Lower Ex

Front 1

LOWER EXTREMITIES #1

Inspect lower extremities for (2) symmetry, color, hair distribution, varicosities, lesions, and swelling

Back 1

LOWER EXTREMITIES #1

Front 2

LOWER EXTREMITIES #2

Palpate skin for (2) temperature, turgor, texture, swelling

Back 2

LOWER EXTREMITIES #2

Front 3

LOWER EXTREMITIES #3

Palpate popliteal pulses for rhythm & equality

Back 3

LOWER EXTREMITIES #3

When you do pulses, do them on bilaterally on both sides. Don’t go down the leg and then down the other. Equality means same rate.

Front 4

LOWER EXTREMITIES #4

Palpate posterior tibial pulses for rhythm & equality

Back 4

LOWER EXTREMITIES #4

When you do pulses, do them on bilaterally on both sides. Don’t go down the leg and then down the other. Equality means same rate.

Front 5

LOWER EXTREMITIES #5

Palpate dorsalis pedis pulses for rhythm & equality

Back 5

LOWER EXTREMITIES #5

When you do pulses, do them on bilaterally on both sides. Don’t go down the leg and then down the other. Equality means same rate.

Front 6

LOWER EXTREMITIES #6

Inspect hips for swelling & deformity

Back 6

LOWER EXTREMITIES #6

Front 7

LOWER EXTREMITIES #7

Palpate hips for (2) swelling, enlargement, tenderness, pain

Back 7

LOWER EXTREMITIES #7

Front 8

LOWER EXTREMITIES #8

Inspect knees for (2) alignment, contour, enlargement, atrophy of quadriceps

Back 8

LOWER EXTREMITIES #8

Front 9

LOWER EXTREMITIES #9

Palpate knees for (2) swelling, enlargement, tenderness, pain

Back 9

LOWER EXTREMITIES #9

Front 10

LOWER EXTREMITIES #10

Test ROM of hips for pain, crepitation, limited movement (flexion, extension, internal & external rotation, abduction,
adduction)

Back 10

LOWER EXTREMITIES #10

For hip and knee ROM, make sure you inspect and palpate both knees and hips so you can do ROM of hip and knee together.
For abduction and adduction of the hip you can support the leg and make sure toes are pointing upward.

Front 11

LOWER EXTREMITIES #11

Test muscle strength of hips flexion against resistance

Back 11

LOWER EXTREMITIES #11

Front 12

LOWER EXTREMITIES #12

Test ROM of knees for pain, crepitation, limited movement (flexion, extension);

Back 12

LOWER EXTREMITIES #12

Front 13

LOWER EXTREMITIES #13

Test muscle strength of knees (flexion & extension against resistance)

Back 13

LOWER EXTREMITIES #13

Front 14

LOWER EXTREMITIES #14

Inspect ankles & feet for deformities, nodules, swelling, calluses, lesions

Back 14

LOWER EXTREMITIES #14

Front 15

LOWER EXTREMITIES #15

Palpate ankles & feet for (2) swelling, nodules, tenderness, pain

Back 15

LOWER EXTREMITIES #15

Front 16

LOWER EXTREMITIES #16

Palpate toes for capillary refill on 2-3 toes on each foot

Back 16

LOWER EXTREMITIES #16

Front 17

LOWER EXTREMITIES #17

Test ROM of ankles for pain, crepitation, limited movement (inversion, eversion, plantar flexion, dorsiflexion); of toes
(flextion, extension)

Back 17

LOWER EXTREMITIES #17

Front 18

LOWER EXTREMITIES #18

Test muscle strength of ankles (plantar flexion & dorsiflexion against resistance)

Back 18

LOWER EXTREMITIES #18

Front 19

LOWER EXTREMITIES #19

Test plantar reflex

Back 19

LOWER EXTREMITIES #19

Have patient lie down

Front 20

LOWER EXTREMITIES #20

Test Deep Tendon Reflex (DTR) quadriceps (knee/patella)

Back 20

LOWER EXTREMITIES #20

Knees are dangling and not touching the back of the bed. Don’t stand in front of patient. Non-dominant hand on the thigh.

Front 21

LOWER EXTREMITIES #21

Demonstrate appropriate interaction and draping

Back 21

LOWER EXTREMITIES #21

Drape should have one corner up at the neck, one corner at each sides, and 1 corner between the legs. Have the patient tuck the corner inbetween their legs.