Exam: Extremities

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When reviewing an Extremities section in an exam how would you give points for the following examples?

Extremities: grossly normal. You have 4 extremities, do you assume this to mean all 4 and use towards achieving a 4X4?

Extremities: no joint deformities, effusion, or inflammation, no edema, no clubbing, no cyanosis. I find the following as cardio in nature: no effusion, no edema, no cyanosis. Musco: no joint deformities, no clubbing. Again would this be seen as 4 towards a 4X4.

Thank you so much for your input!
 
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