The Lower Limb Flashcards
1
Q
What do you look for on inspection?
A
Wasting, fasciculation, tremors, myoclonic jerk, deformity & posture
SWIFT
Scars Wasting Involuntary movements Fasciculation Tremors
2
Q
How do you test tone?
A
Roll leg from side to side looking for normal movement of foot
Knee lift from bed
Ankle clonus
3
Q
What are other tests of motor supply?
A
Power, Reflexes (Ankle, Knee
and Plantar)
4
Q
What are the nerve roots for the reflexes?
A
Knee - L3, L4
Ankle - L5, S1
Plantar S1
5
Q
What is the test for coordination?
A
Heel-shin rub test
6
Q
What are the tests of the sensory supply?
A
Soft touch, pain, vibration, heat and proprioception
7
Q
Any further tests?
A
Romberg’s, Heel-to-toe and Gait
8
Q
How would you complete the examination?
A
Full history
Upper Limb Neuro exam
Cranial Nerve Exam
MRI Lumbar spine
