Chapter 7 - Upper Extremity Artery Duplex Imaging

Question 1

On a physical examination for an upper extremity arterial study, what are 3 things we should look for?

Remember, LOOK LISTEN AND FEEL

Answer 1

Listen for a bruit or thrill

Look at the skin condition or ulcers

Feel for the palpation of pulses

Question 2

What are the 6 P’s for acute arterial occlusion

Answer 2

Pain
Pallor
Pulselessness
Paresethesia
Paralysis
Polar (cold)

Question 3

What is the “hammer hand” syndrome called?

Answer 3

Hypothenar Hammer Syndrome

Question 4

What is Hammerhand/Hypothenar Hammer syndrome caused by?”

Think about a person who plays bongos.

Answer 4

Repetitive blunt trauma to the superficial palmar arch of the ulnar artery.

Question 5

What can hypothenar Hammer Syndrome eventually lead to?

Answer 5

An aneurysm in the ulnar artery

Formation of intraluminal thrombus, and embolization to digital arteries.

Question 6

If you see a delayed systolic accerleration time, where might you think a stenosis is located?

Proximal or distal to this area?

Answer 6

Proximal

Something is blocked, therefore damped flow.

Question 7

What is the most common type of aneurysm in the upper extremity and what is it associated with?

Answer 7

Subclavian artery aneurysm, associated with distal embolization.

Question 8

Monophasic waveform in the upper extremities is normal

True or False

Answer 8

False

This is abnormal.

Question 9

Fernando is a bongo player. What kind of syndrome/disorder is Fernando more at risk of getting?

**Repetitive hand motion

Answer 9

Hypothenar Hammer Syndrome

**Hammer Hand”