Rheumatology, Physical

medicine & Rehabilitation

Faculty of Medicine
Tanta University
Semester 7
KEY:
Checklist: Ankle & Foot examination
2.5 = Done well
Student’s name…………………………
1 = Done but not adequately
Student’s ID………………………………
Student’s signature…………………… 0 = Not done

Marks
Items
2.5 1 0
Attitude:
 Dressed professionally
 Introduces himself/herself to the patient respectfully and with a smile
 Confirm the patient’s name
 Explains what will be done
 Takes the patients’ permission
 Washes hands or uses sanitizing gel
 Stands to the right side of the patient
Inspection exposure, inspect both LL with the patient standing
(anterior/lateral/posterior) then ask patient to lay on bed
 Gait
 Swelling
 Skin changes
 Muscle wasting
 Deformity
Palpation
Tenderness
Temperature
Swelling
Crepitus
ROM (Active then passive, compare one with the other)
 Planter and dorsiflexion
 Eversion and inversion
 Toe flexion and extension
Total /10

Examiner signature