|
|
BASE items /
variables
|
English
translations
|
Variable names
Time 1
|
Variable names
Time 3
|
Variable names
Time 4
|
Variable names
Time 7
|
|
1.
|
ST ID
|
Participant ID
|
ID
|
+
|
+
|
-
|
|
2.
|
Grösse (cm)
|
Height (cm)
|
I1UN2501
|
+
|
+
|
-
|
|
3.
|
Gewicht (kg)
|
Weight (kg)
|
I1UN2502
|
+
|
+
|
-
|
|
4.
|
Armspannweite (cm)
|
Arm span (cm)
|
I1UN2503
|
+
|
+
|
-
|
|
5.
|
Finger-Boden-Abstand (cm)
|
Finger to ground distance
(cm)
|
I1UN2504
|
+
|
+
|
-
|
|
6.
|
Bauchumfang (cm)
|
Abdominal circumference
|
I1UN2505
|
+
|
+
|
-
|
|
7.
|
Hüftumfang (cm)
|
Hip circumference
|
I1UN2506
|
+
|
+
|
-
|
|
8.
|
Brustumfang inspirator.
(cm)
|
Chest circumference inspiration
(cm)
|
I1UN2507
|
+
|
+
|
-
|
|
9.
|
Brustumfang exspirator.
(cm)
|
Chest circumference exspiration
(cm)
|
I1UN2508
|
+
|
+
|
-
|
|
10.
|
Unterberger-Vers.Abweichung
(Grad)
|
Unterberger's Test deviation
(degrees)
|
I1UN2509
|
+
|
+
|
-
|
|
11.
|
RR Liegen rechts systol.
(mmHg)
|
Blood pressure in lying position,
right arm, syst. (mmHg)
|
I1UN2510
|
+
|
+
|
-
|
|
12.
|
RR Liegen rechts diastol.
(mmHg)
|
Blood pressure in lying position,
right arm, diast. (mmHg)
|
I1UN2511
|
+
|
+
|
-
|
|
13.
|
RR Liegen links systol.
(mmHg)
|
Blood pressure in lying position, left
arm, syst. (mmHg)
|
I1UN2512
|
+
|
+
|
-
|
|
14.
|
RR Liegen links diastol.
(mmHg)
|
Blood pressure in lying position, left
arm, diast. (mmHg)
|
I1UN2513
|
+
|
+
|
-
|
|
15.
|
RR Sitzen rechts systol.
(mmHg)
|
Blood pressure in sitting position,
right arm, syst. (mmHg)
|
I1UN2514
|
-
|
-
|
z7e207x1
|
|
16.
|
RR Sitzen rechts diastol.
(mmHg)
|
Blood pressure in sitting position,
right arm, diast. (mmHg)
|
I1UN2515
|
-
|
-
|
z7e207x2
|
|
17.
|
RR Sitzen links systol.
(mmHg)
|
Blood pressure in sitting position,
left arm, syst. (mmHg)
|
I1UN2516
|
-
|
-
|
-
|
|
18.
|
RR Sitzen links diastol.
(mmHg)
|
Blood pressure in sitting position,
left arm, diast. (mmHg)
|
I1UN2517
|
-
|
-
|
-
|
|
19.
|
RR Stehen rechts systol.
(mmHg)
|
Blood pressure in standing position,
right arm, syst. (mmHg)
|
I1UN2518
|
-
|
-
|
-
|
|
20.
|
RR Stehen rechts diastol.
(mmHg)
|
Blood pressure in standing position,
right arm, diast. (mmHg)
|
I1UN2519
|
-
|
-
|
-
|
|
21.
|
RR Stehen links systol.
(mmHg)
|
Blood pressure in standing position,
left arm, syst. (mmHg)
|
I1UN2520
|
-
|
-
|
-
|
|
22.
|
RR Stehen links diastol.
(mmHg)
|
Blood pressure in standing position,
left arm, diast. (mmHg)
|
I1UN2521
|
-
|
-
|
-
|
|
23.
|
Puls Liegen (/min)
|
Pulse in lying position
(/min.)
|
I1UN2522
|
+
|
+
|
-
|
|
24.
|
Puls Liegen
regelmässig
0 = ja
1 = nein
|
Regular pulse in lying
position
0 = yes
1 = no
|
I1UN2523
|
+
|
+
|
-
|
|
25.
|
Puls Sitzen (/min)
|
Pulse in sitting position
(/min)
|
I1UN2524
|
-
|
-
|
z7e207x3
|
|
26.
|
Puls Sitzen
regelmässig
0 = ja
1 = nein
|
Regular pulse in sitting
position
0 = yes
1 = no
|
I1UN2525
|
-
|
-
|
-
|
|
27.
|
Puls Stehen (/min)
|
Pulse in standing position
(/min)
|
I1UN2526
|
-
|
-
|
-
|
|
28.
|
Puls Stehen
regelmässig
0 = ja
1 = nein
|
Regular pulse in standing
position
0 = yes
1 = no
|
I1UN2527
|
-
|
-
|
-
|
|
29.
|
Zyanose
0 = keine
1 = peripher, leicht
2 = peripher, deutlich
3 = peripher, erheblich
4 = zentral, leicht
5 = zentral, deutlich
6 = zentral, schwer
|
Cyanosis
0 = no
1 = peripheral, slight
2 = peripheral, distinct
3 = peripher, considerable
4 = central, slight
5 = central, distinct
6 = central, severe
|
I1UN2528
|
+
|
+
|
-
|
|
30.
|
Ödeme
0 = keine
1 = leicht
4 = Unterschenkel
5 = leicht US
6 = schwer US
7 = leicht / schwer US
14 = schwer US, OS
17 = leicht Unterarme
21 = leicht US, UA
22 = schwer US, UA
62 = schwer US, OS, UA, OA
|
Edema
0 = no
1 = slight
4 = lower leg
5 = slight, lower leg
6 = severe, lower leg
7 = slight / severe lower leg
14 = severe lower leg, upper leg
17 = slight, lower arm
21 = slight, lower leg, lower arm
22 = severe lower leg, lower arm
62 = severe lower leg, upper leg, lower arm, upper
arm
|
I1UN2529
|
+
|
+
|
-
|
|
31.
|
Haut Konsistenz
0 = unauffällig
1 = trocken
2 = feucht
4 = teigig
5 = trocken, teigig
6 = feucht, teigig
8 = schuppig
9 = trocken, schuppig
10 = feucht, schuppig
13 = trocken, teigig, schup
16 = seborrhoisch
17 = trocken, seborrhoisch
20 = teigig, seborrhoisch
21 = trocken, teigig, sebor
25 = trocken, schupp., sebo
28 = teigig, schuppig, sebo
|
Skin consistency
0 = unremarkable
1 = dry
2 = moist
4 = pasty
5 = dry, pasty
6 = moist, pasty
8 = scaly
9 = dry, scaly
10 = wet, scaly
13 = dry, pasty, scaly
16 = seborrheal
17 = dry, seborrheal
20 = pasty, seborrheal
21 = dry, pasty, seborrheal
25 = dry, scaly, seborrheal
28 = pasty, scaly, seborrheal
|
I1UN2530
|
+
|
+
|
-
|
|
32.
|
Haut Farbe
0 = unauffällig
1 = blass
2 = gerötet
5 = blass, ikterisch
8 = Effloreszenz
9 = blass, Effloresz.
10 = gerötet, Effloresz.
16 = Pigmentstörung
17 = blass, Pigmentstörung
20 = ikterisch, Pigmentstörung
24 = Effloresz., Pigmentst.
|
Skin color
0 = unremarkable
1 = pale
2 = reddened
5 = pale, icteric
8 = efflorescence
9 = pale, efflorescence
10 = reddened, efflorescence
16 = pigment alteration
17 = pale, pigment alteration
20 = ikteric, pigment alteration
24 = efflorescence, pigment alteration
|
I1UN2531
|
+
|
+
|
-
|
|
33.
|
Haut Leberhautzeichen
0 = keine
1 = Palmarerythem
2 = Spider Naevi
4 = Gynäkomastie
5 = Palmarery. Gynäkom.
6 = Spider, Gynäkom.
8 = Bauchglatze
9 = Palmarery., Bauchglatze
10 = Spider, Bauchglatze
11 = Palm., Spider, Bauchglatze
12 = Gynäkom., Bauchglatze
13 = Palm., Gynäk., Bauchglatze
16 = Caput medusae
31 = Palm., Spi., Gyn., Bauchglatze
32 = Xanthome / Xanthelasme
|
Skin: skin liver signs
0 = no
1 = palmar erythema
2 = spider naevi
4 = gynecomastia
5 = palmar erythema, gynecomastia
6 = spider naevi, gynecomastia
8 = abdominal hair loss
9 = palmar erythema, abdominal hair loss
10 = spider naevi, abdominal hair loss
11 = palmar erythema, spider naevi, abdominal hair loss
12 = gynecomastia, abdominal hair loss
13 = palmar erythema, gynecomastia, abdominal hair loss
16 = medusa's head
31 = palmar erythema, spider naevi, gynecomastia, abdominal
hair loss
32 = xanthomae / xanthelasmae
|
I1UN2532
|
+
|
+
|
-
|
|
34.
|
Haut Tumore
0 = keine
1 = Lipom
2 = suspekte Naevi
4 = Basaliom-ähn.
6 = susp.N., Basal.ähn.
8 = Melanom-ähnl.
9 = Melanom-ähnl. Lipom
|
Skin tumors
0 = no
1 = lipoma
2 = suspicious moles
4 = basal cell carcinoma like
6 = suspicious moles, basal cell carcinoma like
8 = melanoma like
9 = melanoma like , lipoma
|
I1UN2533
|
+
|
+
|
-
|
|
35.
|
Wirbelsäule HWS
0 = unauffällig
1 = Myogelosen
2 = Kyphosierung
3 = Myogelose, Kyphos.
4 = Skoliose
5 = Myogelose, Skoliose
6 = Kyph., Skoliose
7 = Kyph., Skoliose, Myog.
8 = Bewegungseinschränk
9 = Myo., Bew.
10 = Kyph., Bew.
11 = Kyph., Bew., Myo.
12 = Sko., Bew.
13 = Myo., Sko., Bew.
14 = Kyph., Sko., Bew.
15 = Myo., Kyph., Sko., Bew.
16 = Bewegungsschmerz
17 = Myo., B.schmerz
22 = Sko., Kyph., B.schmerz
24 = Bew., B.schmerz
26 = Kyph., Bew., B.schmerz
27 = Myo., Kyph., Bew., B.sc
31 = 1+2+4+8+16
32 = Klopfdolenz
33 = Myo., Klopf.
34 = Kyph., Klopf.
35 = Myo., Kyph., Klopf.
36 = Sko., Klopf.
37 = Myo., Sko., Klopf.
38 = Kyph., Sko., Klopf.
39 = Myo., Kyph., Sko., Klop
40 = Bew., Klopf.
42 = Kyph., Bew., Klopf.
43 = Myo., Kyph., Bew., Klop
44 = Sko., Bew., Klopf.
45 = Myo., Sko., Bew., Klopf
46 = Kyph., Sko., Bew., Klop
47 = Myo., Kyph., Sko., Bew.
49 = Myo., B.schmerz, Klopf
55 = Myo., Kyph., Sko., B.sc
57 = Myo., Bew., B.sch., Klo
59 = Myo., Kyph., Bew., B.sc
|
Spine /cervical spine
0 = unremarkable
1 = myogelosis
2 = kyphosis
3 = myogelosis, kyphosis
4 = scoliosis
5 = myogelosis, scoliosis
6 = kyphosis, scoliosis
7 = kyphosis, scoliosis, myogelosis
8 = restriction of movement
9 = myogelosis, restriction of movement
10 = kyphosis, restriction of movement
11 = kyphosis, restriction of movement, myogelosis
12 = scoliosis, restriction of movement
13 = myogelosis, scoliosis, restriction of movement
14 = kyphosis, scoliosis, restriction of movement
15 = myogelosis, kyphosis, scoliosis, restriction of
movement
16 = pain on movement
17 = myogelosis, pain on movement
22 = scoliosis, kyphosis, pain on movement
24 = restriction of movement, pain on movement
26 = kyphosis, restriction of movement, pain on movement
27 = myogelosis, kyphosis, restriction of movement, pain on
movement
31 = 1+2+4+8+16
32 = pain on percussion
33 = myogelosis, pain on percussion
34 = kyphosis, pain on percussion
35 = myogelosis, kyphosis, pain on percussion
36 = scoliosis, pain on percussion
37 = myogelosis, scoliosis, pain on percussion
38 = kyphosis, scoliosis, pain on percussion
39 = myogelosis, kyphosis, scoliosis, pain on percussion
40 = restriction of movement, pulsating pain
42 = kyphosis, restriction of movement, pain on
percussion
43 = myogelosis, kyphosis, restriction of movement, pain on
percussion
44 = scoliosis, restriction of movement, pain on
percussion
45 = myogelosis, scoliosis, restriction of movement, pain on
percussion
46 = kyphosis, scoliosis, restriction of movement, pain on
percussion
47 = myogelosis, kyphosis, scoliosis, restriction of
movement
49 = myogelosis, pain on movement, pain on percussion
55 = myogelosis, kyphosis, scoliosis, pain on movement
57 = myogelosis, restriction of movement, pain of movement,
pain on percussion
59 = myogelosis, kyphosis, restriction of movement, pain on
movement
|
I1UN2534
|
+
|
+
|
-
|
|
36.
|
Wirbelsäule BWS
0 = unauffällig
1 = Myogelosen
2 = Kyphosierung
3 = Myogelose, Kyphos.
4 = Skoliose
5 = Myogelose, Skoliose
6 = Kyph., Skoliose
7 = Kyph., Skoliose, Myog.
8 = Bewegungseinschränk.
9 = Myo., Bew.
10 = Kyph., Bew.
11 = Kyph., Bew., Myo.
12 = Sko., Bew.
13 = Myo., Sko., Bew.
14 = Kyph., Sko., Bew.
15 = Myo., Kyph., Sko., Bew.
16 = Bewegungsschmerz
17 = Myo., B.schmerz
22 = Sko., Kyph., B.schmerz
24 = Bew., B.schmerz
26 = Kyph., Bew., B.schmerz
27 = Myo., Kyph., Bew., B.sc
31 = 1+2+4+8+16
32 = Klopfdolenz
33 = Myo., Klopf.
34 = Kyph., Klopf.
35 = Myo., Kyph., Klopf.
36 = Sko., Klopf.
37 = Myo., Sko., Klopf.
38 = Kyph., Sko., Klopf.
39 = Myo., Kyph., Sko., Klop
40 = Bew., Klopf.
42 = Kyph., Bew., Klopf.
43 = Myo., Kyph., Bew., Klop
44 = Sko., Bew., Klopf.
45 = Myo., Sko., Bew., Klopf
46 = Kyph., Sko., Bew., Klop
47 = Myo., Kyph., Sko., Bew.
49 = Myo., B.schmerz, Klopf
55 = Myo., Kyph., Sko., B.sc
57 = Myo., Bew., B.sch., Klo
59 = Myo., Kyph., Bew., B.sc
|
Spine / thoracic spine
0 = unremarkable
1 = myogelosis
2 = kyphosis
3 = myogelosis, kyphosis
4 = scoliosis
5 = myogelosis, scoliosis
6 = kyphosis, scoliosis
7 = kyphosis, scoliosis, myogelosis
8 = restriction of movement
9 = myogelosis, restriction of movement
10 = kyphosis, restriction of movement
11 = kyphosis, restriction of movement, myogelosis
12 = scoliosis, restriction of movement
13 = myogelosis, scoliosis, restriction of movement
14 = kyphosis, scoliosis, restriction of movement
15 = myogelosis, kyphosis, scoliosis, restriction of
movement
16 = pain on movement
17 = myogelosis, pain on movement
22 = scoliosis, kyphosis, pain on movement
24 = restriction of movement, pain on movement
26 = kyphosis, restriction of movement, pain on movement
27 = myogelosis, kyphosis, restriction of movement, pain on
movement
31 = 1+2+4+8+16
32 = pain on percussion
33 = myogelosis, pain on percussion
34 = kyphosis, pain on percussion
35 = myogelosis, kyphosis, pain on percussion
36 = scoliosis, pain on percussion
37 = myogelosis, scoliosis, pain on percussion
38 = kyphosis, scoliosis, pain on percussion
39 = myogelosis, kyphosis, scoliosis, pain on percussion
40 = restriction of movement, pulsating pain
42 = kyphosis, restriction of movement, pain on
percussion
43 = myogelosis, kyphosis, restriction of movement, pain on
percussion
44 = scoliosis, restriction of movement, pain on
percussion
45 = myogelosis, scoliosis, restriction of movement, pain on
percussion
46 = kyphosis, scoliosis, restriction of movement, pain on
percussion
47 = myogelosis, kyphosis, scoliosis, restriction of
movement
49 = myogelosis, pain on movement, pain on percussion
55 = myogelosis, kyphosis, scoliosis, pain on movement
57 = myogelosis, restriction of movement, pain of movement,
pain on percussion
59 = myogelosis, kyphosis, restriction of movement, pain on
movement
|
I1UN2535
|
+
|
+
|
-
|
|
37.
|
Wirbelsäule LWS
0 = unauffällig
1 = Myogelosen
2 = Kyphosierung
3 = Myogelose, Kyphos.
4 = Skoliose
5 = Myogelose, Skoliose
6 = Kyph., Skoliose
7 = Kyph., Skoliose, Myog.
8 = Bewegungseinschränk.
9 = Myo., Bew.
10 = Kyph., Bew.
11 = Kyph., Bew., Myo.
12 = Sko., Bew.
13 = Myo., Sko., Bew.
14 = Kyph., Sko., Bew.
15 = Myo., Kyph., Sko.
Bew.
16 = Bewegungsschmerz
17 = Myo., B.schmerz
22 = Sko., Kyph., B.schmerz
24 = Bew., B.schmerz
26 = Kyph., Bew., B.schmerz
27 = Myo., Kyph., Bew., B.sc
31 = 1+2+4+8+16
32 = Klopfdolenz
33 = Myo., Klopf.
34 = Kyph., Klopf.
35 = Myo., Kyph., Klopf.
36 = Sko., Klopf.
37 = Myo., Sko., Klopf.
38 = Kyph., Sko., Klopf.
39 = Myo., Kyph., Sko., Klop
40 = Bew., Klopf.
42 = Kyph., Bew., Klopf.
43 = Myo., Kyph., Bew., Klop
44 = Sko., Bew., Klopf.
45 = Myo., Sko., Bew., Klopf
46 = Kyph., Sko., Bew., Klop
47 = Myo., Kyph., Sko., Bew.
49 = Myo., B.schmerz, Klopf
55 = Myo., Kyph., Sko., B.sc
57 = Myo., Bew., B.sch., Klo
59 = Myo., Kyph., Bew., B.sc
|
Spine / lumbar spine
0 = unremarkable
1 = myogelosis
2 = kyphosis
3 = myogelosis, kyphosis
4 = scoliosis
5 = myogelosis, scoliosis
6 = kyphosis, scoliosis
7 = kyphosis, scoliosis, myogelosis
8 = restriction of movement
9 = myogelosis, restriction of movement
10 = kyphosis, restriction of movement
11 = kyphosis, restriction of movement, myogelosis
12 = scoliosis, restriction of movement
13 = myogelosis, scoliosis, restriction of movement
14 = kyphosis, scoliosis, restriction of movement
15 = myogelosis, kyphosis, scoliosis, restriction of
movement
16 = pain on movement
17 = myogelosis, pain on movement
22 = scoliosis, kyphosis, pain on movement
24 = restriction of movement, pain on movement
26 = kyphosis, restriction of movement, pain on movement
27 = myogelosis, kyphosis, restriction of movement, pain on
movement
31 = 1+2+4+8+16
32 = pain on percussion
33 = myogelosis, pain on percussion
34 = kyphosis, pain on percussion
35 = myogelosis, kyphosis, pain on percussion
36 = scoliosis, pain on percussion
37 = myogelosis, scoliosis, pain on percussion
38 = kyphosis, scoliosis, pain on percussion
39 = myogelosis, kyphosis, scoliosis, pain on percussion
40 = restriction of movement, pulsating pain
42 = kyphosis, restriction of movement, pain on
percussion
43 = myogelosis, kyphosis, restriction of movement, pain on
percussion
44 = scoliosis, restriction of movement, pain on
percussion
45 = myogelosis, scoliosis, restriction of movement, pain on
percussion
46 = kyphosis, scoliosis, restriction of movement, pain on
percussion
47 = myogelosis, kyphosis, scoliosis, restriction of
movement
49 = myogelosis, pain on movement, pain on percussion
55 = myogelosis, kyphosis, scoliosis, pain on movement
57 = myogelosis, restriction of movement, pain of movement,
pain on percussion
59 = myogelosis, kyphosis, restriction of movement, pain on
movement
|
I1UN2536
|
+
|
+
|
-
|
|
38.
|
Gibbus
0 = keiner
1 = angedeutet
2 = deutlich
|
Kyphosis
0 = none
1 = suggested
2 = distinct
|
I1UN2537
|
+
|
+
|
-
|
|
39.
|
seitl. schräge
Hautfalten
0 = nein
1 = ja
|
Lateral sloping skin folds
0 = no
1 = yes
|
I1UN2538
|
+
|
+
|
-
|
|
40.
|
Fingergelenke DIP rechts
0 = unauffällig
1 = subcutane Knoten dorsal
2 = Bewegungseinschränk.
4 = Achsenabweichung, kn.
5 = s.Knoten, Achsenab.
6 = Bew., Achsenab.
7 = s.Knoten, Bew., Achsen
8 = Bewegungsschmerz
10 = Bew., B.schmerz
12 = Achsenab., B.schmerz
14 = Achsenab., B.schmerz,
15 = Achs., B.schm., Bew., s
16 = Druckdolenz
17 = s.Knoten, Druckdolenz
18 = Bew., Druckdolenz
20 = Achsenab., Druckdol.
22 = Achsenab., Druckdol.,
24 = B.schmerz Druckdolen
26 = Bew., B.schmerz, Druck
28 = Achs., B.schmerz, Druc
30 = Bew., Achs., B.schm., D
32 = Schwellung, Rötung
48 = Druckdolenz, Schwellu
49 = s.Knoten, Druck., Schw
52 = Achs., Druck., Schwell
56 = B.schmerz, Druck., Sch
58 = Bew.B.schmerz, Druck.
|
Distal finger joints,
(interphalangeal) DIP, right
0 = unremarkable
1 = subcutaneous knots dorsal
2 = restriction of movement
4 = axial deviation, bony thickening
5 = subcutaneous knots, axial deviation
6 = restriction of movement, axial deviation
7 = subcutaneous knots, restriction of movement , axial
deviation
8 = pain on movement
10 = restriction of movement, pain on movement
12 = axial deviation, pain on movement
14 = axial deviation, pain on movement,
15 = axial deviation, pain on movement, restriction of
movement, subcutaneous knots
16 = pain on pressure application
17 = subcutaneous knots, pain on pressure application
18 = restriction of movement, pain on pressure
application
20 = axial deviation, pain on pressure application
22 = axial deviation, pain on pressure application
24 = pain on movement, pain on pressure application
26 = restriction of movement, pain on movement, pain on
pressure application
28 = axial deviation, pain on movement, pain on pressure
application
30 = restriction of movement, axial deviation, pain on
movement, pain on pressure application
32 = swelling, reddening
48 = pain on movement, swelling
49 = subcutaneous knots, swelling
52 = axial deviation, pain on pressure application,
swelling
56 = pain on movement, pain on pressure application,
swelling
58 = restriction of movement, pain on movement, pain on
pressure application
|
I1UN2539
|
-
|
-
|
-
|
|
41.
|
Fingergelenke DIP links
0 = unauffällig
1 = subcutane Knoten dor
2 = Bewegungseinschränk
4 = Achsenabweichung, kn.
5 = s.Knoten, Achsenab.
6 = Bew., Achsenab.
7 = s.Knoten, Bew., Achsen
8 = Bewegungsschmerz
10 = Bew., B.schmerz
12 = Achsenab., B.schmerz
14 = Achsenab., B.schmerz,
15 = Achs., B.schm., Bew., s
16 = Druckdolenz
17 = s.Knoten, Druckdolenz
18 = Bew., Druckdolenz
20 = Achsenab., Druckdol.
22 = Achsenab., Druckdol.,
24 = B.schmerz, Druckdolen
26 = Bew., B.schmerz, Druck
28 = Achs., B.schmerz, Druc
30 = Bew., Achs., B.schm., D
32 = Schwellung, Rötung
48 = Druckdolenz, Schwellu
49 = s.Knoten, Druck., Schw
52 = Achs., Druck., Schwell
56 = B.schmerz, Druck., Sch
58 = Bew.B.schmerz, Druck.
|
distal finger joints (interphalangeal)
DIP, left
0 = unremarkable
1 = subcutaneous knots dorsal
2 = restriction of movement
4 = axial deviation, bony thickening
5 = subcutaneous knots, axial deviation
6 = restriction of movement, axial deviation
7 = subcutaneous knots, restriction of movement , axial
deviation
8 = pain on movement
10 = restriction of movement, pain on movement
12 = axial deviation, pain on movement
14 = axial deviation, pain on movement,
15 = axial deviation, pain on movement, restriction of
movement, subcutaneous knots
16 = pain on pressure application
17 = subcutaneous knots, pain on pressure application
18 = restriction of movement, pain on pressure
application
20 = axial deviation, pain on pressure application
22 = axial deviation, pain on pressure application
24 = pain on movement, pain on pressure application
26 = restriction of movement, pain on movement, pain on
pressure application
28 = axial deviation, pain on movement, pain on pressure
application
30 = restriction of movement, axial deviation, pain on
movement, pain on pressure application
32 = swelling, reddening
48 = pain on movement, swelling
49 = subcutaneous knots, swelling
52 = axial deviation, pain on pressure application,
swelling
56 = pain on movement, pain on pressure application,
swelling
58 = restriction of movement, pain on movement, pain on
pressure application
|
I1UN2540
|
-
|
-
|
-
|
|
42.
|
Fingergelenke PIP links
0 = unauffällig
1 = subcutane Knoten dor
2 = Bewegungseinschränk
4 = Achsenabweichung, kn.
5 = s.Knoten, Achsenab.
6 = Bew., Achsenab.
7 = s.Knoten, Bew., Achsen
8 = Bewegungsschmerz
10 = Bew., B.schmerz
12 = Achsenab., B.schmerz
14 = Achsenab., B.schmerz,
15 = Achs., B.schm., Bew., s
16 = Druckdolenz
17 = s.Knoten, Druckdolenz
18 = Bew., Druckdolenz
20 = Achsenab., Druckdol.
22 = Achsenab., Druckdol.,
24 = B.schmerz, Druckdolen
26 = Bew., B.schmerz, Druck
28 = Achs., B.schmerz, Druc
30 = Bew., Achs., B.schm., D
32 = Schwellung, Rötung
48 = Druckdolenz, Schwellu
49 = s.Knoten, Druck., Schw
52 = Achs., Druck., Schwell
56 = B.schmerz, Druck., Sch
58 = Bew.B.schmerz, Druck.
|
Proximal finger joints
(interphalangeal), PIP left
0 = unremarkable
1 = subcutaneous knots dorsal
2 = restriction of movement
4 = axial deviation, bony thickening
5 = subcutaneous knots, axial deviation
6 = restriction of movement, axial deviation
7 = subcutaneous knots, restriction of movement , axial
deviation
8 = pain on movement
10 = restriction of movement, pain on movement
12 = axial deviation, pain on movement
14 = axial deviation, pain on movement,
15 = axial deviation, pain on movement, restriction of
movement, subcutaneous knots
16 = pain on pressure application
17 = subcutaneous knots, pain on pressure application
18 = restriction of movement, pain on pressure
application
20 = axial deviation, pain on pressure application
22 = axial deviation, pain on pressure application
24 = pain on movement, pain on pressure application
26 = restriction of movement, pain on movement, pain on
pressure application
28 = axial deviation, pain on movement, pain on pressure
application
30 = restriction of movement, axial deviation, pain on
movement, pain on pressure application
32 = swelling, reddening
48 = pain on movement, swelling
49 = subcutaneous knots, swelling
52 = axial deviation, pain on pressure application,
swelling
56 = pain on movement, pain on pressure application,
swelling
58 = restriction of movement, pain on movement, pain on
pressure application
|
I1UN2541
|
-
|
-
|
-
|
|
43.
|
Fingergelenke PIP rechts
0 = unauffällig
1 = subcutane Knoten dor
2 = Bewegungseinschränk
4 = Achsenabweichung, kn.
5 = s.Knoten, Achsenab.
6 = Bew., Achsenab.
7 = s.Knoten, Bew., Achsen
8 = Bewegungsschmerz
10 = Bew., B.schmerz
12 = Achsenab., B.schmerz
14 = Achsenab., B.schmerz,
15 = Achs., B.schm., Bew., s
16 = Druckdolenz
17 = s.Knoten, Druckdolenz
18 = Bew., Druckdolenz
20 = Achsenab., Druckdol.
22 = Achsenab., Druckdol.,
24 = B.schmerz, Druckdolen
26 = Bew., B.schmerz, Druck
28 = Achs., B.schmerz, Druc
30 = Bew., Achs., B.schm., D
32 = Schwellung, Rötung
48 = Druckdolenz, Schwellu
49 = s.Knoten, Druck., Schw
52 = Achs., Druck., Schwell
56 = B.schmerz, Druck., Sch
58 = Bew.B.schmerz, Druck.
|
Proximal finger joints
(interphalangeal), PIP right
0 = unremarkable
1 = subcutaneous knots dorsal
2 = restriction of movement
4 = axial deviation, bony thickening
5 = subcutaneous knots, axial deviation
6 = restriction of movement, axial deviation
7 = subcutaneous knots, restriction of movement , axial
deviation
8 = pain on movement
10 = restriction of movement, pain on movement
12 = axial deviation, pain on movement
14 = axial deviation, pain on movement,
15 = axial deviation, pain on movement, restriction of
movement, subcutaneous knots
16 = pain on pressure application
17 = subcutaneous knots, pain on pressure application
18 = restriction of movement, pain on pressure
application
20 = axial deviation, pain on pressure application
22 = axial deviation, pain on pressure application
24 = pain on movement, pain on pressure application
26 = restriction of movement, pain on movement, pain on
pressure application
28 = axial deviation, pain on movement, pain on pressure
application
30 = restriction of movement, axial deviation, pain on
movement, pain on pressure application
32 = swelling, reddening
48 = pain on movement, swelling
49 = subcutaneous knots, swelling
52 = axial deviation, pain on pressure application,
swelling
56 = pain on movement, pain on pressure application,
swelling
58 = restriction of movement, pain on movement, pain on
pressure application
|
I1UN2542
|
-
|
-
|
-
|
|
44.
|
Fingergrundgelenke rechts
0 = unauffällig
1 = subcutane Knoten dor
2 = Bewegungseinschränk
4 = Achsenabweichung, kn.
5 = s.Knoten, Achsenab.
6 = Bew., Achsenab.
7 = s.Knoten, Bew., Achsen
8 = Bewegungsschmerz
10 = Bew., B.schmerz
12 = Achsenab., B.schmerz
14 = Achsenab., B.schmerz,
15 = Achs., B.schm., Bew., s
16 = Druckdolenz
17 = s.Knoten, Druckdolenz
18 = Bew., Druckdolenz
20 = Achsenab., Druckdol.
22 = Achsenab., Druckdol.,
24 = B.schmerz, Druckdolen
26 = Bew., B.schmerz, Druck
28 = Achs., B.schmerz, Druc
30 = Bew., Achs., B.schm., D
32 = Schwellung, Rötung
48 = Druckdolenz, Schwellu
49 = s.Knoten, Druck., Schw
52 = Achs., Druck., Schwell
56 = B.schmerz, Druck., Sch
58 = Bew.B.schmerz, Druck.
|
Knuckle joints, right
0 = unremarkable
1 = subcutaneous knots dorsal
2 = restriction of movement
4 = axial deviation, bony thickening
5 = subcutaneous knots, axial deviation
6 = restriction of movement, axial deviation
7 = subcutaneous knots, restriction of movement , axial
deviation
8 = pain on movement
10 = restriction of movement, pain on movement
12 = axial deviation, pain on movement
14 = axial deviation, pain on movement,
15 = axial deviation, pain on movement, restriction of
movement, subcutaneous knots
16 = pain on pressure application
17 = subcutaneous knots, pain on pressure application
18 = restriction of movement, pain on pressure
application
20 = axial deviation, pain on pressure application
22 = axial deviation, pain on pressure application
24 = pain on movement, pain on pressure application
26 = restriction of movement, pain on movement, pain on
pressure application
28 = axial deviation, pain on movement, pain on pressure
application
30 = restriction of movement, axial deviation, pain on
movement, pain on pressure application
32 = swelling, reddening
48 = pain on movement, swelling
49 = subcutaneous knots, swelling
52 = axial deviation, pain on pressure application,
swelling
56 = pain on movement, pain on pressure application,
swelling
58 = restriction of movement, pain on movement, pain on
pressure application
|
I1UN2543
|
-
|
-
|
-
|
|
45.
|
Fingergrundgelenke links
0 = unauffällig
1 = subcutane Knoten dor
2 = Bewegungseinschränk
4 = Achsenabweichung, kn.
5 = s.Knoten, Achsenab.
6 = Bew., Achsenab.
7 = s.Knoten, Bew., Achsen
8 = Bewegungsschmerz
10 = Bew., B.schmerz
12 = Achsenab., B.schmerz
14 = Achsenab., B.schmerz,
15 = Achs., B.schm., Bew., s
16 = Druckdolenz
17 = s.Knoten, Druckdolenz
18 = Bew., Druckdolenz
20 = Achsenab., Druckdol.
22 = Achsenab., Druckdol.,
24 = B.schmerz, Druckdolen
26 = Bew., B.schmerz, Druck
28 = Achs., B.schmerz, Druc
30 = Bew., Achs., B.schm., D
32 = Schwellung, Rötung
48 = Druckdolenz, Schwellu
49 = s.Knoten, Druck., Schw
52 = Achs., Druck., Schwell
56 = B.schmerz, Druck., Sch
58 = Bew.B.schmerz, Druck.
|
Knuckle joints, left
0 = unremarkable
1 = subcutaneous knots dorsal
2 = restriction of movement
4 = axial deviation, bony thickening
5 = subcutaneous knots, axial deviation
6 = restriction of movement, axial deviation
7 = subcutaneous knots, restriction of movement , axial
deviation
8 = pain on movement
10 = restriction of movement, pain on movement
12 = axial deviation, pain on movement
14 = axial deviation, pain on movement,
15 = axial deviation, pain on movement, restriction of
movement, subcutaneous knots
16 = pain on pressure application
17 = subcutaneous knots, pain on pressure application
18 = restriction of movement, pain on pressure
application
20 = axial deviation, pain on pressure application
22 = axial deviation, pain on pressure application
24 = pain on movement, pain on pressure application
26 = restriction of movement, pain on movement, pain on
pressure application
28 = axial deviation, pain on movement, pain on pressure
application
30 = restriction of movement, axial deviation, pain on
movement, pain on pressure application
32 = swelling, reddening
48 = pain on movement, swelling
49 = subcutaneous knots, swelling
52 = axial deviation, pain on pressure application,
swelling
56 = pain on movement, pain on pressure application,
swelling
58 = restriction of movement, pain on movement, pain on
pressure application
|
I1UN2544
|
-
|
-
|
-
|
|
46.
|
Handgelenk rechts
0 = unauffällig
1 = subcutane Knoten dor
2 = Bewegungseinschränk
4 = Achsenabweichung, kn.
5 = s.Knoten, Achsenab.
6 = Bew., Achsenab.
7 = s.Knoten, Bew., Achsen
8 = Bewegungsschmerz
10 = Bew., B.schmerz
12 = Achsenab., B.schmerz
14 = Achsenab., B.schmerz,
15 = Achs., B.schm., Bew., s
16 = Druckdolenz
17 = s.Knoten, Druckdolenz
18 = Bew., Druckdolenz
20 = Achsenab., Druckdol.
22 = Achsenab., Druckdol.,
24 = B.schmerz, Druckdolen
26 = Bew., B.schmerz, Druck
28 = Achs., B.schmerz, Druc
30 = Bew., Achs., B.schm., D
32 = Schwellung, Rötung
48 = Druckdolenz, Schwellu
49 = s.Knoten, Druck., Schw
52 = Achs., Druck., Schwell
56 = B.schmerz, Druck., Sch
58 = Bew.B.schmerz, Druck.
|
Wrist, right
0 = unremarkable
1 = subcutaneous knots dorsal
2 = restriction of movement
4 = axial deviation, bony thickening
5 = subcutaneous knots, axial deviation
6 = restriction of movement, axial deviation
7 = subcutaneous knots, restriction of movement , axial
deviation
8 = pain on movement
10 = restriction of movement, pain on movement
12 = axial deviation, pain on movement
14 = axial deviation, pain on movement,
15 = axial deviation, pain on movement, restriction of
movement, subcutaneous knots
16 = pain on pressure application
17 = subcutaneous knots, pain on pressure application
18 = restriction of movement, pain on pressure
application
20 = axial deviation, pain on pressure application
22 = axial deviation, pain on pressure application
24 = pain on movement, pain on pressure application
26 = restriction of movement, pain on movement, pain on
pressure application
28 = axial deviation, pain on movement, pain on pressure
application
30 = restriction of movement, axial deviation, pain on
movement, pain on pressure application
32 = swelling, reddening
48 = pain on movement, swelling
49 = subcutaneous knots, swelling
52 = axial deviation, pain on pressure application,
swelling
56 = pain on movement, pain on pressure application,
swelling
58 = restriction of movement, pain on movement, pain on
pressure application
|
I1UN2545
|
-
|
-
|
-
|
|
47.
|
Handgelenk links
0 = unauffällig
1 = subcutane Knoten dor
2 = Bewegungseinschränk
4 = Achsenabweichung, kn.
5 = s.Knoten, Achsenab.
6 = Bew., Achsenab.
7 = s.Knoten, Bew., Achsen
8 = Bewegungsschmerz
10 = Bew., B.schmerz
12 = Achsenab., B.schmerz
14 = Achsenab., B.schmerz,
15 = Achs., B.schm., Bew., s
16 = Druckdolenz
17 = s.Knoten, Druckdolenz
18 = Bew., Druckdolenz
20 = Achsenab., Druckdol.
22 = Achsenab., Druckdol.,
24 = B.schmerz, Druckdolen
26 = Bew., B.schmerz, Druck
28 = Achs., B.schmerz, Druc
30 = Bew., Achs., B.schm., D
32 = Schwellung, Rötung
48 = Druckdolenz, Schwellu
49 = s.Knoten, Druck., Schw
52 = Achs., Druck., Schwell
56 = B.schmerz, Druck., Sch
58 = Bew.B.schmerz, Druck.
|
Wrist, left
0 = unremarkable
1 = subcutaneous knots dorsal
2 = restriction of movement
4 = axial deviation, bony thickening
5 = subcutaneous knots, axial deviation
6 = restriction of movement, axial deviation
7 = subcutaneous knots, restriction of movement , axial
deviation
8 = pain on movement
10 = restriction of movement, pain on movement
12 = axial deviation, pain on movement
14 = axial deviation, pain on movement,
15 = axial deviation, pain on movement, restriction of
movement, subcutaneous knots
16 = pain on pressure application
17 = subcutaneous knots, pain on pressure application
18 = restriction of movement, pain on pressure
application
20 = axial deviation, pain on pressure application
22 = axial deviation, pain on pressure application
24 = pain on movement, pain on pressure application
26 = restriction of movement, pain on movement, pain on
pressure application
28 = axial deviation, pain on movement, pain on pressure
application
30 = restriction of movement, axial deviation, pain on
movement, pain on pressure application
32 = swelling, reddening
48 = pain on movement, swelling
49 = subcutaneous knots, swelling
52 = axial deviation, pain on pressure application,
swelling
56 = pain on movement, pain on pressure application,
swelling
58 = restriction of movement, pain on movement, pain on
pressure application
|
I1UN2546
|
-
|
-
|
-
|
|
48.
|
Ellbogen rechts
0 = unauffällig
1 = subcutane Knoten dor
2 = Bewegungseinschränk
4 = Achsenabweichung, kn.
5 = s.Knoten, Achsenab.
6 = Bew., Achsenab.
7 = s.Knoten, Bew., Achsen
8 = Bewegungsschmerz
10 = Bew., B.schmerz
12 = Achsenab., B.schmerz
14 = Achsenab., B.schmerz,
15 = Achs., B.schm., Bew., s
16 = Druckdolenz
17 = s.Knoten, Druckdolenz
18 = Bew., Druckdolenz
20 = Achsenab., Druckdol.
22 = Achsenab., Druckdol.,
24 = B.schmerz, Druckdolen
26 = Bew., B.schmerz, Druck
28 = Achs., B.schmerz, Druc
30 = Bew., Achs., B.schm., D
32 = Schwellung, Rötung
48 = Druckdolenz, Schwellu
49 = s.Knoten, Druck., Schw
52 = Achs., Druck., Schwell
56 = B.schmerz, Druck., Sch
58 = Bew.B.schmerz, Druck.
|
elbow, right
0 = unremarkable
1 = subcutaneous knots dorsal
2 = restriction of movement
4 = axial deviation, bony thickening
5 = subcutaneous knots, axial deviation
6 = restriction of movement, axial deviation
7 = subcutaneous knots, restriction of movement , axial
deviation
8 = pain on movement
10 = restriction of movement, pain on movement
12 = axial deviation, pain on movement
14 = axial deviation, pain on movement,
15 = axial deviation, pain on movement, restriction of
movement, subcutaneous knots
16 = pain on pressure application
17 = subcutaneous knots, pain on pressure application
18 = restriction of movement, pain on pressure
application
20 = axial deviation, pain on pressure application
22 = axial deviation, pain on pressure application
24 = pain on movement, pain on pressure application
26 = restriction of movement, pain on movement, pain on
pressure application
28 = axial deviation, pain on movement, pain on pressure
application
30 = restriction of movement, axial deviation, pain on
movement, pain on pressure application
32 = swelling, reddening
48 = pain on movement, swelling
49 = subcutaneous knots, swelling
52 = axial deviation, pain on pressure application,
swelling
56 = pain on movement, pain on pressure application,
swelling
58 = restriction of movement, pain on movement, pain on
pressure application
|
I1UN2547
|
-
|
-
|
-
|
|
49.
|
Ellbogen links
0 = unauffällig
1 = subcutane Knoten dor
2 = Bewegungseinschränk
4 = Achsenabweichung, kn.
5 = s.Knoten, Achsenab.
6 = Bew., Achsenab.
7 = s.Knoten, Bew., Achsen
8 = Bewegungsschmerz
10 = Bew., B.schmerz
12 = Achsenab., B.schmerz
14 = Achsenab., B.schmerz,
15 = Achs., B.schm., Bew., s
16 = Druckdolenz
17 = s.Knoten, Druckdolenz
18 = Bew., Druckdolenz
20 = Achsenab., Druckdol.
22 = Achsenab., Druckdol.,
24 = B.schmerz, Druckdolen
26 = Bew., B.schmerz, Druck
28 = Achs., B.schmerz, Druc
30 = Bew., Achs., B.schm., D
32 = Schwellung, Rötung
48 = Druckdolenz, Schwellu
49 = s.Knoten, Druck., Schw
52 = Achs., Druck., Schwell
56 = B.schmerz, Druck., Sch
58 = Bew.B.schmerz, Druck.
|
elbow, left
0 = unremarkable
1 = subcutaneous knots dorsal
2 = restriction of movement
4 = axial deviation, bony thickening
5 = subcutaneous knots, axial deviation
6 = restriction of movement, axial deviation
7 = subcutaneous knots, restriction of movement , axial
deviation
8 = pain on movement
10 = restriction of movement, pain on movement
12 = axial deviation, pain on movement
14 = axial deviation, pain on movement,
15 = axial deviation, pain on movement, restriction of
movement, subcutaneous knots
16 = pain on pressure application
17 = subcutaneous knots, pain on pressure application
18 = restriction of movement, pain on pressure
application
20 = axial deviation, pain on pressure application
22 = axial deviation, pain on pressure application
24 = pain on movement, pain on pressure application
26 = restriction of movement, pain on movement, pain on
pressure application
28 = axial deviation, pain on movement, pain on pressure
application
30 = restriction of movement, axial deviation, pain on
movement, pain on pressure application
32 = swelling, reddening
48 = pain on movement, swelling
49 = subcutaneous knots, swelling
52 = axial deviation, pain on pressure application,
swelling
56 = pain on movement, pain on pressure application,
swelling
58 = restriction of movement, pain on movement, pain on
pressure application
|
I1UN2548
|
-
|
-
|
-
|
|
50.
|
Schulter rechts
0 = unauffällig
1 = subcutane Knoten dor
2 = Bewegungseinschränk
4 = Achsenabweichung, kn.
5 = s.Knoten, Achsenab.
6 = Bew., Achsenab.
7 = s.Knoten, Bew., Achsen
8 = Bewegungsschmerz
10 = Bew., B.schmerz
12 = Achsenab., B.schmerz
14 = Achsenab., B.schmerz,
15 = Achs., B.schm., Bew., s
16 = Druckdolenz
17 = s.Knoten, Druckdolenz
18 = Bew., Druckdolenz
20 = Achsenab., Druckdol.
22 = Achsenab., Druckdol.,
24 = B.schmerz, Druckdolen
26 = Bew., B.schmerz, Druck
28 = Achs., B.schmerz, Druc
30 = Bew., Achs., B.schm., D
32 = Schwellung, Rötung
48 = Druckdolenz, Schwellu
49 = s.Knoten, Druck., Schw
52 = Achs., Druck., Schwell
56 = B.schmerz, Druck., Sch
58 = Bew.B.schmerz, Druck.
|
Shoulder, right
0 = unremarkable
1 = subcutaneous knots dorsal
2 = restriction of movement
4 = axial deviation, bony thickening
5 = subcutaneous knots, axial deviation
6 = restriction of movement, axial deviation
7 = subcutaneous knots, restriction of movement , axial
deviation
8 = pain on movement
10 = restriction of movement, pain on movement
12 = axial deviation, pain on movement
14 = axial deviation, pain on movement,
15 = axial deviation, pain on movement, restriction of
movement, subcutaneous knots
16 = pain on pressure application
17 = subcutaneous knots, pain on pressure application
18 = restriction of movement, pain on pressure
application
20 = axial deviation, pain on pressure application
22 = axial deviation, pain on pressure application
24 = pain on movement, pain on pressure application
26 = restriction of movement, pain on movement, pain on
pressure application
28 = axial deviation, pain on movement, pain on pressure
application
30 = restriction of movement, axial deviation, pain on
movement, pain on pressure application
32 = swelling, reddening
48 = pain on movement, swelling
49 = subcutaneous knots, swelling
52 = axial deviation, pain on pressure application,
swelling
56 = pain on movement, pain on pressure application,
swelling
58 = restriction of movement, pain on movement, pain on
pressure application
|
I1UN2549
|
+
|
+
|
-
|
|
51.
|
Schulter links
0 = unauffällig
1 = subcutane Knoten dor
2 = Bewegungseinschränk
4 = Achsenabweichung, kn.
5 = s.Knoten, Achsenab.
6 = Bew., Achsenab.
7 = s.Knoten, Bew., Achsen
8 = Bewegungsschmerz
10 = Bew., B.schmerz
12 = Achsenab., B.schmerz
14 = Achsenab., B.schmerz,
15 = Achs., B.schm., Bew., s
16 = Druckdolenz
17 = s.Knoten, Druckdolenz
18 = Bew., Druckdolenz
20 = Achsenab., Druckdol.
22 = Achsenab., Druckdol.,
24 = B.schmerz, Druckdolen
26 = Bew., B.schmerz, Druck
28 = Achs., B.schmerz, Druc
30 = Bew., Achs., B.schm., D
32 = Schwellung, Rötung
48 = Druckdolenz, Schwellu
49 = s.Knoten, Druck., Schw
52 = Achs., Druck., Schwell
56 = B.schmerz, Druck., Sch
58 = Bew.B.schmerz, Druck.
|
Shoulder, left
0 = unremarkable
1 = subcutaneous knots dorsal
2 = restriction of movement
4 = axial deviation, bony thickening
5 = subcutaneous knots, axial deviation
6 = restriction of movement, axial deviation
7 = subcutaneous knots, restriction of movement , axial
deviation
8 = pain on movement
10 = restriction of movement, pain on movement
12 = axial deviation, pain on movement
14 = axial deviation, pain on movement,
15 = axial deviation, pain on movement, restriction of
movement, subcutaneous knots
16 = pain on pressure application
17 = subcutaneous knots, pain on pressure application
18 = restriction of movement, pain on pressure
application
20 = axial deviation, pain on pressure application
22 = axial deviation, pain on pressure application
24 = pain on movement, pain on pressure application
26 = restriction of movement, pain on movement, pain on
pressure application
28 = axial deviation, pain on movement, pain on pressure
application
30 = restriction of movement, axial deviation, pain on
movement, pain on pressure application
32 = swelling, reddening
48 = pain on movement, swelling
49 = subcutaneous knots, swelling
52 = axial deviation, pain on pressure application,
swelling
56 = pain on movement, pain on pressure application,
swelling
58 = restriction of movement, pain on movement, pain on
pressure application
|
I1UN2550
|
+
|
+
|
-
|
|
52.
|
Hüfte rechts
0 = unauffällig
1 = subcutane Knoten dor
2 = Bewegungseinschränk
4 = Achsenabweichung, kn.
5 = s.Knoten, Achsenab.
6 = Bew., Achsenab.
7 = s.Knoten, Bew., Achsen
8 = Bewegungsschmerz
10 = Bew., B.schmerz
12 = Achsenab., B.schmerz
14 = Achsenab., B.schmerz,
15 = Achs., B.schm., Bew., s
16 = Druckdolenz
17 = s.Knoten, Druckdolenz
18 = Bew., Druckdolenz
20 = Achsenab., Druckdol.
22 = Achsenab., Druckdol.,
24 = B.schmerz, Druckdolen
26 = Bew., B.schmerz, Druck
28 = Achs., B.schmerz, Druc
30 = Bew., Achs., B.schm., D
32 = Schwellung, Rötung
48 = Druckdolenz, Schwellu
49 = s.Knoten, Druck., Schw
52 = Achs., Druck., Schwell
56 = B.schmerz, Druck., Sch
58 = Bew.B.schmerz, Druck.
|
Hip, right
0 = unremarkable
1 = subcutaneous knots dorsal
2 = restriction of movement
4 = axial deviation, bony thickening
5 = subcutaneous knots, axial deviation
6 = restriction of movement, axial deviation
7 = subcutaneous knots, restriction of movement , axial
deviation
8 = pain on movement
10 = restriction of movement, pain on movement
12 = axial deviation, pain on movement
14 = axial deviation, pain on movement,
15 = axial deviation, pain on movement, restriction of
movement, subcutaneous knots
16 = pain on pressure application
17 = subcutaneous knots, pain on pressure application
18 = restriction of movement, pain on pressure
application
20 = axial deviation, pain on pressure application
22 = axial deviation, pain on pressure application
24 = pain on movement, pain on pressure application
26 = restriction of movement, pain on movement, pain on
pressure application
28 = axial deviation, pain on movement, pain on pressure
application
30 = restriction of movement, axial deviation, pain on
movement, pain on pressure application
32 = swelling, reddening
48 = pain on movement, swelling
49 = subcutaneous knots, swelling
52 = axial deviation, pain on pressure application,
swelling
56 = pain on movement, pain on pressure application,
swelling
58 = restriction of movement, pain on movement, pain on
pressure application
|
I1UN2551
|
+
|
+
|
-
|
|
53.
|
Hüfte links
0 = unauffällig
1 = subcutane Knoten dor
2 = Bewegungseinschränk
4 = Achsenabweichung, kn.
5 = s.Knoten, Achsenab.
6 = Bew., Achsenab.
7 = s.Knoten, Bew., Achsen
8 = Bewegungsschmerz
10 = Bew., B.schmerz
12 = Achsenab., B.schmerz
14 = Achsenab., B.schmerz,
15 = Achs., B.schm., Bew., s
16 = Druckdolenz
17 = s.Knoten, Druckdolenz
18 = Bew., Druckdolenz
20 = Achsenab., Druckdol.
22 = Achsenab., Druckdol.,
24 = B.schmerz, Druckdolen
26 = Bew., B.schmerz, Druck
28 = Achs., B.schmerz, Druc
30 = Bew., Achs., B.schm., D
32 = Schwellung, Rötung
48 = Druckdolenz, Schwellu
49 = s.Knoten, Druck., Schw
52 = Achs., Druck., Schwell
56 = B.schmerz, Druck., Sch
58 = Bew.B.schmerz, Druck.
|
Hip, left
0 = unremarkable
1 = subcutaneous knots dorsal
2 = restriction of movement
4 = axial deviation, bony thickening
5 = subcutaneous knots, axial deviation
6 = restriction of movement, axial deviation
7 = subcutaneous knots, restriction of movement , axial
deviation
8 = pain on movement
10 = restriction of movement, pain on movement
12 = axial deviation, pain on movement
14 = axial deviation, pain on movement,
15 = axial deviation, pain on movement, restriction of
movement, subcutaneous knots
16 = pain on pressure application
17 = subcutaneous knots, pain on pressure application
18 = restriction of movement, pain on pressure
application
20 = axial deviation, pain on pressure application
22 = axial deviation, pain on pressure application
24 = pain on movement, pain on pressure application
26 = restriction of movement, pain on movement, pain on
pressure application
28 = axial deviation, pain on movement, pain on pressure
application
30 = restriction of movement, axial deviation, pain on
movement, pain on pressure application
32 = swelling, reddening
48 = pain on movement, swelling
49 = subcutaneous knots, swelling
52 = axial deviation, pain on pressure application,
swelling
56 = pain on movement, pain on pressure application,
swelling
58 = restriction of movement, pain on movement, pain on
pressure application
|
I1UN2552
|
+
|
+
|
-
|
|
54.
|
Knie rechts
0 = unauffällig
1 = subcutane Knoten dor
2 = Bewegungseinschränk
4 = Achsenabweichung, kn.
5 = s.Knoten, Achsenab.
6 = Bew., Achsenab.
7 = s.Knoten, Bew., Achsen
8 = Bewegungsschmerz
10 = Bew., B.schmerz
12 = Achsenab., B.schmerz
14 = Achsenab., B.schmerz,
15 = Achs., B.schm., Bew., s
16 = Druckdolenz
17 = s.Knoten, Druckdolenz
18 = Bew., Druckdolenz
20 = Achsenab., Druckdol.
22 = Achsenab., Druckdol.,
24 = B.schmerz, Druckdolen
26 = Bew., B.schmerz, Druck
28 = Achs., B.schmerz, Druc
30 = Bew., Achs., B.schm., D
32 = Schwellung, Rötung
48 = Druckdolenz, Schwellu
49 = s.Knoten, Druck., Schw
52 = Achs., Druck., Schwell
56 = B.schmerz, Druck., Sch
58 = Bew.B.schmerz, Druck.
|
Knee, right
0 = unremarkable
1 = subcutaneous knots dorsal
2 = restriction of movement
4 = axial deviation, bony thickening
5 = subcutaneous knots, axial deviation
6 = restriction of movement, axial deviation
7 = subcutaneous knots, restriction of movement , axial
deviation
8 = pain on movement
10 = restriction of movement, pain on movement
12 = axial deviation, pain on movement
14 = axial deviation, pain on movement,
15 = axial deviation, pain on movement, restriction of
movement, subcutaneous knots
16 = pain on pressure application
17 = subcutaneous knots, pain on pressure application
18 = restriction of movement, pain on pressure
application
20 = axial deviation, pain on pressure application
22 = axial deviation, pain on pressure application
24 = pain on movement, pain on pressure application
26 = restriction of movement, pain on movement, pain on
pressure application
28 = axial deviation, pain on movement, pain on pressure
application
30 = restriction of movement, axial deviation, pain on
movement, pain on pressure application
32 = swelling, reddening
48 = pain on movement, swelling
49 = subcutaneous knots, swelling
52 = axial deviation, pain on pressure application,
swelling
56 = pain on movement, pain on pressure application,
swelling
58 = restriction of movement, pain on movement, pain on
pressure application
|
I1UN2553
|
+
|
+
|
-
|
|
55.
|
Knie links
0 = unauffällig
1 = subcutane Knoten dor
2 = Bewegungseinschränk
4 = Achsenabweichung, kn.
5 = s.Knoten, Achsenab.
6 = Bew., Achsenab.
7 = s.Knoten, Bew., Achsen
8 = Bewegungsschmerz
10 = Bew., B.schmerz
12 = Achsenab., B.schmerz
14 = Achsenab., B.schmerz,
15 = Achs., B.schm., Bew., s
16 = Druckdolenz
17 = s.Knoten, Druckdolenz
18 = Bew., Druckdolenz
20 = Achsenab., Druckdol.
22 = Achsenab., Druckdol.,
24 = B.schmerz, Druckdolen
26 = Bew., B.schmerz, Druck
28 = Achs., B.schmerz, Druc
30 = Bew., Achs., B.schm., D
32 = Schwellung, Rötung
48 = Druckdolenz, Schwellu
49 = s.Knoten, Druck., Schw
52 = Achs., Druck., Schwell
56 = B.schmerz, Druck., Sch
58 = Bew.B.schmerz, Druck.
|
Knee, left
0 = unremarkable
1 = subcutaneous knots dorsal
2 = restriction of movement
4 = axial deviation, bony thickening
5 = subcutaneous knots, axial deviation
6 = restriction of movement, axial deviation
7 = subcutaneous knots, restriction of movement , axial
deviation
8 = pain on movement
10 = restriction of movement, pain on movement
12 = axial deviation, pain on movement
14 = axial deviation, pain on movement,
15 = axial deviation, pain on movement, restriction of
movement, subcutaneous knots
16 = pain on pressure application
17 = subcutaneous knots, pain on pressure application
18 = restriction of movement, pain on pressure
application
20 = axial deviation, pain on pressure application
22 = axial deviation, pain on pressure application
24 = pain on movement, pain on pressure application
26 = restriction of movement, pain on movement, pain on
pressure application
28 = axial deviation, pain on movement, pain on pressure
application
30 = restriction of movement, axial deviation, pain on
movement, pain on pressure application
32 = swelling, reddening
48 = pain on movement, swelling
49 = subcutaneous knots, swelling
52 = axial deviation, pain on pressure application,
swelling
56 = pain on movement, pain on pressure application,
swelling
58 = restriction of movement, pain on movement, pain on
pressure application
|
I1UN2554
|
+
|
+
|
-
|
|
56.
|
Fuss rechts
0 = unauffällig
1 = subcutane Knoten dor
2 = Bewegungseinschränk
4 = Achsenabweichung, kn.
5 = s.Knoten, Achsenab.
6 = Bew., Achsenab.
7 = s.Knoten, Bew., Achsen
8 = Bewegungsschmerz
10 = Bew., B.schmerz
12 = Achsenab., B.schmerz
14 = Achsenab., B.schmerz,
15 = Achs., B.schm., Bew., s
16 = Druckdolenz
17 = s.Knoten, Druckdolenz
18 = Bew., Druckdolenz
20 = Achsenab., Druckdol.
22 = Achsenab., Druckdol.,
24 = B.schmerz, Druckdolen
26 = Bew., B.schmerz, Druck
28 = Achs., B.schmerz, Druc
30 = Bew., Achs., B.schm., D
32 = Schwellung, Rötung
48 = Druckdolenz, Schwellu
49 = s.Knoten, Druck., Schw
52 = Achs., Druck., Schwell
56 = B.schmerz, Druck., Sch
58 = Bew.B.schmerz, Druck.
|
Foot, right
0 = unremarkable
1 = subcutaneous knots dorsal
2 = restriction of movement
4 = axial deviation, bony thickening
5 = subcutaneous knots, axial deviation
6 = restriction of movement, axial deviation
7 = subcutaneous knots, restriction of movement , axial
deviation
8 = pain on movement
10 = restriction of movement, pain on movement
12 = axial deviation, pain on movement
14 = axial deviation, pain on movement,
15 = axial deviation, pain on movement, restriction of
movement, subcutaneous knots
16 = pain on pressure application
17 = subcutaneous knots, pain on pressure application
18 = restriction of movement, pain on pressure
application
20 = axial deviation, pain on pressure application
22 = axial deviation, pain on pressure application
24 = pain on movement, pain on pressure application
26 = restriction of movement, pain on movement, pain on
pressure application
28 = axial deviation, pain on movement, pain on pressure
application
30 = restriction of movement, axial deviation, pain on
movement, pain on pressure application
32 = swelling, reddening
48 = pain on movement, swelling
49 = subcutaneous knots, swelling
52 = axial deviation, pain on pressure application,
swelling
56 = pain on movement, pain on pressure application,
swelling
58 = restriction of movement, pain on movement, pain on
pressure application
|
I1UN2555
|
-
|
-
|
-
|
|
57.
|
Fuss links
0 = unauffällig
1 = subcutane Knoten dor
2 = Bewegungseinschränk
4 = Achsenabweichung, kn.
5 = s.Knoten, Achsenab.
6 = Bew., Achsenab.
7 = s.Knoten, Bew., Achsen
8 = Bewegungsschmerz
10 = Bew., B.schmerz
12 = Achsenab., B.schmerz
14 = Achsenab., B.schmerz,
15 = Achs., B.schm., Bew., s
16 = Druckdolenz
17 = s.Knoten, Druckdolenz
18 = Bew., Druckdolenz
20 = Achsenab., Druckdol.
22 = Achsenab., Druckdol.,
24 = B.schmerz, Druckdolen
26 = Bew., B.schmerz, Druck
28 = Achs., B.schmerz, Druc
30 = Bew., Achs., B.schm., D
32 = Schwellung, Rötung
48 = Druckdolenz, Schwellu
49 = s.Knoten, Druck., Schw
52 = Achs., Druck., Schwell
56 = B.schmerz, Druck., Sch
58 = Bew.B.schmerz, Druck.
|
Foot, left
0 = unremarkable
1 = subcutaneous knots dorsal
2 = restriction of movement
4 = axial deviation, bony thickening
5 = subcutaneous knots, axial deviation
6 = restriction of movement, axial deviation
7 = subcutaneous knots, restriction of movement , axial
deviation
8 = pain on movement
10 = restriction of movement, pain on movement
12 = axial deviation, pain on movement
14 = axial deviation, pain on movement,
15 = axial deviation, pain on movement, restriction of
movement, subcutaneous knots
16 = pain on pressure application
17 = subcutaneous knots, pain on pressure application
18 = restriction of movement, pain on pressure
application
20 = axial deviation, pain on pressure application
22 = axial deviation, pain on pressure application
24 = pain on movement, pain on pressure application
26 = restriction of movement, pain on movement, pain on
pressure application
28 = axial deviation, pain on movement, pain on pressure
application
30 = restriction of movement, axial deviation, pain on
movement, pain on pressure application
32 = swelling, reddening
48 = pain on movement, swelling
49 = subcutaneous knots, swelling
52 = axial deviation, pain on pressure application,
swelling
56 = pain on movement, pain on pressure application,
swelling
58 = restriction of movement, pain on movement, pain on
pressure application
|
I1UN2556
|
-
|
-
|
-
|
|
58.
|
Lymphknoten submandibulaer
0 = unauffällig
1 = vergrössert
3 = vergrössert, fest
4 = dolent
5 = vergrös., dolent
7 = vergrös., fest, dolent
|
Lymph nodes, submandibular
0 = normal
1 = enlarged
3 = enlarged, solid
4 = painful
5 = enlarged., painful
7 = enlarged., solid, painful
|
I1UN2557
|
-
|
-
|
-
|
|
59.
|
Lymphknoten axillaer
0 = unauffällig
1 = vergrössert
3 = vergrössert, fest
4 = dolent
5 = vergrös., dolent
7 = vergrös., fest, dolent
|
Lymph nodes, axillary
0 = normal
1 = enlarged
3 = enlarged, solid
4 = painful
5 = enlarged., painful
7 = enlarged., solid, painful
|
I1UN2558
|
-
|
-
|
-
|
|
60.
|
Lymphknoten inguinal
0 = unauffällig
1 = vergrössert
3 = vergrössert, fest
4 = dolent
5 = vergrös., dolent
7 = vergrös., fest, dolent
|
Lymph nodes, inguinal
0 = normal
1 = enlarged
3 = enlarged, solid
4 = painful
5 = enlarged., painful
7 = enlarged., solid, painful
|
I1UN2559
|
-
|
-
|
-
|
|
61.
|
Dyspnoe
0 = keine
1 = leichte Belastungsdyspnoe
2 = deutl.Bel.dyspnoe
3 = erhebl. Bel.dyspnoe
4 = leichte Ruhedyspnoe
5 = deutl. Ruhedyspnoe
6 = erhebl. Ruhedyspnoe
|
Dyspnea
0 = none
1 = light dyspnea on exertion
2 = distinct dyspnea on exertion
3 = severe dyspnea on exertion
4 = light resting dyspnea
5 = distinct resting dyspnea
6 = severe resting dyspnea
|
I1UN2560
|
+
|
+
|
-
|
|
62.
|
Stridor
1 = inspiratorisch
2 = exspiratorisch
|
Stridor
1 = inspiration
2 = expiration
|
I1UN2561
|
+
|
+
|
-
|
|
63.
|
Expirium
0 = unauffällig
1 = fraglich verlängert
2 = deutlich verlängert
3 = erheblich verlängert
|
Exspiration (duration)
0 = normal
1 = possibly extended
2 = distinctly extended
3 = considerably extended
|
I1UN2562
|
+
|
+
|
-
|
|
64.
|
Atemgeräusch apikal
0 = unauffällig
1 = abgeschwächt
2 = verschärft
4 = trockene RGs
5 = abgeschw., trockene R
6 = versch., trockene RGs
8 = feuchte RGs
9 = abgeschw., feuchte RG
10 = versch., feuchte RGs
|
Adventitious respiratory sounds,
apical
0 = unremarkable
1 = weaker
2 = pronounced
4 = crackles (rales)
5 =weaker sounds, crackles
6 = pronounced sounds, crackles
8 = rhonchi
9 = weaker wounds, rhonchi
10 = pronounced sounds, rhonchi
|
I1UN2563
|
+
|
+
|
-
|
|
65.
|
Atemgeräusch basal
0 = unauffällig
1 = abgeschwächt
2 = verschärft
4 = trockene RGs
5 = abgeschw., trockene R
6 = versch., trockene RGs
8 = feuchte RGs
9 = abgeschw., feuchte RG
10 = versch., feuchte RGs
|
Adventitious respiratory sounds,
basal
0 = unremarkable
1 = weaker
2 = pronounced
4 = crackles (rales)
5 =weaker sounds, crackles
6 = pronounced sounds, crackles
8 = rhonchi
9 = weaker wounds, rhonchi
10 = pronounced sounds, rhonchi
|
I1UN2564
|
+
|
+
|
-
|
|
66.
|
Herzspitzenstoss
0 = unauffällig
1 = palpabel: in /MCL
2 = palpabel:ausser./MCL
3 = hebend: in /MCL
4 = hebend: ausserh./MCL
|
Apex pulse
0 = normal
1 = palpable: inside MCL
2 = palpable:outsideMCL
3 = raising: inside MCL
4 = raising: outside MCL
|
I1UN2565
|
+
|
+
|
-
|
|
67.
|
Herztöne
0 = unauffällig
1 = I.HT paukend
2 = II.HT gespalten
3 = I.paukend, II.gesp.
|
Heart sounds
0 = normal
1 = I.heart sound loud
2 = II.heart sound split
3 = I.sound, II.split
|
I1UN2566
|
+
|
+
|
-
|
|
68.
|
Herzgeräusche
0 = keine
64 = systolisch
65 = sys.ueber ERB
66 = sys.ueber Spitze
67 = sys.ueber ERB, Spitze
68 = sys.ueber Aorta
70 = sys.ueber Spitze, Aor
71 = sys.ueb.Spitze, Ao., E
72 = sys.ueber Pulmonalis
74 = sys.ueber Spitze, Pul
76 = sys.ueber Ao., Pul.
77 = sys.ueber Ao., Pul., E
78 = sys.ueb.Ao., Pul., Spi
88 = sys.ueb.Pul., Trikuspidalis
96 = systol. fortgeleitet
97 = sys.ueber ERB, fort.
98 = sys.ueb.Spitze, fort.
99 = sys.ueb.Spi., ERB, for
100 = sys.ueber Aorta, fort
102 = sys.ueb.Spi., Ao., for
103 = sys.ue.Spi, Ao, ERB, fo
104 = sys.ueb.Pulm., fort.
108 = sys.ueb.Ao., Pulm., fo
109 = sys.ue.Ao., ERB, Pulm,
127 = sys.ERB, Spi, Ao, Pul, Tri
128 = diastolisch
129 = diast.ueber ERB
132 = diast.ueber Aorta
229 = sys/dia.ueb.Ao, ERB, fo
|
Heart murmurs
0 = none
64 = systolic
65 = systolic above ERB
66 = systolic above apex
67 = systolic above ERB, apex
68 = systolic above aorta
70 = systolic above apex, aorta
71 = systolic above apex, aorta, ERB
72 = systolic above pulmonary artery
74 = systolic above apex, pulmonary artery
76 = systolic above aorta, pulmonary artery
77 = systolic above aorta, pulmonary artery, ERB
78 = systolic above aorta, pulmonary artery, ape
88 = systolic above pulmonary artery, tricuspid valve
96 = systolic radiating
97 = systolic above ERB, radiating
98 = systolic above apex, radiating
99 = systolic above apex, ERB, radiating
100 = systolic above aorta, radiating
102 = systolic above apex, aorta, radiating
103 = systolic above apex, aorta, ERB, radiating
104 = systolic above pulmonary artery, radiating
108 = systolic above aorta, pulmonary artery, radiating
109 = systolic above aorta, ERB, pulmonary artery
127 = systolic ERB, apex, aorta, pulmonary artery, tricuspid
valve
128 = diastolic
129 = diastolic above ERB
132 = diastolic above aorta
229 = systolic/diastolic above aorta, ERB,
radiating
|
I1UN2567
|
+
|
+
|
-
|
|
69.
|
Abdomen
0 = unauffällig
1 = Resistenz oben rechts
2 = Resistenz oben links
4 = Resistenz unten rechts
8 = Resistenz unten links
16 = Druckschmerz oben re
32 = Druckschmerz oben li
64 = Druckschmerz unt. re
128 = Druckschmerz ob.rechts
|
Abdomen
0 = unremarkable
1 = mass, upper right quadrant
2 = mass, upper left quadrant
4 = mass, lower right quadrant
8 = mass, lower left quadrant
16 = pain on palpation, upper right quadrant
32 = pain on palpation, upper left quadrant
64 = pain on palpation, lower right quadrant
128 pain on palpation, upper right quadrant
|
I1UN2568
|
-
|
-
|
-
|
|
70.
|
Lebergrösse MCL (cm)
|
Liver size MCL (cm)
|
I1UN2569
|
-
|
-
|
-
|
|
71.
|
Leber Palpation
0 = unauffällig
1 = höckrig, knotig
2 = derb, fest
4 = Rand stumpf
6 = derb, Rand stumpf
7 = höck.derb, R.stumpf
|
Liver palpation
0 = normal
1 = bumpy, knotty
2 = hard, compact
4 = edge blunt
6 = hard, edge blunt
7 = bumpy, hard, edge blunt
|
I1UN2570
|
-
|
-
|
-
|
|
72.
|
Venen Varikosis
0 = keine
1 = Besenreiser, einz.V.
2 = deutl., mehrere V.
3 = schwere Varikosis
4 = troph. Störungen
5 = Ulzera
6 = entzuendete Ulzera
|
Varicose veins
0 = none
1 = spider veins, isolated
varicose veins
2 = distinct, several varicose veins
3 = severe varicosis
4 = trophic disorders
5 = ulcerations
6 = inflamed ulcerations
|
I1UN2571
|
+
|
+
|
-
|
|
73.
|
Arterien A. carotis
0 = unauffällig
1 = Geräusch rechts
2 = Geräusch links
3 = Geräusch bds.
4 = Puls fehlt rechts
6 = Ger.links, Puls rechtsfehl
8 = Puls fehlt links
12 = Puls fehlt bds.
|
Carotid artery
0 = unremarkable
1 = murmur right
2 = murmur left
3 = murmur on both sides
4 = no pulse, right
6 = murmur left, no pulse right
8 = no pulse, left
12 = no pulse on either side
|
I1UN2572
|
+
|
+
|
-
|
|
74.
|
Arterien A. radialis
0 = unauffällig
1 = Geräusch rechts
2 = Geräusch links
3 = Geräusch bds.
4 = Puls fehlt rechts
12 = Puls fehlt bds.
|
Radial artery
0 = unremarkable
1 = murmur right
2 = murmur left
3 = murmur on both sides
4 = no pulse, right
12 = no pulse on either side
|
I1UN2573
|
-
|
-
|
-
|
|
75.
|
Arterien Aorta abdominalis
0 = unauffällig
1 = Geräusch rechts
2 = Geräusch links
3 = Geräusch bds.
4 = Puls fehlt rechts
12 = Puls fehlt bds.
|
Abdominal aorta
0 = unremarkable
1 = murmur right
2 = murmur left
3 = murmur on both sides
4 = no pulse, right
12 = no pulse on either side
|
I1UN2574
|
-
|
-
|
-
|
|
76.
|
Arterien A. femoralis
0 = unauffällig
1 = Geräusch rechts
2 = Geräusch links
3 = Geräusch bds.
4 = Puls fehlt rechts
6 = Ger.links, Puls re. fehlt
8 = Puls fehlt links
12 = Puls fehlt bds.
|
Femoral artery
0 = unremarkable
1 = murmur right
2 = murmur left
3 = murmur on both sides
4 = no pulse, right
6 = murmur left, no pulse right
8 = no pulse, left
12 = no pulse on either side
|
I1UN2575
|
+
|
+
|
-
|
|
77.
|
Arterien A. poplitea
0 = unauffällig
1 = Geräusch rechts
2 = Geräusch links
3 = Geräusch bds.
4 = Puls fehlt rechts
6 = Ger.links, Puls re. fehlt
8 = Puls fehlt links
12 = Puls fehlt bds.
|
Popliteal artery
0 = unremarkable
1 = murmur right
2 = murmur left
3 = murmur on both sides
4 = no pulse, right
6 = murmur left, no pulse right
8 = no pulse, left
12 = no pulse on either side
|
I1UN2576
|
+
|
+
|
-
|
|
78.
|
Arterien A. dors.pedis
0 = unauffällig
1 = Geräusch rechts
2 = Geräusch links
3 = Geräusch bds.
4 = Puls fehlt rechts
6 = Ger.links, Puls re.fehlt
8 = Puls fehlt links
12 = Puls fehlt bds.
|
Dorsalis pedis artery
0 = unremarkable
1 = murmur right
2 = murmur left
3 = murmur on both sides
4 = no pulse, right
6 = murmur left, no pulse right
8 = no pulse, left
12 = no pulse on either side
|
I1UN2577
|
+
|
+
|
-
|
|
79.
|
Arterien A. tib.post
0 = unauffällig
1 = Geräusch rechts
2 = Geräusch links
3 = Geräusch bds.
4 = Puls fehlt rechts
6 = Ger.links, Puls re.fehlt
8 = Puls fehlt links
12 = Puls fehlt bds.
|
Posterior tibial artery
0 = unremarkable
1 = murmur right
2 = murmur left
3 = murmur on both sides
4 = no pulse, right
6 = murmur left, no pulse right
8 = no pulse, left
12 = no pulse on either side
|
I1UN2578
|
+
|
+
|
-
|
|
80.
|
Gangrän
0 = keine
1 = Fuss rechts
2 = Fuss links
3 = Fuesse bds.
4 = Unterschenkel rechts
16 = Oberschenkel rechts
32 = Oberschenkel links
|
Gangrene
0 = none
1 = foot, right
2 = foot, left
3 = feet, both sides
4 = lower leg, right
16 = upper leg, right
32 = upper leg, left
|
I1UN2579
|
+
|
+
|
-
|
|
81.
|
Amputationen Beine
0 = keine
1 = Fuss rechts
2 = Fuss links
3 = Fuesse bds.
4 = Unterschenkel rechts
16 = Oberschenkel rechts
32 = Oberschenkel links
|
Amputations: legs
0 = none
1 = foot, right
2 = foot, left
3 = feet, both sides
4 = lower leg, right
16 = upper leg, right
32 = upper leg, left
|
I1UN2580
|
+
|
+
|
-
|
|
82.
|
Amputationen Arme
0 = keine
1 = Finger rechts
2 = Finger links
3 = Finger bds.
64 = Oberarm rechts
70 = OA rechts, Finger links
|
Amputations: arms
0 = none
1 = finger, right
2 = finger, left
3 = fingers, both sides
64 = upper arm, right
70 = upper arm, right, finger left
|
I1UN2581
|
+
|
+
|
-
|
|
83.
|
Prothesen Beine
0 = keine
4 = Oberschenkel rechts
8 = Oberschenkel links
|
Prothesis: legs
0 = none
4 = upper leg, right
8 = upper leg, left
|
I1UN2582
|
+
|
+
|
-
|
|
84.
|
Prothesen Arme
0 = keine
|
Prothesis: arms
0 = none
|
I1UN2583
|
+
|
+
|
-
|
|
85.
|
Dauerkatheter
0 = nein
1 = ja
|
Indwelling catheter
0 = no
1 = yes
|
I1UN2584
|
+
|
+
|
-
|
|
86.
|
Dekubitalulzera
0 = nein
1 = ja
|
Decubital ulcer
0 = no
1 = yes
|
I1UN2585
|
+
|
+
|
-
|
|
87.
|
Neuro N.fazialis
0 = unauffällig
1 = Schwäche rechts
2 = Schwäche links
3 = Schwäche bds.
17 = Schwäche rechts, periph
33 = Schwäche rechts, zentral
36 = Parese rechts, zentral
66 = Schwäche links, periph
72 = Parese links, peripher
132 = Parese rechts, links zentral
136 = Parese links, zentral
|
Facial nerve
0 = unremarkable
1 = weakness, right
2 = weakness, left
3 = weakness, both sides
17 = weakness right, peripheral
33 = weakness right, central
36 = palsy right, central
66 = weakness left, peripheral
72 = palsy left, peripheral
132 = palsy right, left, central
136 = palsy left, central
|
I1UN2587
|
+
|
+
|
-
|
|
88.
|
Neuro Finger-Nase Versuch
0
1 = rechts< 3 cm
2 = links< 3 cm
3 = bds.< 3 cm
6 = links< 3, rechts> 3 cm
9 = links>3 cm, rechts < 3
12 = bds. > 3 cm
20 = rechts Intentionstr., > 3
35 = links Intention., bds.<
44 = links Intention., bds.<
48 = bds.Intentionstremor
51 = bds.Intention.u. < 3
60 = bds.Intention.u. > 3
66 = links< 3, rechts nicht dfb.
129 = links nicht dfb., rechts< 3
132 = links nicht dfb., rechts> 3
145 = links ni.dfb., rechts< 3, Int
192 = bds. nicht durchfuehr
|
Neuro finger to nose test
0
1 = right< 3 cm
2 = left< 3 cm
3 = both sides< 3 cm
6 = left< 3, right> 3 cm
9 = left>3 cm, right < 3
12 = both sides > 3 cm
20 = intention tremor, right > 3
35 = intention tremor, left, both sides < 3
44 = intention tremor left, both sides < 3
48 = intention tremor, both sides
51 = intention tremor, both sides, < 3
60 = intention tremor, both sides, > 3
66 = left < 3, test could not be conducted, right
129 = test could not be conducted left, right < 3
132 = test could not be conducted left, right > 3
145 = test could not be conducted left, right< 3,
intention tremor
192 = test could not be conducted on either side
|
I1UN2588
|
+
|
+
|
-
|
|
89.
|
Neuro 360 Grad-Drehung
|
Neuro 360 degree rotation
|
I1UN2589
|
+
|
+
|
-
|
|
90.
|
Neuro Romberg-Versuch
0 = schwankt nicht
1 = schwankt etwas
2 = schwankt sehr, aber steht
3 = droht zu stürzen, kann aber ausbalancieren
4 = droht zu stürzen, muß aufgefangen werden
5 = permanenter Halt erforderlich
|
Neuro Romberg-Test
0 = steady
1 = somewhat unsteady
2 = very unsteady, but remains standing
3 = almost falls, but regains balance
4 = almost falls and must be caught
5 = test person requires permanent support
|
I1UN2590
|
+
|
+
|
-
|
|
91.
|
Neuro Muskeltonus
0 = unauffällig
1 = spastisch
2 = rigide
3 = vermindert
4 = schlaff
|
Neuro Muscular tension
0 = normal
1 = spastic
2 = rigid
3 = reduced
4 = limp
|
I1UN2591
|
-
|
-
|
-
|
|
92.
|
Neuro MER: BSR rechts
1 = kloniform, klonisch
2 = sehr lebhaft, gesteigert
3 = mittellebhaft
4 = abgeschwächt
5 = nur mit Bahnung
6 = nicht auslösbar
|
Neuro IMR: biceps tendon reflex,
right
1 = clonic
2 = very brisk, hyperreflexia
3 = brisk
4 = reduced
5 = only with supplemental stimulation
6 = can not be triggered
|
I1UN2592
|
-
|
-
|
-
|
|
93.
|
Neuro MER: BSR links
1 = kloniform, klonisch
2 = sehr lebhaft, gesteigert
3 = mittellebhaft
4 = abgeschwächt
5 = nur mit Bahnung
6 = nicht auslösbar
|
Neuro IMR: biceps tendon reflex,
left
1 = clonic
2 = very brisk, hyperreflexia
3 = brisk
4 = reduced
5 = only with supplemental stimulation
6 = can not be triggered
|
I1UN2593
|
-
|
-
|
-
|
|
94.
|
Neuro MER: BRR rechts
1 = kloniform, klonisch
2 = sehr lebhaft, gesteigert
3 = mittellebhaft
4 = abgeschwächt
5 = nur mit Bahnung
6 = nicht auslösbar
|
Neuro IMR: BRR (brachioradialis)
right
1 = clonic
2 = very brisk, hyperreflexia
3 = brisk
4 = reduced
5 = only with supplemental stimulation
6 = can not be triggered
|
I1UN2594
|
-
|
-
|
-
|
|
95.
|
Neuro MER: BRR links
1 = kloniform, klonisch
2 = sehr lebhaft, gesteigert
3 = mittellebhaft
4 = abgeschwächt
5 = nur mit Bahnung
6 = nicht auslösbar
|
Neuro IMR: BRR (brachiordialis)
left
1 = clonic
2 = very brisk, hyperreflexia
3 = brisk
4 = reduced
5 = only with supplemental stimulation
6 = can not be triggered
|
I1UN2595
|
-
|
-
|
-
|
|
96.
|
Neuro MER: PSR rechts
1 = kloniform, klonisch
2 = sehr lebhaft, gesteigert
3 = mittellebhaft
4 = abgeschwächt
5 = nur mit Bahnung
6 = nicht auslösbar
|
Neuro IMR: patellar tendon reflex,
right
1 = clonic
2 = very brisk, hyperreflexia
3 = brisk
4 = reduced
5 = only with supplemental stimulation
6 = can not be triggered
|
I1UN2596
|
-
|
-
|
-
|
|
97.
|
Neuro MER: PSR links
1 = kloniform, klonisch
2 = sehr lebhaft, gesteigert
3 = mittellebhaft
4 = abgeschwächt
5 = nur mit Bahnung
6 = nicht auslösbar
|
Neuro IMR: patellar tendon reflex,
left
1 = clonic
2 = very brisk, hyperreflexia
3 = brisk
4 = reduced
5 = only with supplemental stimulation
6 = can not be triggered
|
I1UN2597
|
-
|
-
|
-
|
|
98.
|
Neuro MER: ASR rechts
1 = kloniform, klonisch
2 = sehr lebhaft, gesteigert
3 = mittellebhaft
4 = abgeschwächt
5 = nur mit Bahnung
6 = nicht auslösbar
|
Neuro IMR: Achilles tendon reflex,
right
1 = clonic
2 = very brisk, hyperreflexia
3 = brisk
4 = reduced
5 = only with supplemental stimulation
6 = can not be triggered
|
I1UN2598
|
-
|
-
|
-
|
|
99.
|
Neuro MER: ASR links
1 = kloniform, klonisch
2 = sehr lebhaft, gesteigert
3 = mittellebhaft
4 = abgeschwächt
5 = nur mit Bahnung
6 = nicht auslösbar
|
Neuro IMR: Achilles tendon reflex,
left
1 = clonic
2 = very brisk, hyperreflexia
3 = brisk
4 = reduced
5 = only with supplemental stimulation
6 = can not be triggered
|
I1UN2599
|
-
|
-
|
-
|
|
100.
|
Neuro Troemner rechts
1 = deutlich
2 = angedeutet
3 = fehlt
|
Neuro Troemner sign, right
1 = distinct
2 = suggested
3 = not present
|
I1UN259A
|
-
|
-
|
-
|
|
101.
|
Neuro Troemner links
1 = deutlich
2 = angedeutet
3 = fehlt
|
Neuro Troemner sign, left
1 = distinct
2 = suggested
3 = not present
|
I1UN259B
|
-
|
-
|
-
|
|
102.
|
Neuro Babinski rechts
1 = deutlich
2 = angedeutet
3 = fehlt
|
Neuro Babinski sign, right
1 = distinct
2 = suggested
3 = not present
|
I1UN259C
|
-
|
-
|
-
|
|
103.
|
Neuro Babinski links
1 = deutlich
2 = angedeutet
3 = fehlt
|
Neuro Babinski sign, left
1 = distinct
2 = suggested
3 = not present
|
I1UN259D
|
-
|
-
|
-
|