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Get Lower Leg Assessment Form. Lower Leg Assessment Form

Location: Toes Foot B/K A/K Sacral Ascites Description: Press finger into edema x 10 15 seconds Pitting: 1+ 0 - 2+ 3+ - 1 4+ takes several minutes to rebound Non-Pitting Brawny Induration Edema Measurements: Midfoot cm Heel 10cm cm Heel 20 cm cm Heel 30 cm cm Heel cm cm Heel cm cm Heel cm cm Heel cm cm Previous use of compression stockings Adherent to wearing compression stockings in past Age of current compression stockings:.

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