Peripheral Vascular System Flashcards
Atherosclerotic disease distal to the aortic bifurcation.
Sx almost always involve pain, swelling, and/or discoloration
Peripheral Arterial Disease
Thromboembolic disorders of peripheral venous system in lower extremities
Peripheral Venous Disease
Absent, unable to palpate
grade of pulse
0
Diminished, weaker than expected grade of pulse
1+
Brisk, expected (normal)
grade of pulse
2+
Bounding grade of pulse
3+
Spasms of the more distal arteries causes episodes of sharply demarcated pallor of the fingers
This is painful
RED, WHITE, and BLUE
Individual fingers can vary in color
Radial and Ulnar pulses are present and normal
Raynaud Disease
T/F you should palpate pulses on both sides
T
pulse with the pads of fingers on the flexor surface of the lateral wrist
Radial pulse
flex elbow slightly & palpate artery just medial to biceps tendon at antecubital crease; OR feel higher in arm in groove between biceps & triceps
Brachial pulse
What should you do if you suspect arterial insufficiency in arm?
Check brachial pulse
apply pressure until nail bed turns white, release and watch
blood return
*Adults normal 3 sec
*Neonate/child 1-2 sec
Capillary refill test
pt elbow flexed to 90° & support
forearm; reach around behind arm
and feel in groove between
bicep/tricep muscle, 3 cm above
medial epicondyle
*Difficult/impossible to find in
healthy
Epitrochlear nodes
Use the opposite hand to examine the patients axillae. Your left hand would be used to exam the pts right axillae.
You can support the patient’s left elbow or wrist with you left hand.
Alternatively, you can place your left hand on their left shoulder to stabilize it.
Axillary nodes
what suggests increased pulsations in the abdomen.
AAA
if you detect unilateral swelling in legs what should you do?
Measure both calves and compare.
Measure 10cm below tibial tuberosity
>3cm difference in circumference increases the risk for DVT
Raise arm in front and overhead
shoulder flexion
normal degree of shoulder flexion
180
move arm behind you
shoulder extension
normal degree of shoulder extension
60
place arm behind back and touch your shoulder blade
internal rotation
normal degree of shoulder internal rotation
70
what shoulder ROM shows rotator cuff tear or adhesive capsulitis?
Internal rotation
External rotation
Raise arm to shoulder level and rotate forearm to ceiling
External rotation
Normal range of motion for shoulder external rotation
100
raise your arms out to the side and overhead
abduction
normal range of shoulder abduction
180
Cross your arm in front of your body, keeping the arm straight
This is the cross over test and tests acromioclavicular joint arthritis
Adduction
what is the most common cause of shoulder pain?
rotator cuff tear
what is the best predictor
