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To determine the presence of edema in the lower extremities, the appearance of one extremity should be compared with the other, noting the relative size and the prominence of veins, tendons, and bones. Edema is a significant finding in the examination of the lower extremity and should be investigated.
The strength of the powerful muscles of the lower extremities is often best assessed by using the patient's own weight. Having the patient squat and rise tests the pelvic girdle and upper leg muscles while heel and toe walking tests the muscles of the foreleg.
Here are some of the standard techniques you can use to test your patient's upper body strength: Test flexion and extension at the elbow by having the patient push and pull against your hand. Test extension at the wrist by asking the patient to make a fist and resist your pulling it down.
General Evaluation of Lower Extremity Circulation Inspect the legs from the groin to the feet noting any asymmetry, skin changes, hair distribution, varicosities, or edema. Signs of vascular insufficiency include pallor, coolness, cyanosis, atrophy, loss of hair, pigmentation along the shin or ankles, or ulcers.
General Evaluation of Lower Extremity Circulation Inspect the legs from the groin to the feet noting any asymmetry, skin changes, hair distribution, varicosities, or edema. Signs of vascular insufficiency include pallor, coolness, cyanosis, atrophy, loss of hair, pigmentation along the shin or ankles, or ulcers.
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To test upper extremity strength, ask the patient to extend their forearms with palms facing upwards. Place your hands on their inner forearms and ask them to pull their arms toward them while you provide resistance. An expected finding is the patient strongly bilaterally pulls against resistance with both arms.
How to Assess Muscle Strength 0: No visible muscle contraction. 1: Visible muscle contraction with no or trace movement. 2: Limb movement, but not against gravity. 3: Movement against gravity but not resistance. 4: Movement against at least some resistance supplied by the examiner. 5: Full strength.
Extremities: Inspect: Arms and legs for pain, deformity, edema, pressure areas, bruises.
0:45 6:45 And ask the patient are you having any pain in your hands or anything like that no then you canMoreAnd ask the patient are you having any pain in your hands or anything like that no then you can palpate the brachial artery which is found in the bends of the arm.
To assess lower extremity strength, perform the following maneuvers with a seated patient. Place your palms on the patient's thighs and ask them to lift their legs while providing resistance. Secondly, place your hands behind their calves and ask them to pull their legs backwards while you provide resistance.

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