Lower extremity assessment 2025

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Definition. The lower extremity refers to the part of the body that includes the hip, thigh, knee, leg, ankle, and foot. It consists of bones, muscles, tendons, ligaments, nerves, and blood vessels that work together to provide support, stability, and mobility for daily activities.
12. Extremities Assess range of motion and strength in arms, legs, and ankles. Assess sharp and dull sensation on arms and legs. Inspect arms and legs for pain, deformity, edema, pressure areas, bruises. Palpate radial pulses, pedal pulses. Check capillary refill on fingernails/toenails. Assess gait.
Components of the examination Inspect/observe stance. Inspect/observe gait. Note any leg. Palpate bony landmarks, tendons, ligaments, muscles. Test both active and passive range of motion. Perform special tests. Test strength against resistance.
Documentation of a basic, normal extremity exam should look something along the lines of the following: Extremities are atraumatic in appearance without tenderness or deformity. Extremities are without swelling or erythema. Full range of motion is noted to all joints.
Normal findings might be documented as: Skin colour consistent from upper legs to toes, equal limb circumference with no edema or ulcers. No presence of cyanosis or pallor on nails. Good capillary refill. Dorsalis pedis and posterior tibial pulses 2+ force and equal bilaterally.
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