Clinical Examination (Lower extremity peripheral Vascular and Lymphatic System Flashcards
Symtoms that may indicate a lack of blood supply
Pain
Pallor
Absece or diminished Pulse
Sensory Chnages
Venous Insufficiency
inadequate blood return
pain, tenderness when standing
redness, warmth
Skin changes
sensory changes
Acute Arterial Insuffiency
painful
pale
pulseless
perishnigly cold
parasthesia
paralysed
Chronic Arterial insuffiency
intemittent pain
skin changes, atrophy of skin appendages
mm mass
Acute Venous Insufciency
progressive venous stasis
DVT
throboplheblits
odeama
Chronic Venous Insuffiency
pain
swelling
cramps
skin changes
3 steps of the Peripheral Vascular Examination
Observation of Limb, size, symmtery, swelling, venous pattern
palpation: pulses, temp
lymph nodes
Observation?
skin, colour, appearance
fingertips& nail beds
size and symmetry
Venous Pattern, prominent veins suggest venous obstruction ,
Palpation Arterial Patency Femoral?
Frog Leg Position mid femoral trainagle
Arterial Patency Posterior Tibial
Inf, post, medial malleolus
Arterial Patency: Popliteal
Medial Side of the lateral gastroc, push deep
Arterial Patency Dorsalis Pedis
B/w EDL/EHL 2-3cm distal from anterior ankle
Grading for Arterial Patency
Take note of Rate, rhythm and amplitude
3+ Bounding
2+ Brisk, Normal
1+ Weaker, diminished
0 Absent
Palpation of Lymph Nodes what to look for
Size, shape, Consistency, tenderness, Mobility
Palpation of Lymph Nodes what to look for
Size, shape, Consistency, tenderness, Mobility
