1. Musculoskeletal exam
   1. bursitis
      1. Subacromial bursa
         1. L
         2. R
      2. olecranon bursa
         1. L
         2. R
      3. pre-patellar bursa
         1. L
         2. R
      4. anserine bursa
         1. L
         2. R
   2. Tophus (yes/no/location)
      1. Yes
         1. pinna
            1. L
            2. R
         2. olecranon
            1. L
            2. R
         3. forearm
            1. L
            2. R
         4. hand PIP
            1. R 5th
            2. L 2nd
            3. L 3rd
            4. L 4th
            5. L 5th
            6. R 2nd
            7. R 3rd
            8. R 4th
         5. hand DIP
            1. R 5th
            2. R 4th
            3. R 3rd
            4. R 2nd
            5. L 5th
            6. L 4th
            7. L 3rd
            8. L 2nd
         6. hand MCP
            1. R 5th
            2. L 2nd
            3. L 3rd
            4. L 4th
            5. L 5th
            6. R 2nd
            7. R 3rd
            8. R 4th
         7. thumb IP
            1. L
            2. R
         8. knee
            1. L
            2. R
         9. lower leg
            1. L
            2. R
         10. achilles
             1. L
             2. R
         11. mid-foot
             1. L
             2. R
         12. MTP
             1. R 5th
             2. L 2nd
             3. L 3rd
             4. L 4th
             5. L 5th
             6. R 2nd
             7. R 3rd
             8. R 4th
         13. Foot PIP
             1. R 5th
             2. L 2nd
             3. L 3rd
             4. L 4th
             5. L 5th
             6. R 2nd
             7. R 3rd
             8. R 4th
         14. Foot DIP
             1. R 5th
             2. L 2nd
             3. L 3rd
             4. L 4th
             5. L 5th
             6. R 2nd
             7. R 3rd
             8. R 4th
         15. Big toe IP
             1. L
             2. R
         16. wrist
             1. L
             2. R
      2. No
   3. Joint/bursal Swelling
      1. No joint or bursal swelling
      2. Bursal swelling
         1. pre-patellar bursa
            1. L
            2. R
         2. olecranon bursa
            1. L
            2. R
         3. anserine bursa
            1. L
            2. R
         4. Subacromial bursa
            1. L
            2. R
      3. Joint swelling
         1. hand DIP
            1. R 5th
            2. R 4th
            3. R 3rd
            4. R 2nd
            5. L 5th
            6. L 4th
            7. L 3rd
            8. L 2nd
         2. hand PIP
            1. R 5th
            2. L 2nd
            3. L 3rd
            4. L 4th
            5. L 5th
            6. R 2nd
            7. R 3rd
            8. R 4th
         3. hand MCP
            1. R 5th
            2. L 2nd
            3. L 3rd
            4. L 4th
            5. L 5th
            6. R 2nd
            7. R 3rd
            8. R 4th
            9. L 1st
            10. R 1st
         4. 1st CMC
            1. L
            2. R
         5. thumb IP
            1. L
            2. R
         6. knee
            1. L
            2. R
         7. ankle
            1. L
            2. R
         8. MTP
            1. R 5th
            2. L 2nd
            3. L 3rd
            4. L 4th
            5. L 5th
            6. R 2nd
            7. R 3rd
            8. R 4th
         9. Foot PIP
            1. R 5th
            2. L 2nd
            3. L 3rd
            4. L 4th
            5. L 5th
            6. R 2nd
            7. R 3rd
            8. R 4th
         10. Foot DIP
             1. R 5th
             2. L 2nd
             3. L 3rd
             4. L 4th
             5. L 5th
             6. R 2nd
             7. R 3rd
             8. R 4th
         11. Big toe IP
             1. L
             2. R
         12. wrist
             1. L
             2. R
         13. sternoclavicular joint
             1. L
             2. R
         14. acromioclavicular
             1. L
             2. R
         15. shoulder
             1. L
             2. R
         16. elbow
             1. L
             2. R
         17. temperomandibular
             1. L
             2. R
   4. Joint/bursal Tenderness
      1. Joint tenderness
         1. hand DIP
            1. R 5th
            2. R 4th
            3. R 3rd
            4. R 2nd
            5. L 5th
            6. L 4th
            7. L 3rd
            8. L 2nd
         2. hand PIP
            1. R 5th
            2. L 2nd
            3. L 3rd
            4. L 4th
            5. L 5th
            6. R 2nd
            7. R 3rd
            8. R 4th
         3. hand MCP
            1. R 5th
            2. L 2nd
            3. L 3rd
            4. L 4th
            5. L 5th
            6. R 2nd
            7. R 3rd
            8. R 4th
            9. L 1st
            10. R 1st
         4. 1st CMC
            1. L
            2. R
         5. thumb IP
            1. L
            2. R
         6. hip
            1. L
            2. R
         7. knee
            1. L
            2. R
         8. ankle
            1. L
            2. R
         9. MTP
            1. R 5th
            2. L 2nd
            3. L 3rd
            4. L 4th
            5. L 5th
            6. R 2nd
            7. R 3rd
            8. R 4th
         10. Foot PIP
             1. R 5th
             2. L 2nd
             3. L 3rd
             4. L 4th
             5. L 5th
             6. R 2nd
             7. R 3rd
             8. R 4th
         11. Foot DIP
             1. R 5th
             2. L 2nd
             3. L 3rd
             4. L 4th
             5. L 5th
             6. R 2nd
             7. R 3rd
             8. R 4th
         12. Big toe IP
             1. L
             2. R
         13. Cervical spine
         14. Thoracic spine
         15. Lumbar spine
         16. wrist
             1. L
             2. R
         17. elbow
             1. L
             2. R
         18. shoulder
             1. L
             2. R
         19. acromioclavicular
             1. L
             2. R
         20. sternoclavicular joint
             1. L
             2. R
         21. sacroilliac joint
             1. L
             2. R
         22. temperomandibular
             1. L
             2. R
      2. No joint or bursal tenderness
      3. Bursal tenderness
         1. pre-patellar bursa
            1. L
            2. R
         2. olecranon bursa
            1. L
            2. R
         3. anserine bursa
            1. L
            2. R
         4. Subacromial bursa
            1. L
            2. R
         5. trochanteric bursa
            1. L
            2. R
   5. Joint Deformity: Valgus
      1. wrist
         1. L
         2. R
      2. hand MCP
         1. R 5th
         2. L 2nd
         3. L 3rd
         4. L 4th
         5. L 5th
         6. R 2nd
         7. R 3rd
         8. R 4th
         9. L 1st
         10. R 1st
      3. thumb IP
         1. L
         2. R
      4. hand DIP
         1. R 5th
         2. R 4th
         3. R 3rd
         4. R 2nd
         5. L 5th
         6. L 4th
         7. L 3rd
         8. L 2nd
      5. hand PIP
         1. R 5th
         2. L 2nd
         3. L 3rd
         4. L 4th
         5. L 5th
         6. R 2nd
         7. R 3rd
         8. R 4th
      6. knee
         1. L
         2. R
      7. ankle
         1. L
         2. R
      8. MTP
         1. R 5th
         2. L 2nd
         3. L 3rd
         4. L 4th
         5. L 5th
         6. R 2nd
         7. R 3rd
         8. R 4th
      9. Foot PIP
         1. R 5th
         2. L 2nd
         3. L 3rd
         4. L 4th
         5. L 5th
         6. R 2nd
         7. R 3rd
         8. R 4th
      10. Foot DIP
          1. R 5th
          2. L 2nd
          3. L 3rd
          4. L 4th
          5. L 5th
          6. R 2nd
          7. R 3rd
          8. R 4th
      11. Big toe IP
          1. L
          2. R
   6. Joint Deformity: kyphosis
      1. Cervical spine
      2. Lumbar spine
      3. Thoracic spine
   7. Joint Deformity: Varus
      1. hand MCP
         1. R 5th
         2. L 2nd
         3. L 3rd
         4. L 4th
         5. L 5th
         6. R 2nd
         7. R 3rd
         8. R 4th
         9. L 1st
         10. R 1st
      2. thumb IP
         1. L
         2. R
      3. hand DIP
         1. R 5th
         2. R 4th
         3. R 3rd
         4. R 2nd
         5. L 5th
         6. L 4th
         7. L 3rd
         8. L 2nd
      4. hand PIP
         1. R 5th
         2. L 2nd
         3. L 3rd
         4. L 4th
         5. L 5th
         6. R 2nd
         7. R 3rd
         8. R 4th
      5. knee
         1. L
         2. R
      6. ankle
         1. L
         2. R
      7. MTP
         1. R 5th
         2. L 2nd
         3. L 3rd
         4. L 4th
         5. L 5th
         6. R 2nd
         7. R 3rd
         8. R 4th
      8. Foot PIP
         1. R 5th
         2. L 2nd
         3. L 3rd
         4. L 4th
         5. L 5th
         6. R 2nd
         7. R 3rd
         8. R 4th
      9. Foot DIP
         1. R 5th
         2. L 2nd
         3. L 3rd
         4. L 4th
         5. L 5th
         6. R 2nd
         7. R 3rd
         8. R 4th
      10. Big toe IP
          1. L
          2. R
      11. wrist
          1. L
          2. R
   8. Joint Deformity: Subluxation
      1. hand MCP
         1. R 5th
         2. L 2nd
         3. L 3rd
         4. L 4th
         5. L 5th
         6. R 2nd
         7. R 3rd
         8. R 4th
         9. L 1st
         10. R 1st
      2. thumb IP
         1. L
         2. R
      3. hand DIP
         1. R 5th
         2. R 4th
         3. R 3rd
         4. R 2nd
         5. L 5th
         6. L 4th
         7. L 3rd
         8. L 2nd
      4. hand PIP
         1. R 5th
         2. L 2nd
         3. L 3rd
         4. L 4th
         5. L 5th
         6. R 2nd
         7. R 3rd
         8. R 4th
      5. wrist
         1. L
         2. R
      6. MTP
         1. R 5th
         2. L 2nd
         3. L 3rd
         4. L 4th
         5. L 5th
         6. R 2nd
         7. R 3rd
         8. R 4th
      7. Foot PIP
         1. R 5th
         2. L 2nd
         3. L 3rd
         4. L 4th
         5. L 5th
         6. R 2nd
         7. R 3rd
         8. R 4th
      8. Foot DIP
         1. R 5th
         2. L 2nd
         3. L 3rd
         4. L 4th
         5. L 5th
         6. R 2nd
         7. R 3rd
         8. R 4th
      9. Big toe IP
         1. L
         2. R
   9. Para-spinal muscular tenderness
      1. para-cervical spine
      2. para-lumbar spine
      3. para-thoracic spine
   10. Joint Deformity: bony hypertrophy (DJD)
       1. Bony hypertrophy
          1. hand DIP
             1. R 5th
             2. R 4th
             3. R 3rd
             4. R 2nd
             5. L 5th
             6. L 4th
             7. L 3rd
             8. L 2nd
          2. hand PIP
             1. R 5th
             2. L 2nd
             3. L 3rd
             4. L 4th
             5. L 5th
             6. R 2nd
             7. R 3rd
             8. R 4th
          3. hand MCP
             1. R 5th
             2. L 2nd
             3. L 3rd
             4. L 4th
             5. L 5th
             6. R 2nd
             7. R 3rd
             8. R 4th
             9. L 1st
             10. R 1st
          4. 1st CMC
             1. L
             2. R
          5. thumb IP
             1. L
             2. R
          6. hip
             1. L
             2. R
          7. knee
             1. L
             2. R
          8. ankle
             1. L
             2. R
          9. MTP
             1. R 5th
             2. L 2nd
             3. L 3rd
             4. L 4th
             5. L 5th
             6. R 2nd
             7. R 3rd
             8. R 4th
          10. Foot PIP
              1. R 5th
              2. L 2nd
              3. L 3rd
              4. L 4th
              5. L 5th
              6. R 2nd
              7. R 3rd
              8. R 4th
          11. Foot DIP
              1. R 5th
              2. L 2nd
              3. L 3rd
              4. L 4th
              5. L 5th
              6. R 2nd
              7. R 3rd
              8. R 4th
          12. Big toe IP
              1. L
              2. R
          13. Cervical spine
          14. Thoracic spine
          15. Lumbar spine
          16. wrist
              1. L
              2. R
          17. elbow
              1. L
              2. R
          18. shoulder
              1. L
              2. R
          19. acromioclavicular
              1. L
              2. R
          20. sternoclavicular joint
              1. L
              2. R
          21. sacroilliac joint
              1. L
              2. R
          22. temperomandibular
              1. L
              2. R
       2. No bony hypertrophy
   11. Joint Repaired/replaced
       1. No joint repaired/replaced
       2. Cervical spine
       3. Thoracic spine
       4. Lumbar spine
       5. sacroilliac joint
          1. L
          2. R
       6. MTP
          1. R 5th
          2. L 2nd
          3. L 3rd
          4. L 4th
          5. L 5th
          6. R 2nd
          7. R 3rd
          8. R 4th
       7. Foot DIP
          1. R 5th
          2. L 2nd
          3. L 3rd
          4. L 4th
          5. L 5th
          6. R 2nd
          7. R 3rd
          8. R 4th
       8. Big toe IP
          1. L
          2. R
       9. Foot PIP
          1. R 5th
          2. L 2nd
          3. L 3rd
          4. L 4th
          5. L 5th
          6. R 2nd
          7. R 3rd
          8. R 4th
       10. hip
           1. L
           2. R
       11. ankle
           1. L
           2. R
       12. knee
           1. L
           2. R
       13. temperomandibular
           1. L
           2. R
       14. sternoclavicular joint
           1. L
           2. R
       15. shoulder
           1. L
           2. R
       16. acromioclavicular
           1. L
           2. R
       17. elbow
           1. L
           2. R
       18. wrist
           1. L
           2. R
       19. 1st CMC
           1. L
           2. R
       20. thumb IP
           1. L
           2. R
       21. hand MCP
           1. R 5th
           2. L 2nd
           3. L 3rd
           4. L 4th
           5. L 5th
           6. R 2nd
           7. R 3rd
           8. R 4th
           9. L 1st
           10. R 1st
       22. hand PIP
           1. R 5th
           2. L 2nd
           3. L 3rd
           4. L 4th
           5. L 5th
           6. R 2nd
           7. R 3rd
           8. R 4th
       23. hand DIP
           1. R 5th
           2. R 4th
           3. R 3rd
           4. R 2nd
           5. L 5th
           6. L 4th
           7. L 3rd
           8. L 2nd