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Gait abnormality
| ICD-10 | R26. |
|---|---|
| ICD-9 | 781.2 |
| DiseasesDB | 15409 |
| MedlinePlus | 003199 |
| eMedicine | pmr/225 |
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Complete Differential Diagnosis
- Appendicitis
- Cerebellar lesions
- Cerebral Palsy
- Cerebrovascular disease
- Chondrodystrophia
- Chondromalacia Patellae
- Damage of the symphysis
- Degenerative joint disease
- Discitis
- Drugs
- Dystonia
- Encephalitis
- Foreign body in shoe
- Fredreich's Ataxia
- Hemophilia
- Hernias
- Hydrocephalus
- Leg length discrepancy
- Legg-Calve-Perthes Disease
- Local neoplasm
- Meningitis
- Metastases
- Multiple Sclerosis
- Neuromuscular disorders
- Osgood-Schlatter Disease
- Osteomalacia
- Osteochondritis Dissecans
- Osteomyelitis
- Parkinsonism
- Periostitis
- Poliomyelitis
- Polyneuropathy
- Poorly fitting shoes
- Rickets
- Sensory ataxia
- Septic Arthritis
- Sickle cell Disease
- Somatization Syndrome
- Splinter in foot
- Tabes Dorsalis
- Testicular torsion
- Trauma
- Viral arthritis [1] [2]
Persons suffering from peripheral neuropathy experience numbness and tingling in their hands and feet. This can cause difficulty in walking, climbing stairs and maintaining balance. Gait abnormality that results from chemotherapy is generally temporary in nature, though recovery times of six months to a year are common.
Specific abnormalities and examples of causes
Antalgic gait
User favors certain motions to avoid acute pain. [2]
Drunken gait/Cerebellar ataxia
Reeling in a style like that of an intoxicated person. [3]
Festinating gait/Parkinsonian gait
Patient moves with short, jerky steps. Term derives from Latin "festino", or "to hurry". [4] [5] [6]
Pigeon gait
Torsional abnormalities. [7]
Propulsive gait
Stiff, with head and neck bent. [8]
Steppage gait/High stepping gait
Toes point down. [9] [10] [11]
Scissor gait
Legs flexed slightly at the hips and knees, giving the appearance of crouching, with the knees and thighs hitting or crossing in a scissors-like movement. Often mixed with or accompanied by spastic gait, a stiff, foot-dragging walk caused by one-sided, long-term muscle contraction. Most common in patients with spastic cerebral palsy, usually diplegic and paraplegic varieties. The individual is forced to walk on tiptoe unless the dorsiflexor muscles are released by an orthaepedic surgical procedure. Muscle contractures of the adductors result in thighs and knees rubbing together and crossing in a manner analogous to scissors.
These features are typical, and usually result in some form and to some degree regardless of the mildness or severity of the spastic CP condition.
- rigidity and excessive adduction of the leg in swing
- plantar flexion of the ankle
- flexion at the knee
- adduction and internal rotation at the hip
- contractures of all spastic muscles
- complicated assisting movements of the upper limbs when walking [12].[13]
See Also
Sensory ataxia gait/Stomping gait
Uncoordinated walking [14] [15] [16] [17]
- Friedreich's ataxia
- Pernicious anemia
- Tabes Dorsalis (Syphilis)
Spastic gait
Asymmetric foot dragging. [18] [19]
Trendelenburg gait
- weakness of the abductor muscles of the lower limb, principally gluteus medius
Waddling/Myopathic gait
Walking like a duck. [20] [21]
Magnetic gait
Feet seem attached to floor as if by a magnet. In magnetic gait, each step is initiated in a "wresting" motion carrying feet upward and forward. Magnetic gait can be visualized in terms of a powerful magnet being forcefully pulled from a steel plate.
References
- ↑ Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
- ↑ Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X
See also
External links
Template:Respiratory system symptoms and signs
Symptoms and signs: digestive system and abdomen (R10-R19, 787) | |
|---|---|
| Abdominal and pelvic pain | Abdominal pain - Acute abdomen - Colic |
| Other | Nausea/Vomiting - Heartburn - Dysphagia - flatulence and related (Abdominal distension, Bloating, Burping, Tympanites) - Fecal incontinence (Encopresis) - hepatosplenomegaly (Hepatomegaly, Splenomegaly) - Jaundice - Ascites - Fecal occult blood - Halitosis |
Symptoms and signs: skin and subcutaneous tissue (R20-R23, 782) | |
|---|---|
| Disturbances of skin sensation | Hypoesthesia - Paresthesia - Hyperesthesia |
| Other | Rash - Cyanosis - Pallor - Flushing - Petechia - Desquamation - Induration - Diaphoresis |
Symptoms and signs: nervous and musculoskeletal systems (R25-R29, 781) | |
|---|---|
| Abnormal involuntary movements (see also movement disorders) | Tremor - Spasm - Fasciculation - Athetosis |
| Gait abnormality | Scissor gait - Antalgic gait - Cerebellar ataxia - Festinating gait - Pigeon gait - Propulsive gait - Steppage gait - Stomping gait - Spastic gait - Myopathic gait - Magnetic gait - Trendelenburg gait |
| Lack of coordination | Ataxia (Cerebellar ataxia, Sensory ataxia) - Dysmetria - Dysdiadochokinesia - Hypotonia |
| Other | Tetany - Meningism - Hyperreflexia - Opisthotonus - Abnormal posturing - Hemispatial neglect |
Symptoms and signs: urinary system (R30-R39, 788) | |
|---|---|
| General | Renal colic - Dysuria - Vesical tenesmus - Urinary incontinence - Urinary retention - Oliguria - Polyuria - Nocturia - Extravasation of urine - Extrarenal uremia |
Symptoms and signs: cognition, perception, emotional state and behaviour (R40-R46, 780-781) | |
|---|---|
| General | Anxiety - Somnolence - Coma - Amnesia (Anterograde amnesia, Retrograde amnesia) - Dizziness/Vertigo |
| Olfaction | Anosmia - Parosmia |
| Taste | Ageusia - Parageusia |
Symptoms and signs: Speech and voice (R47-R49, 784) | |
|---|---|
| Aphasia/Dysphasia | Expressive aphasia - Receptive aphasia - Conduction aphasia |
| Other speech disturbances | Dysarthria - Schizophasia |
| Symbolic dysfunctions | Dyslexia - Alexia - Agnosia (Prosopagnosia) - Apraxia - Acalculia - Agraphia |
| Voice disturbances | Dysphonia - Aphonia |
Symptoms and signs: general (R50-R69, 780-789) | |
|---|---|
| General | Fever (Hyperpyrexia) - Headache - Chronic pain - Malaise/Fatigue (Asthenia, Debility) - Fainting (Vasovagal syncope) - Febrile seizure - Shock (Cardiogenic shock) - Lymphadenopathy - Edema (Peripheral edema, Anasarca) - Hyperhidrosis (Sleep hyperhidrosis) - Delayed milestone - Failure to thrive - Short stature (Idiopathic) - food and fluid intake (Anorexia, Polydipsia, Polyphagia) - Cachexia - Xerostomia - Clubbing - Tenderness |
Template:Symptoms concerning nutrition, metabolism and development
| ||||
[edit] Acknowledgement and Attribution Regarding Sources of Content
Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .
