Leg exam

Write about Leg exam here.


Observe:

  1. Visual survey
    • Paget's Disease
    • hemiparesis
    • exopthalmos
    • nystagmus
    • thyroid acropachy
    • rheumatoid hands
    • nicotine-stained fingers
    • wasted hands
    • muscle fasiculation
  2. Obvious lesion
  3. Bowing of the tibia
  4. Pes cavus (high arch)
  5. One leg smaller than the other
  6. Muscle bulk
  7. Fasiculation


Test:

  1. Tone
  2. Power
    • Lift your leg up  - L1,2
    • Bend your knee - L5, S1,2
    • Straighten your leg - L3, L4
    • Bend your foot down - S1
    • Cock up your foot - L4,5
  3. Co-ordination - Heel-shin
  4. Tendon Reflexes
    • Knee - L3,4
    • Ankle - S1,2
    • Ankle Clonus
    • Patellar Clonus
  5. Plantar Response
  6. Sensation
    • Light touch
    • Pinprick
    • Vibration
    • Joint position
  7. Gait
    • Ordinary walk
    • Heel-to-toe
    • On toes
    • On heels
  8. Rombergism