Dear Sir,

Thorough discussion.Class was about fine tuning ourselves to the subtle signs which will make/miss our diagnosis.

1. First 30 sec of observation- spent that time.

2.Power of observation-during gait LOOK at the upper limb as much as the gait and lower limb.

3.Different Size shoes.


5.standing on one feet , squating can add on to finding the weak limb.

6.CHEST for etiology , median sternotomy scar – eyes does not know mind does not see (new information)

7.scar in spine – Trauma can be an etiology8.Hemihypertrophy -tone, power,reflexes will be normal.

This is all that I can remember.Thank you very much.