Lower Extremity Flashcards
questions to ask during history
are there any associated activities that cause pain? is there. reduced range of motion? what was the onset? muscle weakness? any joint redness or swelling? numbness or tingling?
cancer red flags
age over 50 history of cancer weight loss unrelenting night pain failure to improve
fracture red flag
age over 50
trauma
steroid use
osteoporosis
infection red flags
IVDU steroid use fever/ chills temp over 100.4 F failure to improve
cauda equina syndrome red flags
saddle anesthesia
bowel bladder dysfunction
loss of sphincter control
major motor weakness
cauda equina syndrome
bilateral lower extremity radiating pain
bilateral lower extremity weakness
saddle anesthesia
sphincter dysfunction in the bowel and bladder dysfunction
physical exam supine test
inspect hip and legs
palpate
Hip ROM
knee ROM
practical exam palpation
popliteal fossa for pulse and cyst calf and achilles tendon ankle and foot while checking for edema posterior tibial pulse dorsalis pedis pulse
Hip ROM
supine:
active hip flexion
passive abduction, adduction , internal ad external rotation
seated:
resisted hip flexion
Knee ROM
supine:
passive knee flexion and extension
seated:
resisted knee flexion and extension
physical exam seated test
resisted hip flexion
resisted knee flexion and extension
Ankle ROM
Ankle ROM
seated:
ankle active dorsiflexion, plantar flexion, inversion & eversion
toe dorsiflexion, plantar flexion
resisted ankle dorsiflexion, plantar flexion
physical exam standing
back to you inspect spinal curvature and ROM active flexion and active but supported extension lateral bending
patient returns to seating for what ROM test
lateral rotation
lower extremity arterial supply
abdominal aorta external iliac artery femoral artery popliteal artery posterior tibial artery medial and lateral plantar artery dorsalis pedis artery
