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
Hypertension, decrease oxygen supply to tissues, no local heat
DM
Artery out-pouching, lateralized pulse
aneurysm
Pain with activity, relieved by rest
Intermittent Claudication
Tests for intermittent claudication
Claudication, Stoop, Bicycle
Which is predictable, neurogenic or vascular claudication?
vascular
Which claudication gets relief with position or rest?
neurogenic
Which claudication gets relief with just rest?
vascular
Cause of neurogenic claudication
Central canal stenosis
DJD
Facet Imbrication
Disc
Cause of vascular claudication
Arteriosclerosis
Buerger’s
PVD
DM
