MDM //

with no pertinent history presents with now resolving R_ paraspinal neck pain. No acute findings on exam; in particular, no midline spinal tenderness to palpation. Non-focal neuro exam with sensation and strength intact and equal bilaterally. Low suspicion for cervical ligamentous or vascular injury. Intact grips and UE exam with low suspicion for central cord. Discussed pain control, observation of symptoms. Cautious return precautions discussed w/ full understanding.



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