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Clinical Med > Lymph > Flashcards

Lymph Flashcards

1
Q

What is the Allen test?

A

“The Allen test is a worldwide used test to determine whether the patency of the radial or ulnar artery is normal. It is performed prior to radial cannulation or catheterisation, because placement of such a catheter often results in thrombosis. Therefore the test is used to reduce the risk of ischemia to the hand.”–Wiki

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2
Q

What is carotid massage used for? (2)

A

Sinus syncope

SVT

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3
Q

How do you perform the cap refill test? Result?

A

Hand above heart

Should be less than 2 seconds

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4
Q

How do you perform the Allen’s test?

A
  1. Occlude both radial and ulnar arteries.
  2. Clench and unclench pts fist
  3. Release ulnar to verify flow
  4. Repeat for radial
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5
Q

What is normal measurement for JVD?

A

up to 4 cm

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6
Q

Crackles in the lungs are caused by what?

A

Fluid leaking out the circulation

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7
Q

What causes consolidation in the lungs?

A

Lymphatic overload

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8
Q

What are the PE findings for an aortic aneurysm?

A

Pulsations up, not out

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9
Q

What is the order of femoral nerve, artery and vein? (from medial to lateral)?

A

VAN

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10
Q

What is Homan’s sign?

A
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11
Q

What is order of lymph nodes from the foot to the leg?

A

Popliteal
Superior inguinal
Superficial inguinal

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12
Q

How do you examine the left atrium of the heart?

A

Echo

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13
Q

High pressure in the left atrium can be due to what?

A

pulmonary HTN

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14
Q

Low pressure state in the left atrium leads to what?

A

Death

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15
Q

Where is the AV node?

A

At the bottom of the septum

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16
Q

What is used to examine the aortic valve?

A

Echo

17
Q

What does a coronary angiogram show?

A

Flow of coronary arteries

18
Q

What is SBP?

A

outflow from the left ventricle into the aotra

19
Q

What are the two indications for carotid massage?

A

Carotid sinus syncope

SVT

20
Q

Where should the hand be places when checking the cap refill?

A

Above the heart

21
Q

What is the normal range of JVD?

A

up to 4 cm

22
Q

What is the “a” part of the JVD wave?

A

Atrial contraction

23
Q

What is the “c” part of the JVD wave?

A

Tricuspid contraction

24
Q

What is the “v” part of the JVD wave?

A

ventricular contraction (also atrial filling)

25
Q

What are crackles?

A

Fluid leaking into circulation

26
Q

What is a consolidation in the lungs?

A

Lymphatic overload

27
Q

What are the four major vessels that branch off of the aorta as it descends (in order)?

A

Celiac
SMA
Renal
IMA

28
Q

What is the order of the femoral nerve, artery, vein and lymph in the inguinal canal?

A

NAVEL (lateral to medial)

or a VAN out of the inguina

29
Q

PT pulse is found where?

A

Posterior to the medial malleoli

30
Q

What is the cause of varicose veins?

A

Dysfunctional valves

Clinical Med (30 decks)

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