Flashcards in Examination: Neurological (Lower Limb Motor) Deck (13)
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1
Neurological Lower Limb Motor
Step 1:
Prepare the patient
• Introduce yourself and the exam
• Ask them to remove their pants (shorts are ok)
• Check the patient is comfortable
• Prepare bed (flat)
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Neurological Lower Limb Motor
Step 2:
Hand Hygeine
3
Neurological Lower Limb Motor
Step 3:
Gait
• Fluidity of movement
• The way the foot strikes the floor
• Asymmetry
4
Neurological Lower Limb Motor
Step 4:
General Inspection
• Scars or Deformities
• Muscle Bulk
• Fasciculations
• Inspect lower back also
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Neurological Lower Limb Motor
Step 5:
Tone
• Ask patient to allow you to take their weight/ make their legs go floppy
• Knee and Ankle
• Look for clonus
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Neurological Lower Limb Motor
Step 6:
Power
• Hip flexion (L2,L3)
• Hip extension (L4,L5,S1)
• Hip abduction (L4,L5, S1)
• Hip adduction (L2,L3,L4)
• Knee flexion (L5, S1)
• Knee extension (L2,L3,L4)
• Ankle dorsiflexion (L4,L5)
• Ankle plantarflexion (S1,S2)
• Inversion of the foot (L4, L5)
• Eversion of the foot (L5,S1)
• Great toe extension (L4, L5, S1)
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Neurological Lower Limb Motor
Step 7:
Reflexes
• Knee Jerk (L2,L3,L4)
• Ankle Jerk (S1, S2)
• Plantar reflex – look for Babinski sign (L5,S1,S2)
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Neurological Lower Limb Motor
Step 8:
Coordination
• Heel-shin test
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Neurological Lower Limb Motor
Step 9:
Conclude
• Inform the patient that the examination is complete
• Thank the patient
10
What are you looking for when examining the patient's gait?
• Fluidity of movement
• The way the foot strikes the floor
• Asymmetry
11
What features are you looking for in the general inspection
• Scars or Deformities
• Muscle Bulk
• Fasciculations
12
What word describes incomplete loss of strength to the legs?
Paraparesis
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