Peripheral Vascular Exam Flashcards
Capillary filling time in upper extremities
1-2 sec
Allen’s test filling time
5-10 sec
Claudication test
walk in place
Capillary filling time in lower extremities
1-2 sec
Buerger’s test filling time
less than 2 min
Homan’s test
immediate pain
Which side of stethoscope do you use to ascultate for bruits?
bell side for bruits - turbulence (bifurcation of carotid at C4)
Imaging used for venous disorders
diagnostic ultrasound
Tortuous distended veins, dependant edema (pregnancy)
Varicose veins
Pulmonary infarct
Deep Vein Thrombophlebitis
Young male smoker, lower extremities
Buerger’s (thromboangiitis obliterans)
Imaging used for arterial disorders
Doppler, Arteriogram MRA, CRP
Fatigue, heavy legs, serum chemistries, B/P
Peripheral arterial disease
Coats arteries, decreased peripheral blood flow
Atherosclerosis / arteriosclerosis
Female, upper extremity, triphasic color changes are pale, cyanotic, rubor, no ice
Raynaud’s