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Clin Med > Lower Limb Lecture > Flashcards

Lower Limb Lecture Flashcards

1
Q

When are bounding pulses usually seen?

A 
Fever
Aortic insufficiency
Complete heart block
Thyrotoxicosis
Systolic hypertension
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2
Q

What is abnormal cap refill usually due to

A

vasospasm

structural changes to alrge vessels

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3
Q

How to tell if it’s pitting edmea

A

press firmly with your tumb for at least 5 seconds over area of max swelling, in indentation remains for over 5 seconds it’s considered pitting edema

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4
Q

Systemic diseases causing pitting can be due to

A

protein rich exudate

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5
Q

Systemic disease causing non-pitting can be due to

A

lack of protein in exudate

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6
Q

1+ pitting

A

2mm

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7
Q

2+ pitting

A

4mm

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8
Q

3+ pitting

A

6mm

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9
Q

4+pitting

A

8mm

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10
Q

non-palpable lesions

A

macule

patch

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11
Q

Which is larger, a macule or a patch?

A

patch

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12
Q

palpable, solid lesions

A

papule
nodule
tumor
plaque

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13
Q

clear, fluid filled lesion

A

vesicle

bulla

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14
Q

cloudy, pus filled lesion

A

pustule

abscess

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15
Q

secondary lesions

A

erosion, crust, scale, fissure, ulcer, lichenification, atrophy, exociration, scar, keloid

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16
Q

Things that can cause thick, dystrophic toenails

A 
Trauma
Onychmycosis
Eczema
Circulatory problems
Lichen planus
Yellow nail syndrome
Psoriasis
Tumor
17
Q

What can cause dry skin

A

not enough sweat glands
tinea pedis
psoriasis
eczemia

18
Q

What 3 systems are evaluated of peripheral nerves

A

motor
sensory
autonomic function

19
Q

Spinothalamic tract problem

A

sharp, dull pain
temperature
pt complains of burning or cramping

20
Q

Posterior column problem

A

position
vibration
fine touch
pt complains of pins and needles or electric shock

21
Q

Touch simuli problem indicates

A

small fiver disease

22
Q

Normal touch siuli

A

7/10 areas

23
Q

Sharp stimuli problem indicates

A

small fiber disease

24
Q

Temperature problem indicates

A

small fiber disease

25
Q

Vibration problem indicates

A

large fiber disease

26
Q

Position sense problem indicates

A

large fiber disease

27
Q

0/4 tendon reflexes

A

hypo reflexive, lower motor neuron disease

28
Q

2/4 tendon reflexes

A

normal

29
Q

4/4 tendon reflexes

A

hyperflexive, upper motor neuron disease

30
Q

What is the knee reflex innervated by

A

L2,3,4

31
Q

What is ankle reflex innervated by

A

S1,2

32
Q

What is superficial reflex, or plantar response innervated by

A

L4-S2

33
Q

Babinski response

A

indicates upper motor neuron disease

34
Q

If pt is able to stand on tiptoes but not on heels

A

peripheral neuropathy

35
Q

if pt is able to stand on heels but not tiptoes

A

spinal lesion

Clin Med (19 decks)

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