Peripheral Vascular exam

Question 1

Inspection of hands for peripheral vascular

Answer 1

Temp, tar staining and CRT

Question 2

Radial tests on inspection

Answer 2

rate, rhythm, R-R delay and Allens

Question 3

Carotids inpection

Answer 3

check character and volume

Question 4

Eyes inpection

Answer 4

Pallor, Xanthelasma, corneal arcus

Question 5

Mouth inspection

Answer 5

cyanosis and hydration

Question 6

chest and abdo inpection

Answer 6

Scars and feel for AAA

Question 7

Which pulses would you check

Answer 7

femoral, popliteal, posterior tibial and dorsalis pedis

Question 8

What five areas do you auscultate in peripheral vascular exam

Answer 8

checking for bruits (SCARF)
Subclavian, Carotid, Aorta, Renal and Femoral

Question 9

Leg exam for peripheral vascular

Answer 9

Inspect - temperature, discolouration, scars, oedema, hair loss, shiny, varicose veins, ulcers

CRT in toes

Sensation with cotton wool

Power in foot and leg

Question 10

What other pulses would you check in upper limb

Answer 10

Brachial and ulnar for character and volume

Question 10

How to perform Buergers

Answer 10

Hold legs up at 45 degrees for 2 minutes - feet should not go pale - angle dependat so less of angle means worse perfusion

Swing legs over sides and look for how they perfuse

Question 11

What to offer in PV exam

Answer 11

BP both arms then ABPi, foot exam and blood glucose

Question 12

Present for vascular exam

Answer 12

I performed an examination on person X. There were no sings of peripheral vascular disease, all pulses were normal and examination was normal