Chapter·AnatomyUpper/Lower Limb

Clinical correlations of lower limbDownloads

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1

A 36-year-old woman comes to the physician because of new onset limping. For the past 2 weeks, she has had a tendency to trip over her left foot unless she lifts her left leg higher while walking. She has not had any trauma to the leg. She works as a flight attendant and wears compression stockings to work. Her vital signs are within normal limits. Physical examination shows weakness of left foot dorsiflexion against minimal resistance. There is reduced sensation to light touch over the dorsum of the left foot, including the web space between the 1st and 2nd digit. Further evaluation is most likely to show which of the following?

ADecreased ankle jerk reflex

BNormal foot eversion

CWeak knee flexion

DNormal foot inversion

EWeak hip flexion

2

Seven hours after undergoing left hip arthroplasty for chronic hip pain, a 67-year-old woman reports a prickling sensation in her left anteromedial thigh and lower leg. Neurologic examination shows left leg strength 3/5 on hip flexion and 2/5 on knee extension. Patellar reflex is decreased on the left. Sensation to pinprick and light touch are decreased on the anteromedial left thigh as well as medial lower leg. Which of the following is the most likely underlying cause of this patient's symptoms?

AFemoral nerve injury

BL5 radiculopathy

CSural nerve injury

DS1 radiculopathy

EFibular nerve injury

3

A 60-year-old man seeks evaluation at a medical office due to leg pain while walking. He says the pain starts in his buttocks and extends to his thighs and down to his calves. Previously, the pain resolved with rest, but the pain now persists in his feet, even during rest. His past medical history is significant for diabetes mellitus, hypertension, and cigarette smoking. The vital signs are within normal limits. The physical examination shows an atrophied leg with bilateral loss of hair. Which of the following is the most likely cause of this patient’s condition?

AThrombus formation

BWeakening of vessel wall

CNarrowing and calcification of vessels

DDecreased permeability of endothelium

EPeripheral emboli formation

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