7/7/14

Extremities

Extremities
Grips
Equality and strength: Have Pt squeeze your fingers with
his or her 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 vs. diffuse, dependent vs. nondependent.
DVT
Homans’ sign (calf pain on 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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