CEREBROSPINALECTOMYStudent: "What are you looking at?" Me: "His shoes." Student: "Why the shoes?" Me: "One toe is scuffed down to the leather. The other one is new." Student: "So?" Me: "So the shoe told me in four seconds what the referral took four months to say." What year were you when you first heard this? Send this to whoever taught you to look at the shoes.
EXPLAINED (ACCURACY-CHECKED)
Asymmetric wear on the toe of one shoe is a recognised bedside clue to a unilateral gait abnormality such as foot drop or leg circumduction, in which the foot scrapes the ground during the swing phase.
Established clinical examination teaching: asymmetric toe wear reflects a swing-phase gait abnormality (foot drop, circumduction).
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