Discussion in 'Spot Diagnosis' started by bb100, May 4, 2013.
patient is walking .diagnosis?
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 (-:
“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.
Foot drop l.dx. Possible cause is paralysis nervus peroneus.
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:
brain or spinal 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:
hip or knee replacement surgery
spending long hours sitting in crossed-legged or squatting position
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:
multiple sclerosis (MS)
Muscle disorders. Conditions that cause the muscles to progressively weaken or deteriorate may cause foot drop. These include:
amyotrophic lateral sclerosis (Lou Gehrig's disease)
Separate names with a comma.