Lower Extremity Physical Examination Video
This video will allow you to be comfortable performing a physical examination of the legs and feet. Whether you are performing routine foot care or lower extremity wound care, this program is a must. Learn a sequenced examination of the four organ systems represented in the lower extremity; Vascular, Neurology, Musculoskeletal, Dermatology. A subjective exam plus non-invasive testing are covered in detail. After completing this program you will have the confidence you need to perform a general lower extremity exam and understand your findings. You will also earn 2.0 Nursing CEUs.
1. General principles of a lower extremity examination
- What parameters are you evaluating?
- What are the general principles of the evaluation?
- Fifteen abnormal findings you are evaluating
2. Dermatology Examination
- Recognize common conditions: tinea, verruca, hyperkeratosis, porokeratosis
- Recognize important pathologies: asteototic, eczema, atrophy blanche, mechanically induced lesions & heel fissures
- Toenail Pathology: pathologic nail discolorations (dark lines), onychomycosis, onycholysis, subungual hematoma, clubbed nails, Mee's lines
3. Musculoskeletal Examination
- Joint examination: range of motion, strength, passive vs reactive
- Common deformities: hammertoes, bunions, overlapping toes, metatarsalgia, hallux abducto valgus
- Gait Examination
4. Vascular Examination
- Objective signs of Lower Extremity Vascular Disease
- Non-invasive testing demonstrations: Doppler, ABI, TBI, temperature, capillary refill and pedal pulses
- Objective signs of Venous Disease
- Common pathologies: stasis dermatitis, thrombophlebitis, pitting and non-pitting edema
5. Neurological Examination
- Non-Invasive Testing: Semmes-Weinstein 10gm/5.07 Monofilament, DTRs, Vibration
- Proprioception, fine touch
- Motor, sensory & autonomic neuropathy
After viewing this program, you will be better able to:
- Describe physical changes to the skin that indicate long standing vascular insufficiency
- List 3 skin conditions commonly found on the foot
- Describe the progression (regrowth) of a nail after a subungual hematoma forms
- List 3 musculoskeletal foot deformities
- Name the 4 directions that the foot is moved at the ankle to test range of motion
- List 3 non-invasive vascular tests
- Describe 3 non-invasive neurological tests
- Describe the proper way to use the, 5.07 (10 gram) mono-filament
This continuing nursing education activity was approved by the Rainier Medical Education Programs, Provider #CEP15965 of the State of California Board of Registered Nursing." These CE contact hours are recognized Nationwide.