Profile
Log Out
Main Menu
Dashboard
Pre Booking
Create Pre Booking
View Pre Booking
Masters
Doctor Master
Disease / Symptoms
Session Timing
Patients
Create Patient
Patient Management
Patient Reports
Consultation & Assessment Fees
Create Fees
View Fees
Receipt
Create Receipt
View Receipt
Appointments
Make Appointment
View Appointment
Today Appointments
Appointments Reports
Patient Appointments History
Appointment Billing
Billing
Physio Review
Patient Assessment - Page 1 (Edit)
Date *
Patient Name *
PR No
Age / Gender *
F
M
T
Contact No
Reference
Address
Melapanangadi
Occupation Type *
Select
Government
Non-Government
Senior Citizen
Others
Designation
Nature of Work
Select
Active
Desktop
Field
Travel
House Holder
others
Vitals
HEIGHT
WEIGHT
BP
PR
TEMP
SPO2
Other Health Issues & Treatment History
-
+ Add Row
History of Present Complaints
5 days Left scapula region - 2nd episode 1st 1year back - relieved with Physiotherapy Driving a lot - Incharge for Madurai Trichy branch Incharge from Madurai to Pondicherry
Onset
Sudden
Insidious
Gradual
Treatment Taken
Physio - IFT x 1week - settled Shoulder mobility exercises Ameer Physiotherapy
Investigation Details
Not Taken
Done , Not Produced
Attached with Case Sheet
Current Physiotherapy Episode
1
2
>3
Previous Session Details
Physio - IFT x 1week - settled Shoulder mobility exercises Ameer Physiotherapy
Update
Present Complaints
Pain on - Same side neck rotation > same side flexion Sitting Wakeup from lying position
Symptoms
Constant
Intermittent
Worsening Factors
Relieving Factors
Pain Chart Notes
26 - 34
Pain Scale
Worst
Same
Better
VAS
At Worst
At Best
Pain Type
Nociceptive
Neuropathic
Nociplastic
Skin Colour
Scar
Adherent
Non-Adherent
No Scar
Swelling
Soft Fluctuating
Leathery
Tough
Dry
Tened
Hard
Boggy
Spongy
Thick
8 to 24 Hours of Injury
Tenderness
Grade I
Grade II
Grade III
Grade IV
Remarks
Tenderness on Left Superior angle and upper one-third of medial border of scapula
Update
Edit - Page 3
Dashboard
Patient Management
Edit - Page 3
ROM
AROM
Movement
Side
Part
Plane
Available Range
Pain Starts
Action
Select
Left
Right
Select
Neck
Wrist
Shoulder
Elbow
Spine
Hip
Knee
Ankle
Select
Sagittal
Frontal
Transverse
-
Select
Left
Right
Select
Neck
Wrist
Shoulder
Elbow
Spine
Hip
Knee
Ankle
Select
Sagittal
Frontal
Transverse
-
+ Add AROM
PROM
Movement
Side
Part
Plane
Available Range
Pain Starts
Action
Select
Left
Right
Select
Neck
Wrist
Shoulder
Elbow
Spine
Hip
Knee
Ankle
Select
Sagittal
Frontal
Transverse
-
Select
Left
Right
Select
Neck
Wrist
Shoulder
Elbow
Spine
Hip
Knee
Ankle
Select
Sagittal
Frontal
Transverse
-
+ Add PROM
End Feel
Soft
Firm
Hard
Empty
MMT
-
+ Add MMT
Special Tests
Special Test 1
Special Test 2
Remarks
Patient complaints of 6-8/10 on lateral rotation and lateral flexion to left side on the scapula region
Diagnosis
Patient Goals & Concerns
Physiotherapy Goals
Short Term Goals
Long Term Goals
Action
-
+ Add Goal
Further Referral (if needed)
No
Physiotherapist Details
Assessed Physio Name
IAP Membership No.
Treatment In-Charge Name
IAP Membership No.
Update
Electrotherapy
Modality
Site
Details
Date
Remarks
Action
-
+ Add Row
Supportive Techniques
Technique
Details
Date
Remarks
Action
-
+ Add Row
Corrective Exercises
S.No
Exercise
Sets
Reps
Time
Date
Remarks
Action
1
-
+ Add Row
Date
Remarks
Update
