Examination of Legs

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Examination of Legs

• Observation
  • walking aids
  • wheelchair
  • foot drop splint
  • skin
    • Varicose Veins
    • Venous ulceration
    • Trophic Changes
    • Arterial Ulcers
  • soft tissues
    • wasting 
    • fasciculation
    • swellings
  • bony alignment
    • leg length
    • Pes Cavus
    • Genu Valgum
    • Genu varum
• Feel
  • Pulses
  • Lymphadenopathy
  • Tone
    • flop
    • catch on flexing knee
    • ankle clonus
• Move
  • range
  • crepitus
  • Power
    • hip flexion - L1,2
    • hip extension - S1
    • Knee flexion - L5,S1
    • knee extension - L3,4
    • ankle dorsiflexion - L4,5
    • ankle plantar flexion - S1
• Reflexes
  • Knee jerk
  • Ankle jerk
  • Plantar
• Sensation
  • light touch
  • pinprick
  • vibration
  • joint position sense
• coordination
• "I would like to..." 
  • examine back for scars
  • assess gait
    • posture
    • arm swing
    • step size and equality
    • circumduction
    • ataxia
  • Romberg's test

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