peripheral B (EDITED) Flashcards
gastrocnemius is the
calf muscle
__ arteries is just below the inguinal ligament halfway between the pubis and anterior __ __
femoral, (anterior superior) iliac spines
compress of the gastrocnemius muscleanteriorly against the tibia is called __ and should have no pain
homan sign
Homan signoccurs in 35% of __(but not specific) (5)
DVT, || superficial phlebitis, Achilies tendinits, gastrocnemius and plantar muscle injury, and lumbosacral disorders
posterior tibial pulse, curve fingers around the __ __ it is behind that< and the __ __
medial malleolus, Achilles tnedon
The dorsalis pedis pulse needs very light toch. felt __ to and parallel with the __ __ of the big toe
lateral, extensor tendon
> 45 it is hard to find either the dorsalis pedis or the posterior tibial pulse. T or F
F. one but not both
__ edema, firmly depress teh skin oover the tibia or the __ __ for 5 sec. should leave no indent
pretibial, medial malleolus
mild pitting, slight indent, no perceptible swelling of leg
1+
moderate pitting, indentation subsides rapidly
2+
deep pitting, indetnation remains for a short time, leg looks swollen
3+
very deep pitting, indentations last a long time, leg is grossly swollen and distorted
4+
Bilatera, dependent pitting edema occurs with __, –, and –
heart failure, diabetic neuropathy, hepatic cirrhosis
varicosities occur in the __ veins
saphenous
a palpable wave transmission occurs when the __ are incompetent
valves
elevation pallor (marked ) indicates __ insufficiency
arterial
Dependent rubor (deep blue-red color)occurs with severe __ insufficiency
arterial
chronic hypoxia produces a loss of __ tone and a poolin of blood in the veins
vasomotor
Delayed __ filling occurs with arterial insufficinecy
venous
Motor loss occurs with severe __ deficit
arterial
Sensory loss occurs with __deficit, esp __
arterial, diabetes
divice to detec weak peripheral pulse, monitor B/P in infants or kids or measure a low B/P in lower extremities
doppler ultrasonic stethoscope
___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
Ankle-brachial Index (ankle systolic/arm systolic=ABI
Ankle-Brachial index is is less reliable in diabetes mellitus because of__ and may give false High
calcification
ABI of 0.90 or <__
peripheral arterial disease (PAD)
ABI 0.90 to 0.70
mild claudication
ABI 0.70 to 0.40
moderate to severe claudication
ABI 0.40 to 0.30
severe claudication usually with rest pain except i presence of diabetic neuropathy
ABI<0.30-
ischemia, with impending loss of tisse
Weak pulses occur with __ of diminished cardiac output
vasoconstriction
Full, bound pulses occur with patent __ __ as result of the large left-to right shunt
ductus arteriosus
Diminisheed or absent femoral pulses while upper extremity pules are normal suggest __ of __
coarctation, aorta
Enlarged, warm, tender nodes indicate current __. Look for source of it
infection
Remain alert for generalized edema plus hypertension, suggest __ a dangerous obstetric condition
preeclampsia
Deep muscle pain, usually in calf, but may be lower leg or dorsum of foot. Chronic arterial symptoms or acute arterial symptoms
Chronic arterial
Sudden onset (within one hour) chronic arterial symptom or acute arterial symptom
Acute arterial symptom
Varies, distal to occlusion, may involve entire leg. Chronic arterial symptoms. Or. Acute arterial symptoms
Acute arterial symptoms
6 Ps: Pain, Pallor, pulselessness, parenthesis,poikilothermia (coldness), paralysis (indicates severe)
Chronic arterial symptoms. Or acute arterial symptoms
Acute arterial symptom
Chronic pain, onset gradual after exertion
Chronic arterial symptom or acute arterial symptoms
Chronic arterial symptoms
Intermittent claudication, feels like cramp, numbness and tingling, feeling of cold. Chronic arterial symptoms. Or. Acute arterial Center
Chronic arterial symptom
History of vascular surgery; arterial invasive procedure; abdominal aneurysm (emboli); trauma, including injured arteries; chronic arterial fibrillation.
Chronic arterial symptom or acute arterial symptom
Acute arterial symptom
Activity (walking stairs, walking,; claudication distance and specific number of blocks, stairs it takes to produce pain. Chronic arterial symptom or acute arterial sent
Chronic arterial symptom
Throbbing. Chronic arterial symptom or acute arterial symptom
Acute arterial symptom
Elevation (rest pain indicates severe involvement). Chronic arterial symptoms. Or. Acute arterial symptoms
Chronic arterial symptom
Cool, pale skin. Chronic arterial symptoms. Or. Acute arterial symptom
Chronic arterial symptom
Pain, pale, no calls, coldest, severe. Chronic arterial symptom or acute arterial symptoms
Acute arterial symptom
Older adults, more males and females, inherited predisposition, history of hypertension, smoking, diabetes, hypercholesterolemia, obesity, vascular disease. Chronic arterial or acute arterial
Chronic arterial
Rest (usually within 2 min(standing). Dangling (severe involvement).
Chronic arterial or acute arterial
Chronic Arterial
Calf pain
. Chronic venous. Or. Acute Venus
Acute Venus
Edema, varicosities, weeping ulcers at ankles. Chronic venous. Or. Acute Venus
Chronic venous
Sudden onset (within one hour. Acute Venus or chronic venous
Q Venus
Aching, tiredness, feeling of fullness in calf or lower leg
chronic venous or acute Venus
Chronic venous
Pain may increase with sharp dorsiflexion of what. Acute Venus or chronic venous
Acute Venus
Chronic pain, increases at end of day. Acute Venus or chronic venous
Chronic venous
Aggravated by standing, sitting for long time. Chronic venous or acute venous
Chronic venous
Relieved by elevation, lying, walking. Chronic venous. Or,. Acute Venus
Acute Venus
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
Chronic venous
Relieving factors: elevation, lying, walking. Chronic ((Chronic venous or acute venous))
Chronic venous
“Rest (usually within 2 min(standing). Dangling (severe involvement).
((Chronic or Acute))
chronic arterial
“Calf pain
Acute venous
