p class="c18">
            <span class="c0">Very truly yours,</span>
        </p>
        <p class="c18 c13">
            <span class="c0"></span>
        </p>
        <p class="c17">
            <span class="c0">Vikram Singh, M.D.</span>
        </p>
        <p class="c17">
            <span class="c0">Pain Management Specialist</span>
        </p>
        <p class="c17">
            <span class="c0">California License No: A42285 &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;Tax ID: 74-3068460</span>
        </p>
        <p class="c18 c13">
            <span class="c0"></span>
        </p>
        <p class="c18 c13">
            <span class="c0"></span>
        </p>
        <div>
            <p class="c29">
                <span class="c34">(818) 884-5480, (818) 884-5490 Fax</span>
            </p>
        </div>
    </body>
</html>

Format

{
    "providerDocName": "Vikram Singh, M.D.",
    "facilityAddress": "6640 Van Nuys Blvd, Suite 101, Van Nuys, CA 91405",
    "patientName": "Aguilera Rojas",
    "patientDOB": "09/23/1984",
    "policyNumberDOI": "08/04/2022",
    "visitDate": "08/29/2022",
    "titleSex": "Mr.",
    "patienYearsOld": "37",
    "patientSex": "male",
    "accidentType": "motor vehicle accident",
    "sexSubjectPronoun": "He",
    "placedInCar": "front-seat passenger",
    "damageSide": "rear-end",
    "painBodyPart": ["neck", "middle back", "lower back"],
    "painRadiationPartSide": ["right", "side"],
    "painRadiationPart": "shoulder",
    "currentMedications": "Ibuprofen",
    "sexProcessiveAdjective": "his",
    "similarInjurySatus": "no",
    "handDominant": "right",
    "painFrequency": "frequent",
    "painSeverity": ["mild", "moderate", "severe"],
    "painSide": ["bilateral", "right", "left"],
    "painBodyPartState": ["weakness", "stiffness"],
    "painBodyPartMuscleState": ["spasm"],
    "symptomsIncreaseActivityStatus": "",
    "symptomsIncreaseActivityUseStatus": "",
    "patientHeight": ["6", "3"],
    "patientWeight": "210",
    "spinalExamGrade": ["0", "1+", "2+", "3+"],
    "neckSpinalExamRegion": ["Cervical Region", "Spinous Processes", "Paraspinous Muscles", "Trapezius Muscles"],
    "midleBackSpinalExamRegion": ["Thoracic Region","Spinous Processes", "Paraspinous Muscles","Trapezius Muscles"],
    "lowerBackSpinalExamRegion": "Paraspinal Muscle Tenderness",
    "rangeOfMotionPainLevel": ["0", "+"],
    "rangeOfMotion": ["Flexion", "Extension", "Right Bending", "Left Bending", "Right Rotation", "Left Rotation"],
    "flexionRange": [""],
    "extensionRange": [""],
    "rightBendingRange": [""],
    "leftBendingRange": [""],
    "rightRotationRange": [""],
    "leftRotationRange": [""]
    
       
    
}