vascular exam

Question 1

what position should you do a vascular exam in

Answer 1

arms: 45 degrees
legs: flat

Question 2

what should you do in the introduction

Answer 2

ask about pain
ensure adequate exposure
position patient correctly

Question 3

how should you examine the hands

Answer 3

colour
warmth
capillary refill

Question 4

how should you palpate upper limb pulses

Answer 4

both brachials
both radials
rate and rhythm of right radial + character 
both ulnar
Allen's test on both wrists

Question 5

what must you mention in the right radial pulse

Answer 5

rate, rhythm and character

Question 6

how should you inspect the lower limb

Answer 6

lie patient flat
look for signs of venous abnormality
look for arterial abnormality
look at top and underside of limbs

Question 7

what are the signs of venous abnormality

Answer 7

shape, discolouration, swelling, varicosities, scars, oedema, varicose eczema and ulceration

Question 8

what are the signs of arterial abnormality

Answer 8

colour, hair loss, atrophic shiny skin, ulceration on pressure points, infection, necrotic and missing toes

Question 9

how do you palpate the lower limbs

Answer 9

temperature
tenderness,
pitting oedema
capillary refill

Question 10

what must you offer at the end

Answer 10

blood pressure

Question 11

what pulses do you check on the legs

Answer 11

femoral pulses
popliteal pulses 
posterior tibial 
dorsalis pedis
doppler probe for posterior tibial and dorsalis pedis

Question 12

what should be offered at the end

Answer 12

blood pressure

Question 13

what is the format

Answer 13

UL inspection and palpation
LL inspection and palpation
conclusion and additional tests