AR2728
Expert
Will someone please review the following and let me know how many bullets you would apply per the 1997 guidelines for the Musculoskeletal exam portion?
MUSCULOSKELETAL: Left knee range of motion 0-120 degrees. There is positive effusion. Positive tenderness to palpation along the MCL. Stable to varus and valgus stress at 0 and 30 degrees. Lachman's difficult to ascertain due to guarding and knee effusion. Unable to perform pivot shift secondary to guarding. Positive pain with hyperflexion of the left knee. Negative McMurray. Positive pain along the medial patellofemoral ligament. Patella glide to the second quadrant medially and laterally. Negative J sign.
I'm having a difference of opinion with my office manager, she is counting Patella glide, Lachman's, McMurray, Negative J sign all as a separate bullet (4)plus the range of motion, palpation, stability all as their own separate bullet as well-for a total of 7. That's not even possible in terms of examing the same joint, right?
MUSCULOSKELETAL: Left knee range of motion 0-120 degrees. There is positive effusion. Positive tenderness to palpation along the MCL. Stable to varus and valgus stress at 0 and 30 degrees. Lachman's difficult to ascertain due to guarding and knee effusion. Unable to perform pivot shift secondary to guarding. Positive pain with hyperflexion of the left knee. Negative McMurray. Positive pain along the medial patellofemoral ligament. Patella glide to the second quadrant medially and laterally. Negative J sign.
I'm having a difference of opinion with my office manager, she is counting Patella glide, Lachman's, McMurray, Negative J sign all as a separate bullet (4)plus the range of motion, palpation, stability all as their own separate bullet as well-for a total of 7. That's not even possible in terms of examing the same joint, right?