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Shadow Health Assessment

Tina Jones — Musculoskeletal

Complete Shadow Health Musculoskeletal assessment from STU NUR504. Full bilateral range of motion assessment, spinal examination, straight leg raise test (negative), muscle strength grading 5/5 all extremities, no joint deformities. Diagnosis: Low back pain — musculoligamentous strain.

ProficientFull Bilateral ROMSLR NegativeSTU NUR504
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Shadow Health Assessment

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Clinical Overview

Tina Jones — Musculoskeletal

Tina Jones presents with lower back pain and upper buttock pain for 3 days, rated 5/10. The pain reduces to 2–3/10 with Advil. She denies radiating pain, numbness or tingling in the extremities. No bowel or bladder changes.

The musculoskeletal assessment covers a complete bilateral range of motion examination of all upper and lower extremity joints, spinal assessment including inspection and palpation, straight leg raise testing, and muscle strength grading.

Full bilateral ROM · Muscle strength 5/5 all extremities · Straight leg raise negative bilaterally. No joint deformities or swelling. Diagnosis: Low back pain — musculoligamentous strain.

Primary Diagnosis: Low back pain — musculoligamentous strain
What is included in each document?
  • Full musculoskeletal interview transcript
  • Bilateral ROM — upper extremities complete
  • Bilateral ROM — lower extremities complete
  • Spinal inspection and palpation
  • Straight leg raise test — bilateral
  • Muscle strength grading 5/5
  • No deformities, swelling or atrophy documented
  • EHR Provider Notes — student and model