Gait Quiz 2
Observe and describe the gait. Then, proceed with the necessary neurological examination.
Labels: Gait, Neurology, Quiz series
posted by Dr. David Teoh @ 6/23/2007 12:18:00 AM
Saturday, June 23, 2007
Observe and describe the gait. Then, proceed with the necessary neurological examination.
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9 Comments:
Hemiplegic gait.
Proceed by looking for pyramidal tract weakness in both upper and lower limbs.
Look for a R homonymous hemianopia and dysphasia (assuming she has a dominant L hemisphere).
Check for sensory and visual inattention.
Tell the examiners that you want to listen for carotid bruit and check her pulse for AF.
right hemiparesis,the right foot has everted with poor right hand swing.
Dr Sadiq
Patient has a right-sided foot drop.
Thus,in order to have an adequate clearance from the ground,patient compensate by shifting her centre of gravity to her left and tilting her pelvis to her left. There seems to be a weakness of the right hip flexion as well as I would expect a high stepping gait for foot drop.
I will proceed to map out the level of lesion,firstly differentiating an upper and lower motor neurone with a Babinski.
Then,I will proceed to test tone and power particularly the hip flexor and dorsiflexion. Ankle jerk and knee jerk would be tested as well.
I will then proceed to perform a sensory examination, focusing particularly on the lower leg and the area surrounding it.
If patient does have weakness of the hip flexor or dorsiflexion, a heel-shin coordination test would be unhelpful as it could be due to the weakness of the muscle rather than lack of coordination
cute doc:Rt arm flexed, Rt leg stiff semicircle with toes attach floor first and Rt side pelvis tilts up with each step
Hemiplegic gait
UMNL
Buddies, the answer is revealed!
She is a stroke patient with right hemiplegic gait.
yes.. its right she has rt sided hemiplegic gait...
it is a hemiplegic gait
i will look for signs of pyramidaltract lesion
R hemiplegic gait, classic from Ryder.
hemiplegic ataxia
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