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Clinical Assessment 2 > Peripheral Vascular System- Lecture and Lab Info > Flashcards

Peripheral Vascular System- Lecture and Lab Info Flashcards

1
Q

What pressure is associated with the arterial system?

A

Hydrostatic pressure

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2
Q

What pressure helps on the venous side?

A 
Osmotic pressure (low)
Pressure from proteins (albumin)
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3
Q

What are inguinal lymph nodes usually enlarged with?

A

STDs

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4
Q

When would all lymph nodes be enlarged?

A

AIDS

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5
Q

What is the most common symptoms of PAD?

A

Claudication

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6
Q

What are some risk factors for venous conditions?

A

Pregnancy
Supplemental estrogen
Sitting for a long period of time
Valves

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7
Q

What are risk factors for PAD if 50 or under

A

Diabetes or atherosclerosis risk factor of smoking, dyslipidemia, hypertension or hyperhomocysteinemia

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8
Q

Who is at risk for PAD at age 70 and older?

A

Everyone

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9
Q

In ages 50 to 69, what are the risk factors for PAD?

A

history of smoking or diabetes

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10
Q

In what condition (besides PAD) can you see an abnormal ABI?

A

Coarctation of the aorta

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11
Q

At what size will a AAA be surgically removed?

A

5.5 cm

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12
Q

What can cause secondary hypertension?

A

Problems with the renal artery

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13
Q

In PAD what malleolus is more likely to be affected?

A

Lateral

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14
Q

In what condition will there be a point of injury and the site of injury will be hot to the touch?

A

Cellulitis

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15
Q

When measuring for edema, the difference between ankles should be no more than…

A

1 cm

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16
Q

When measuring for edema, the difference b/w calfs should be no more than…

A

2 cm

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17
Q

What is a bounding pulse classified as?

A

3+

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18
Q

What is a brisk, expected normal pulse classified as?

A

2+

19
Q

What is an absent pulse classified as?

A

0

20
Q

What is a diminished, weaker than normal pulse classified as?

A

1+

21
Q

What are the ROS for peripheral vascular system?

A

lower extremity edema, claudication, skin changes suggestive of venous or arterial insufficiency

22
Q

What is malignant hypertension?

A

Hypertensive emergency of when there is progressive end organ changes

23
Q

What would constitute a screen for renal artery disease if <30

A

Hypertension

24
Q

What conditions are suspicious for renal artery disease?

A

Accelerated, resistant, or malignant hypertension
Worsening of renal function or worsening after use of angiotensin-converting enzyme inhibitor
unexplained small kidney
sudden unexplained pulmonary edema

25
Q

What are some risk factors for a AAA?

A 
Age 65 or older
Family history
CAD, PAD
hypertension
Hyperlipidemia
26
Q

Who gets a one time screening for a AAA?

A

Men aged 65-75 with history of having ever smoked

27
Q

What would be an abnormal result on an abdominojugular reflux test?

A

sustained rise of blood in jugular column

28
Q

What does the Allen test check?

A

Radial and Ulnar artery patency

29
Q

What is pulse pressure?

A

Systolic- diastolic

30
Q

What should pulse pressure be?

A

30-40 mm Hg

31
Q

What causes a diminished PP

A

Decreased stroke volume
Heart failure
Hypovolemia
Severe aortic stenosis

32
Q

What causes an increased pulse pressure?

A 
Increased stroke volume: exercise, fever, anemia, hyperthyroid
Decreased compliance (aging, atherosclerosis)
33
Q

What type patient will you find sacral edema in?

A

Bed bound

34
Q

What type pain has a tendency to radiate down?

A

Neurological

35
Q

What pressure do jugular vein pulsations reflect?

A

Right atrium

36
Q

JVP increases with….

A

Inspiration

37
Q

Which internal jugular vein is often easiest to see?

A

Right

38
Q

What is a positive result for HJR?

A

> 4 cm

39
Q

Which pulse should you auscultation before you palpate? Why?

A

Carotid, detect presence of bruits

40
Q

What causes pitting edema?

A

Loss of intravascular oncotic pressure

41
Q

What causes lymphedema

A

Lymph channel obstruction due to tumor, inflammation, lymph node dissection or radiation

42
Q

How do you perform the Abdominojugular (aka hepatojugular) reflux test?

A

10-15 seconds of steady pressure w/ heel of hand on RUQ below costal margin
Observe for rise of blood column in jugular
Abnormal= sustained rise

43
Q

What is Raynaud’s phenomenon secondary to?

A

Collagen disease

44
Q

What type bacterial is lymphangitis caused by?

A

Strep

Clinical Assessment 2 (17 decks)

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