Leg Tingling in 20-yr-old Woman

Physical Examination

  • General appearance: Young woman in no apparent distress.

  • Vital signs:
  • Temperature: 37° C
  • Pulse: 75 beats/min
  • BP: 120/80 mm Hg
  • Respirations: 12/min

  • Skin: Warm, dry; no erythema or rash.

  • HEENT: Unremarkable

  • Pulmonary: Unremarkable

  • Cardiovascular: Unremarkable

  • Gastrointestinal: Unremarkable

  • Genitourinary: Unremarkable

  • Musculoskeletal: No visible or palpable lesions or tenderness along spine. Joints nontender, full range of motion.

  • Neurologic:
  • Cranial nerves: 2 through 12 intact
  • Motor exam: Strength and muscle tone normal in both upper and both lower extremities. No muscle atrophy or abnormal movements seen.
  • Sensory exam: Sensation intact bilaterally to light touch, pinprick, temperature, vibration, and joint position
  • Reflexes: Normoactive and symmetric throughout
  • Coordination: Normal
  • Gait and balance: Normal
  • Detailed movement exam: Normal
  • Rectal examination: Normal perineal sensation and normal rectal sphincter tone

  • Mental status: Alert, oriented x3. Normal affect. Euthymic mood. Normal memory, judgment, and insight.