PVD Exam

Question 1

Briefly outline the steps of a vascular lower limb exam

Answer 1

1. Introduction
2. Bedside signs
3. General inspection of lower limbs
4. Inspection for ulcers (anterior, posterior and between toes)
5. Gross motor assessment of toes (for paralysis)
6. Temperature
7. CRT
8. Femoral pulse: palpation, radiofemoral delay & auscultation
9. Popliteal pulse
10. Posterior tibial pulse
11. Dorsalis pedis pulse
12. Abdomen: aorta palpation, auscultation of aorta & renal arteries
13. Quick inspection/palpation of upper limbs
14. Auscultation & palpation of carotid arteries
15. Investigations: ABPI, CVS Exam

Question 2

Briefly outline the steps of a vascular upper limb exam

Answer 2

1. Introduction
2. Clinical signs
3. Objects & Equipment
4. Closer inspection of hands
5. Palpation of hands; temperature, CRT, pulses, blood pressure
6. Carotid pulse - auscultation & palpation
7. Abdomen - inspection, palpation & auscultation
8. End pieces - legs (inspection & palpation)

Question 3

What is Peripheral Vascular Disease?

Answer 3

A slow and progressive circulation disorder that can affect arteries or veins outside the heart and brain, causing the vessels to narrow, block or spasm.

Question 4

What bedside signs may you be looking for in a PVD exam?

Answer 4

• Mobility aids
• Prescriptions
• Medical equipment e.g. dressing/limb prosthesis
• Vital signs