Loyola Female Exam Part 4

So now we've completed the exam, the abdomen. We're gonna move a little bit further down. I'm gonna palpate for the arteries in your groin area and also check for lymph nodes down there. Again, it's important for the students to make sure that they pay attention to the patient's modesty for this. And I'm gonna do a sort of bunch up your gown here, Nancy, between your legs. So I just expose the area that I'm interested in. I'm gonna palpate for your femoral pulse. Good. I'm gonna also then feel for the lymph nodes in this area.

I don't feel any abnormal lymph nodes come over to this side here too. Same thing, kind of bunch up your gown here. There's your femoral artery, it feels normal. The palpate for swollen glands. Both the horizontal group and then the vertical group.

I don't feel any swollen glands. I'm gonna next listen to the femoral artery tube with my stethoscope. Let me identify it again here first. Okay, and then the same thing on the other side. I don't hear any abnormal blood sounds from the femoral artery. Now we're gonna move to the lower extremity examination. And the first thing I wanna do at this point is to look for a demon, the lower extremity. What I'm gonna do for that is I'm gonna take my thumbs and press them with firmly against your shin, Nancy,

I don't mean to hurt you. What I'm trying to do is to see if there's any fluid that's collected in your leg that, it always collects in the most dependent position. And sometimes the doctor, if there is fluid, they can actually see it in indentation. But it's always good also just to run your fingers over an area where you press to see if you can feel it, but you don't see it yet. And I don't detect any fluid in your legs. I'm gonna next check for the fetal pulses.

The posterior tips are just behind the medial lioli. Those are normal. I'm gonna check for the dorsalus pias pulses too. Puliped up this toe. Okay, relax now. The dorsalus is usually just lateral to that tendon. That's normal. Can relax your toe now? Good, and that pulse is normal too. Now I'm gonna check the range of motion in your lower extremities. Again, I'm gonna pay attention to the gown here and collect some of it in between your legs.

And I'm first gonna do Nancy is use your right leg. Just let me kind of be the one to adjust position. Gonna flex the knee here. Good, and then flex at the hip. Good. And same thing with the foot. Okay, come around the other side here. Do the same thing. Let me do the work again. So flex your knee and flex at the hip. Put two. Good. Okay, and that all appears that your range of motion is normal too. At this point, Nancy, you can go ahead and sit up.

Next thing I'm gonna do is check the strength in your lower extremities. And so actually let me just raise the gown up just above your knees here. Okay. Can you push down on your feet like you're pushing it in the gas? Good. Lift your toes up towards the ceiling. Hold them up real strong. Good. Pull your legs in towards the exam table. Good. Push out against my hands. Good. And now can you lift up on this thigh? Good. Now this thigh. Good. So the strength in the lower extremities

appears normal too. Now I'm gonna check the sensation in all four of your extremities, the arms and the legs, okay? To do that, I'm gonna again get a little wisp of cotton here, but a cotton tipped applicator would be fine too. I'm doing Nancy, I'm gonna touch different parts of your arms and your legs, and each time I touch I want you to say yes. All right. So can you cross your hands here? Would you like my eyes closed? Yes, please close your eyes. Yes, yes, yes, yes.

Can I move to your legs, sir? Of course obviously it's important to make sure you have enough of a wisp of cotton that the patient can detect that too. Yes, yes.