Introduction Flashcards
(27 cards)
What is Deep Vein Thrombophlebitis?
A thrombus in the deep veins of the calf or leg
What is the clinical presentation of deep vein thrombophlebitis?
May be asymptomatic
Homan’s Sign may be positive
May have a low grade fever
Vague aching pain
Tenderness along the distribution of the veins
Edema
Erythema
Homans Sign
- Positive: Deep pain in the calf
- Indicates: Deep vein thrombophlebitis
Homan’s Sign is positive in what percentage of people with proven deep vein thrombophlebitis?
8-56%
Homan’s Sign is positive in what percentage of symptomatic people without deep vein thrombophlebitis?
> 50%
What should be observed in the physical examination of deep vein thrombophlebitis?
Tenderness
Swelling of the whole leg
Circumferential mensuration
Pitting edema
What is the circumferential mensuration of deep vein thrombophlebitis?
10cm from tibial tuberosity distal
or
> 3cm difference
How is pitting edema measured?
4-Point Grading Scale
On the 4-Point Grading Scale for edema, what is a grade of 1+?
2mm
On the 4-Point Grading Scale for edema, what is a grade of 2+?
4mm
On the 4-Point Grading Scale for edema, what is a grade of 3+?
6mm
On the 4-Point Grading Scale for edema, what is a grade of 4+?
8mm
Paratendonitis replaced what term?
Tenosynovitis
Tendinitis replaced which terms?
Strain or Tear
What is paratendonitis?
Inflammation of the paratendon, swelling, etc.
What is tendinitis?
Symptomatic degeneration of a tendon
What is tendinosis?
Non-Inflammatory, intra-tendon degeneration with nodules
What is paratendonitis with tendinitis?
Degeneration and inflammation with nodules and swelling
True/False
When taking blood pressure, palpation of the brachial artery is required.
False
When taking blood pressure the _____ is placed over the _____.
Diaphragm
Antecubital Fossa
K-1
Phase 1
The appearance of the first clear “tapping” sounds as the cuff is gradually deflated
K-2
Phase 2
The sounds become softer and longer and are characterized by a swishing sound since the blood flow in the artery increases
K-3
Phase 3
The sounds become crisper and louder
(similar to the sounds heard in K-1)
K-4
Phase 4
The sounds are muffled and softer as the blood flow starts to becom eless turbulent in the artery
