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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
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During HPI how can you determine whether the gait is symmetrical or asymmetrical?
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Falling
Weakness Numbness/tingling Twitching, jerking, spasms Slow movements Family members w/ movement problems |
What questions should you ask for generalized symmetric gait?
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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?
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Look
Feel Move - Passive ROM - Reflexes - Strength testing Sensory testing UMN or LMN impairment? |
What physical exam should you perform for asymmetric gait?
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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?
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MS, high blood pressure, high cholesterol, diabetes, alcohol dependence
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What review of systems questions should be asked?
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