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
Vibration problem indicates
large fiber disease
26
Position sense problem indicates
large fiber disease
27
0/4 tendon reflexes
hypo reflexive, lower motor neuron disease
28
2/4 tendon reflexes
normal
29
4/4 tendon reflexes
hyperflexive, upper motor neuron disease
30
What is the knee reflex innervated by
L2,3,4
31
What is ankle reflex innervated by
S1,2
32
What is superficial reflex, or plantar response innervated by
L4-S2
33
Babinski response
indicates upper motor neuron disease
34
If pt is able to stand on tiptoes but not on heels
peripheral neuropathy
35
if pt is able to stand on heels but not tiptoes
spinal lesion