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Palpation – Slight tenderness over L. 4 – L 5 left lumbar paravertebral muscles. No muscle spasm noted today. Neurological Exam: Reflexes - Achilles 2+ = bilaterally, patellar 2+ = bilaterally. Sensation – intact lower extremities. Motor 5/5 equal bilaterally toe flexion and extension; foot flexion, ................
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