CDEs
Forms
Leg Exam: Left Calf Perimeter (cm)
Leg Exam: Left Thigh Perimeter (cm)
Leg Exam: Non-varicose Collateral Veins
Leg Exam: Pain or Discomfort
Leg Exam: Pitting Edema
Leg Exam: Redness
Leg Exam: Right Ankle Perimeter (cm)
Leg Exam: Right Calf Perimeter (cm)
Leg Exam: Right Thigh Perimeter (cm)
Leg Exam: Swelling
Leg Exam: Tenderness Along Distribution of Deep Veins
Vital Signs Date and Time
Blood pressure diastolic measurement
Blood pressure systolic measurement
Heart Rate (bpm)
Oxygen saturation measurement
Respiratory rate
Temperature measurement
Current or Recent Multiple Pregnancy
Current Use of Fertility Treatments
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