centered image

centered image

lower extremity spot diagnosis

Discussion in 'Spot Diagnosis' started by bb100, May 4, 2013.

  1. bb100

    bb100 Bronze Member

    Joined:
    Jun 7, 2012
    Messages:
    450
    Likes Received:
    54
    Trophy Points:
    845

    patient is walking .diagnosis?

    [​IMG]
     

    Add Reply

    Attached Files:

    • 111.jpg
      111.jpg
      File size:
      16.3 KB
      Views:
      1,438

  2. neo_star

    neo_star Moderator

    Joined:
    Nov 4, 2012
    Messages:
    775
    Likes Received:
    184
    Trophy Points:
    1,545
    Practicing medicine in:
    India
    Re: lower extremity

    the patient seems to be sitting on a table, with both legs dangling down and i guess the examiner asked him to dorsiflex both feet and since it seems dat he can't do it on the rt. side.....it must be foot drop, on the rt.side.

    Anybody who wishes to discuss the various causes of foot drop and how to diagnose, can take it forward from here (-:
     

    bb100 likes this.
  3. fra

    fra Well-Known Member

    Joined:
    Mar 30, 2013
    Messages:
    15
    Likes Received:
    1
    Trophy Points:
    225
    Practicing medicine in:
    Italy
    “To laugh often and much; to win the respect of intelligent people and the affection of children; to earn the appreciation of honest critics and to endure the betrayal of false friends. To appreciate beauty; to find the best in others; to leave the world a bit better whether by a healthy child, a garden patch, or a redeemed social condition; to know that even one life has breathed easier because you have lived. This is to have succeeded.”

    ― Ralph Waldo Emerson?? No, no, the quote is actually by Bessie Anderson Stanley.. instead for the diagnosis I have no idea, at least for the moment (-: maybe neuromuscular disease, stroke, TIA, diabetes, herniated disc, Hereditary Sensory-Motor Neuropathies (HSMN), etc.
     

    Last edited: May 5, 2013
  4. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

    Joined:
    Jul 28, 2012
    Messages:
    839
    Likes Received:
    38
    Trophy Points:
    1,245
    Gender:
    Male
    Practicing medicine in:
    Czech Republic
    Foot drop l.dx. Possible cause is paralysis nervus peroneus.
     

  5. bb100

    bb100 Bronze Member

    Joined:
    Jun 7, 2012
    Messages:
    450
    Likes Received:
    54
    Trophy Points:
    845
    Correct diagnosis :Foot Drop

    Causes of Foot Drop?

    Foot drop is a symptom of an underlying problem, rather than a disease itself. It can be temporary or permanent. Causes of foot drop include:

    nerve injury
    brain or spinal disorders
    muscle disorders
    Here's some more detail on these causes:

    Nerve injury. Most commonly, foot drop is caused by an injury to the peroneal nerve. The peroneal nerve is a branch of the sciatic nerve that wraps from the back of knee to the front of the shin. Because it sits very close to the surface, it may be easily damaged.

    An injury to the peroneal nerve may also be associated with pain or numbness along the shin or the top of the foot.

    Some common ways the peroneal nerve is damaged or compressed include:

    sports injuries
    diabetes
    hip or knee replacement surgery
    spending long hours sitting in crossed-legged or squatting position
    childbirth
    large amount of weight loss
    Injury to the nerve roots in the spine may also cause foot drop.

    Brain or spinal disorders. Neurological conditions can contribute to foot drop. These include:

    stroke
    multiple sclerosis (MS)
    cerebral palsy
    Charcot-Marie-Tooth disease
    Muscle disorders. Conditions that cause the muscles to progressively weaken or deteriorate may cause foot drop. These include:

    muscular dystrophy
    amyotrophic lateral sclerosis (Lou Gehrig's disease)
    polio
     

Share This Page

<