Vascular Exam Flashcards
End of bed inspection
Walking aids, oxygen, cigarettes Leg hanging out of bed Well/ unwell Missing limbs/ digits Obese/ cachexic
Hands
Temperature Capillary refill time Colour Tar staining Xanthomata
Colour
Peripheral cyanosis
Raynaud’s (pale or blue fingers)
Tar staining
Smoker/ ex smoker
Xanthomata
Hyperlipidemia
Radio- radial delay
Thoracic artic dissection
Corneal arcus, xanthelasma
Yellow ring overlying the iris (only significant in under 50s)
Yellow raised lesions around the eyes: hypercholesteraemia
Legs
Colour Trophic changes Arterial ulcers Scars Venous disease
Colour
Pallor
Mottling
Redness
Necrosis
Trophic changes
Skin or toe nail changes
Loss of hair
Arterial ulcers
Little exudate
Punched out edges
Painful
Scars (legs)
Long saphenous vein harvest
Varicose vein
Vertical mid- inguinal - fem artery bypass/ femoral embolectomy
Mid line laparotomy score - aortibifemoral bypass
Venous disease
Varicose veins Venous ulcers Venous eczema Haemosiderosis Lipodermatosclerosis Atrophie blanche Oedema
Radio- femoral delay
Coarctation of the aorta