Lower Limb

Findings on Lower Limb Examination

Component	Inspection	Palpation	Percussion	Auscultation
General	Muscle wasting
Respiratory
Cardiovascular	Groin vascular access sites Peripheral oedema Acrocyanosis	Peripheral pulses Femoral Popliteal Posterior tibial Dorsalis pedis
Neurological
Endocrine and Metabolic
Renal
Gastrointestinal
Haematological		Swelling DVT.
Integumentary		Tense compartments
Trauma
Infective		Lymph nodes
Malignant
Toxic
Immune		Lymph nodes
Congenital
Obstetric

Features

Cardiovascular

• Acrocyanosis
  Blue discoloration of the extremities secondary to severe peripheral vasoconstriction or microvascular occlusion from microthrombi or DIC.

Acrocyanosis

---

References

1. Foot C, Steel L, Vidhani K, Lister B, MacPartlin M, Blackwell N. Examination Intensive Care Medicine. Elsevier Australia; 2011. (Examination series).
2. Dünser MW, Dankl D, Petros S, Mer M. Clinical Examination Skills in the Adult Critically Ill Patient. Springer International Publishing; 2018.