Inspection
Pay attention to the patient's gait as they enter the room.
Expose the back and legs.
Look for the following:
- skin pigmentation - e.g. cafe au lait spots; sinuses; scars and nodes
- deformity and asymmetries - postural or permanent; direction / plane i.e. kyphosis or scoliosis, degree, size, site
- tilt
- muscle spasm, fasiculation, wasting - specifically calf and buttock
- legs / arms - wasting, movement, muscle imbalance, size
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