vascular venous/ arterial Flashcards
what further things can you offer at the end of a venous exam?
CVS exam
neuro ll exam
abdominal / pelvic exam to find secondary causes of varices
what further bedside investigations?
which would exclude an arterial disease
ABPI
duplex of varicosities
what are you looking for in general inspection in a venous examination? That is specific to a venous exam
reticular veins varicose veins venous eczema thrombophlebitis atrophie blanche ulcers
what does a thrombophlebitis feel like?
hard swollen lump under the skin
blood clot causing an inflamed vein
if palpating a varicosity and it is hard / induration what is it?
thrombosis
where do you find the saphenofemoral junction?
2 fingers below and lateral to pubic tubercle
what are the two special tests when doing a venous vascular exam?
tap
trendelberg test
palpate - venous exam
temp
pitting oedema
palpate the varicosities
offer to palpate the saphena varix
general inspection - arterial vascular exam
hair loss? ischaemia to hair follicles
skin changes
colour - cyanosis due to ischaemia
ulcers
what pulses do you palpate?
dorsalis pedis posterior tibialis popliteal femoral abdominal aorta
palpatation what do you do?
temp
cap refil
pulse
buergers test positive suggests what?
reactive hyperaemia
what bedside tests would you do for an arterial disease?
Glucose
ABPi
ECG
