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6 Cards in this Set

  • Front
  • Back
Symptoms in one part of the body is asymmetric gait while generalized symptoms is symmetric gait
During HPI how can you determine whether the gait is symmetrical or asymmetrical?
Falling
Weakness
Numbness/tingling
Twitching, jerking, spasms
Slow movements
Family members w/ movement problems
What questions should you ask for generalized symmetric gait?
History of birth defects?
Brain or nerve problems?
Pain with walking?
Limited joint movements?
One foot larger than the other?
What questions should you ask for asymmetric gait?
Look
Feel
Move
- Passive ROM
- Reflexes
- Strength testing

Sensory testing

UMN or LMN impairment?
What physical exam should you perform for asymmetric gait?
Look
- Spacing of feet (broad based vs normal)
- What is the length of stride, any spasticity, are the steps stiff and springy?
- Is there apraxia, hesitant, efforful, deliberate leg movements?

Feel
- muscle tone
Move
- passive ROM
- DTR
What physical exam should you perform for symmetric gait?
MS, high blood pressure, high cholesterol, diabetes, alcohol dependence
What review of systems questions should be asked?