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PDX > Peripheral Vascular > Flashcards

Peripheral Vascular Flashcards

1
Q

Arterial Pulses: UE and LE

A

UE
-Radial Artery
-Ulnar Artery
-Brachial Artery
LE
-Dorsalis Pedis
-Posterior Tibial
-Popliteal Artery
-Femoral Artery

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2
Q

Veins (LE Only)

A

-Deep Vein: 90% of blood back to the heart
-Superficial Veins: Great Saphenous & Small Saphenous

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3
Q

Lymph Nodes: UE

A

-Epitrochlear
-Axillary: Anterior, Posterior, Medial, Lateral

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4
Q

Lymph Node: Findings

A

-Normal: Small, pea-shaped
-Abnormal: Infection (Enlarged)….

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5
Q

Intermittent Claudication

A

Discomfort in legs while walking

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6
Q

History: Common Symptoms

A

Edema, Numbness or Tingling, Weakness, Skin Changes, Nails, Pain Pattern, Intermitten claudication, varicose veins, hair loss

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7
Q

Types of Edema

A

-Non-pitting edema: No depression remains
-Pitting Edema: Depression remains in skin
-Brawny Edema: Resistant to touch

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8
Q

Pitting Edema Classification

A

1+: Mild pitting slight indention, no perceptible swelling

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9
Q

Trophic Assessment Interpretations

A

-Peripheral vascular disease: Brauny edema, color changes
-Raynauds: Severe pallor followed by cyanosis & then rubor
-Cellulitis: Local redness, swelling, heat
Lymphodema: Edema (MC cause: post-masectomy)
-Thromboangitis Obliterans: Ulceration, gangrene at finger

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10
Q

Skin Temperature Interpretations

A

-Bilaterally cold: cold environement, anxiety or poor circulation
-Bilaterally warm/hot: environment, post-workout, hyperthyroidism…

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11
Q

Nail compression test interpretations

A

-Normal: Pink returns
-Abnormal: Takes longer than 2s to retrun

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12
Q

Hydration Status (Tissue Turgor) Interpretations

A

-Normal: Snaps back rapidly
-Abnormal: Decreased turgor (skin remains elevated), increased turgor (skin cannot be grasped or raised)

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13
Q

Palpation: Pulses

A

-Normal: Symmertrical
-Abnormal: Asymmetrical

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14
Q

Axillary Lymph Nodes Interpretations

A

-Normal: small, round, soft, non-tender
-Abnormal: enlarged, tender, soft, smooth and mobile
-Cancer: hard, non tender, matted or fixed
-Lymphoma: Firm, rubbery

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15
Q

Allen Test Findings

A

-normal: color returns quickly
-Abnormal: color does not return promptly

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16
Q

Trophic assessment (LE) interpretations

A

-Edema: acute deep vein thrombosis, chronic venous insufficiency, incompetence of valves, or lymphedema
-Hair loss over the anterior tibial surface: decreased artererial flow
-Peripheral vascular disease: Thin, brittle skin, color changes
-Chronic venous insufficiency: Brawny edema, pigmentation, ulcers

17
Q

Skin Temperature (LE) Interpretations

A

-BL Cold
-BL warm/hot
-Calf warm/hot
-Leg warm/hot

18
Q

Skin thickening

A

-Interpretation: thickened, brawny skin: lymphedema and advanced venous insufficiency

19
Q

Lymph node interpretations

A

-Normal: Pea-sized, non-tender…
-Infection/Immune Disease: Enlarged, non-tender, soft, mobile
-Cancer: enlarged, tender, hard, fixed

20
Q

Femoral Hernia Check

A

-Abnormal: bulge or protrusion

21
Q

Homan Test

A

-Testing for thrombophlebitis
-Postive: Calf Pain

22
Q

Leg Elevation Test

A

-Interpretation: Rubor or persistent cyanosis: suggests poor arterial circulation

23
Q

Venous Tap Test

A

Normal: Functioning valves will prevent the pulse wave from getting to palpated fingers
-Abnormal: Palpably transmitted impulse…

24
Q

Peripheral Vascular Disease

A

-Artherosclerosis of the extremities causing ischemia
-Can affect both the upper and lower extremity
-Looking for color changes
-Ulcers
-Positive Allen’s Test

25
Q

Acute Peripheral Arterial Occlusion

A

-Peripheral arteries are acutely occluded, causing acute ischemia
-Symptoms: severe pain, cold sensation, numbness
-Exam: pallor, cold, pulselessness

26
Q

Leriche Syndrome

A

-Type of peripheral arterial disease
-only affects LE
-Affects butt muscles, legs and male genitalia
-Pain ,fague..

27
Q

Diabetes Mellitus

A

-Increases risk of developing PVD
-May have intermittent claudicatoin
-Complications: More prone to arterial thrombosis

28
Q

Thrombus

A

Blood Clot

29
Q

DVT

A

-Clotting of blood in deep vein
-Complications: chronic venous insufficiency, primary cause of pulmonary embolism
-Risk factors: recent surgery, older, cancer, obesity, immobilization

PDX (13 decks)

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