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Health assessment > peripheral B (EDITED) > Flashcards

peripheral B (EDITED) Flashcards

1
Q

gastrocnemius is the

A

calf muscle

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2
Q

__ arteries is just below the inguinal ligament halfway between the pubis and anterior __ __

A

femoral, (anterior superior) iliac spines

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3
Q

compress of the gastrocnemius muscleanteriorly against the tibia is called __ and should have no pain

A

homan sign

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4
Q

Homan signoccurs in 35% of __(but not specific) (5)

A

DVT, || superficial phlebitis, Achilies tendinits, gastrocnemius and plantar muscle injury, and lumbosacral disorders

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5
Q

posterior tibial pulse, curve fingers around the __ __ it is behind that< and the __ __

A

medial malleolus, Achilles tnedon

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6
Q

The dorsalis pedis pulse needs very light toch. felt __ to and parallel with the __ __ of the big toe

A

lateral, extensor tendon

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7
Q

> 45 it is hard to find either the dorsalis pedis or the posterior tibial pulse. T or F

A

F. one but not both

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8
Q

__ edema, firmly depress teh skin oover the tibia or the __ __ for 5 sec. should leave no indent

A

pretibial, medial malleolus

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9
Q

mild pitting, slight indent, no perceptible swelling of leg

A

1+

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10
Q

moderate pitting, indentation subsides rapidly

A

2+

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11
Q

deep pitting, indetnation remains for a short time, leg looks swollen

A

3+

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12
Q

very deep pitting, indentations last a long time, leg is grossly swollen and distorted

A

4+

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13
Q

Bilatera, dependent pitting edema occurs with __, –, and –

A

heart failure, diabetic neuropathy, hepatic cirrhosis

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14
Q

varicosities occur in the __ veins

A

saphenous

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15
Q

a palpable wave transmission occurs when the __ are incompetent

A

valves

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16
Q

elevation pallor (marked ) indicates __ insufficiency

A

arterial

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17
Q

Dependent rubor (deep blue-red color)occurs with severe __ insufficiency

A

arterial

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18
Q

chronic hypoxia produces a loss of __ tone and a poolin of blood in the veins

A

vasomotor

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19
Q

Delayed __ filling occurs with arterial insufficinecy

A

venous

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20
Q

Motor loss occurs with severe __ deficit

A

arterial

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21
Q

Sensory loss occurs with __deficit, esp __

A

arterial, diabetes

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22
Q

divice to detec weak peripheral pulse, monitor B/P in infants or kids or measure a low B/P in lower extremities

A

doppler ultrasonic stethoscope

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23
Q

___to determine extent of PAD a b/p cuff is placed above the ankle and determine the systolic pressue in either the posterior timbial or dorsalis pedis artery. Divide that figure by systolic pressure of the brachial artery

A

Ankle-brachial Index (ankle systolic/arm systolic=ABI

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24
Q

Ankle-Brachial index is is less reliable in diabetes mellitus because of__ and may give false High

A

calcification

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25
Q

ABI of 0.90 or <__

A

peripheral arterial disease (PAD)

26
Q

ABI 0.90 to 0.70

A

mild claudication

27
Q

ABI 0.70 to 0.40

A

moderate to severe claudication

28
Q

ABI 0.40 to 0.30

A

severe claudication usually with rest pain except i presence of diabetic neuropathy

29
Q

ABI<0.30-

A

ischemia, with impending loss of tisse

30
Q

Weak pulses occur with __ of diminished cardiac output

A

vasoconstriction

31
Q

Full, bound pulses occur with patent __ __ as result of the large left-to right shunt

A

ductus arteriosus

32
Q

Diminisheed or absent femoral pulses while upper extremity pules are normal suggest __ of __

A

coarctation, aorta

33
Q

Enlarged, warm, tender nodes indicate current __. Look for source of it

A

infection

34
Q

Remain alert for generalized edema plus hypertension, suggest __ a dangerous obstetric condition

A

preeclampsia

35
Q

Deep muscle pain, usually in calf, but may be lower leg or dorsum of foot. Chronic arterial symptoms or acute arterial symptoms

A

Chronic arterial

36
Q

Sudden onset (within one hour) chronic arterial symptom or acute arterial symptom

A

Acute arterial symptom

37
Q

Varies, distal to occlusion, may involve entire leg. Chronic arterial symptoms. Or. Acute arterial symptoms

A

Acute arterial symptoms

38
Q

6 Ps: Pain, Pallor, pulselessness, parenthesis,poikilothermia (coldness), paralysis (indicates severe)
Chronic arterial symptoms. Or acute arterial symptoms

A

Acute arterial symptom

39
Q

Chronic pain, onset gradual after exertion

Chronic arterial symptom or acute arterial symptoms

A

Chronic arterial symptoms

40
Q

Intermittent claudication, feels like cramp, numbness and tingling, feeling of cold. Chronic arterial symptoms. Or. Acute arterial Center

A

Chronic arterial symptom

41
Q

History of vascular surgery; arterial invasive procedure; abdominal aneurysm (emboli); trauma, including injured arteries; chronic arterial fibrillation.
Chronic arterial symptom or acute arterial symptom

A

Acute arterial symptom

42
Q

Activity (walking stairs, walking,; claudication distance and specific number of blocks, stairs it takes to produce pain. Chronic arterial symptom or acute arterial sent

A

Chronic arterial symptom

43
Q

Throbbing. Chronic arterial symptom or acute arterial symptom

A

Acute arterial symptom

44
Q

Elevation (rest pain indicates severe involvement). Chronic arterial symptoms. Or. Acute arterial symptoms

A

Chronic arterial symptom

45
Q

Cool, pale skin. Chronic arterial symptoms. Or. Acute arterial symptom

A

Chronic arterial symptom

46
Q

Pain, pale, no calls, coldest, severe. Chronic arterial symptom or acute arterial symptoms

A

Acute arterial symptom

47
Q

Older adults, more males and females, inherited predisposition, history of hypertension, smoking, diabetes, hypercholesterolemia, obesity, vascular disease. Chronic arterial or acute arterial

A

Chronic arterial

48
Q

Rest (usually within 2 min(standing). Dangling (severe involvement).
Chronic arterial or acute arterial

A

Chronic Arterial

49
Q

Calf pain

. Chronic venous. Or. Acute Venus

A

Acute Venus

50
Q

Edema, varicosities, weeping ulcers at ankles. Chronic venous. Or. Acute Venus

A

Chronic venous

51
Q

Sudden onset (within one hour. Acute Venus or chronic venous

A

Q Venus

52
Q

Aching, tiredness, feeling of fullness in calf or lower leg

chronic venous or acute Venus

A

Chronic venous

53
Q

Pain may increase with sharp dorsiflexion of what. Acute Venus or chronic venous

A

Acute Venus

54
Q

Chronic pain, increases at end of day. Acute Venus or chronic venous

A

Chronic venous

55
Q

Aggravated by standing, sitting for long time. Chronic venous or acute venous

A

Chronic venous

56
Q

Relieved by elevation, lying, walking. Chronic venous. Or,. Acute Venus

A

Acute Venus

57
Q

Person at risk that he has job with prolonged standing or sitting; obesity; pregnancy; prolonged bed rest; history of heart failure; , varicosities, or thrombophlebitis, veins crushed by trauma or surgery acute Venus or chronic venous

A

Chronic venous

58
Q

Relieving factors: elevation, lying, walking. Chronic ((Chronic venous or acute venous))

A

Chronic venous

59
Q

“Rest (usually within 2 min(standing). Dangling (severe involvement).
((Chronic or Acute))

A

chronic arterial

60
Q

“Calf pain

A

Acute venous

Health assessment (21 decks)

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