LE/Spine Flashcards
signs of peripheral artery insufficiency
Pallor-dependent rubor Distal hair loss Atrophic skin/nails Ulcers Necrosis Cool to palpation Cap refill >2sec
Venous insufficiency
Dilated tortuous superficial veins from defective valves
Clinical presentation of venous insufficiency
Dull ache after prolonged standing-relieved w/ elevation
Dependent ankle edema-ulcerations
Superficial thrombosis
Varicose veins
Incompetent venous valves
Stasis dermatitis
Due to chronic venous insufficiency
Brawny edema
Trendelenburg test
Hip drop indicates weak hip abductors on contralateral side
Valgus
Knock knees
Varus
bow legs
Bakers cyst
synovial fluid cyst in popliteal fossa, fluctuant
Popliteal artery aneurysm
Due to arteriosclerosis
M>F, >65yo, mostly bilat, Pulsatile swelling behind the knee
Bulge sign
minor effusion around patella
Ballotment of patella
Large effusion
Valgus stress
Test for MCL
Varus stress
Test for LCL
Evaluation for ACL tear
- Lachman (preferred)
- Ant drawer
Evaluation for PCL tear
Post drawer sign
Post sag sign
Evaluation for meniscus tear
McMurray’s test
Pes planus
Flat foot
Pes cavus
High arch
Evaluation of ankle sprain
Ant drawer test of ankle
Evaluation for DVT
Homan’s sign
Evaluation for achilles tendon rapture
Thompson test (squeeze calf = plantar flexion)
How is limb length discrepancy measured
ASIS to medial malleolus
Evaluation for lumbosacral radiculopathy/sciatic neuropathy
Straight leg raise