PIVD Examination

Patient whole body  was exposed maintaing privacy.


Standing



Gait pattern - Normal

Attitude of the body on standing position - Left side listing , right shoulder up  , pelvic obliquity , no

no wasting of thigh , calf muscles , knee at same level , patella facing forward

 similarly comment attitude from the sides and back .

Regional examination from front sides and back

 T L Scoliosis with convextiy on lt side which disappers on bending right



Movemenets

 flexion touches upto toes

 extension 20 degrees

 side bending - upto just below knee

 rotation - 35 degrees

 Schober's test

     4.5 cm excursion



    Trendelenburg test



 Lying position on supine


    SLRT , Cross leg SLRT , Lasegue's test , Bowstring sign , FABER test , FADIR Test   , Neurology


Lying on Prone position

                overlying skin normal

              Temperature normal

              percussion pain - L 5 - S 1 +

            FemoralFemoral  stretching test

             neurology

Lower Extremity ( test it when patient is supine , lateral and prone at one time sothat you dont need

        to  roll patient multiple times )



 Overlying skin - normal

 Normal alignment

movement - intact

   hip, knee , ankles , toes

Neruology

 bulk

 power

 tone

 reflexes

 sensation



DPA AND PTA pulsation not to forget





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