Clinical Cases

Question 1

Trendelenburg’s sign

Answer 1

– Lift good leg off,
STAND ON suspected
BAD leg
-Pelvis/buttocks on
opposite (non-weight
bearing) falls  POSITIVE

Question 2

anatomical landmarks that help locate the Femoral pulse –

Answer 2

inferior to the inguinal ligament and midway between

the anterior superior iliac spine and the pubic symphysis

Question 3

anatomical landmarks that help locate the Popliteal pulse

Answer 3

deep in the popliteal fossa near the midline

Question 4

anatomical landmarks that help locate the Posterior tibial pulse

Answer 4

–in the tarsal tunnel (posterior tibial
artery)posterior inferior to the medial malleolus in the groove
between the medial malleolus and the heel.

Question 5

anatomical landmarks that help locate the Dorsalis pedis -

Answer 5

on the dorsal aspect of the foot by palpating the
dorsalis pedis artery as it passes lateral to the tendon of the extensor
hallucis longus

Question 6

Ankle-brachial index

Answer 6

x to compare the blood pressure in your ankles to the blood

pressure in your arms

Question 7

Arterial occlusive disease of the
leg:
-Intermittent Claudication

Answer 7

Ischemia of the muscles produces a cramp
like pain with exercise. Patient is forced to
stop walking after a limited distance
because of the intensity of the pain. With
rest the pain disappears. However, on
resumption of walking the pain re-occurs