WNL (Within Normal Limits)
There are certain orthopedic exams that often produce a finding that is not a true positive, however this would make the exam not a true negative either. With Kemp's, for example, localized lumbosacral pain is not a true positive finding but is worth noting. To make the note the most accurate, in this example Kemp's would be WNL (Within Normal Limits) on whichever side.
Please add to drop down menu for possible outcomes of orthopedic exams: WNL, WNL Right, WNL Left, WNL Bilaterally.
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01 Apr, '21
Joshua BorgardtMay I say it this way; Your example of orthopedic examinations must be from "A" specific book that is very dated and not considered the current guidelines for examinations. Pretty much every test that I have as a positive if it is a personal injury case, I have to figure out how to update the definitions in the comments to almost downplay what is listed in the automated explanation. This way if I go to mediation or a court hearing it will be at least explainable to someone reading it.
Great book for this if you want to update your version.... https://www.elsevier.com/books/orthopedic-physical-assessment/magee/978-1-4557-0977-9
Maybe pull down menus for a specific descriptive option: Is it a referred pain or is it a radicular nerve root pain etc....
I know you guys seem to overlook this as a small clinical documentation thing, but it is very important when your defending cases that are going into the hundreds of thousands of dollars.