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Extremities

Grips
Equality and strength have Pts squeeze your fingers
with their hands and assess push-pull strength of feet.
CSM
Distal pulses, capillary refill, sensation , and motor
movement.
Nails
Cyanosis, angle of attachment, clubbing.
ROM
Limitations and pain during movement.
Edema
Localized versus diffuse, dependent versus
nondependent.
DVT
Homans’ sign (calf pain upon dorsiflexion of foot)
especially with postsurgical and debilitated Pts
(NEVER massage affected extremities!). Signs/
symptoms include pain, venous distention, localized
tenderness.


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