PE:
Height 5.0′, Weight 163lb
she is alert and oriented x 3. Pulses are regular and respirations are rhythimic. Patient has appropriate mood and affect, and appears to be well developed and well nourished, in no acute distress.
Left Wrist: Dorsiflexion 50 degrees and palmar felxion is 60 degrees. This is compared to 60 and 70 degrees respectively for the univolved wrist. The DRUJ is stable. She does have bossing consisted with carpal bossing at the dorsal aspect of the index and middle finger CMC joint bilaterally-but minimal pain with palpation directly. Negative squeeze test of the metacarpals. Negative Finkelstein test. Negative tuck test. No skin irregularties or cellulitis. She does have pain at the intersection zone of the extensor. No pain with palpation at the terminal intersection of the ECRL and ECRB. No crepitus at the second dorsal compartment with range of motion of the wrist. Distally gross intact motor sensory function in the radial, ulnar and median nerve distribution.

Can you tell where you counted each element please?

Help…thank you