peripheral B (EDITED) Flashcards Preview

Health assessment > peripheral B (EDITED) > Flashcards

Flashcards in peripheral B (EDITED) Deck (60):
1

gastrocnemius is the

calf muscle

2

__ arteries is just below the inguinal ligament halfway between the pubis and anterior __ __

femoral, (anterior superior) iliac spines

3

compress of the gastrocnemius muscleanteriorly against the tibia is called __ and should have no pain

homan sign

4

Homan sign occurs in 35% of __(but not specific) (5)

DVT, || superficial phlebitis, Achilies tendinits, gastrocnemius and plantar muscle injury, and lumbosacral disorders

5

posterior tibial pulse, curve fingers around the __ __ it is behind that< and the __ __

medial malleolus, Achilles tnedon

6

The dorsalis pedis pulse needs very light toch. felt __ to and parallel with the __ __ of the big toe

lateral, extensor tendon

7

>45 it is hard to find either the dorsalis pedis or the posterior tibial pulse. T or F

F. one but not both

8

__  edema, firmly depress teh skin oover the tibia or the __ __ for 5 sec. should leave no indent

pretibial, medial malleolus

9

mild pitting, slight indent, no perceptible swelling of leg

1+

10

moderate pitting, indentation subsides rapidly

2+

11

deep pitting, indetnation remains for a short time, leg looks swollen

3+

12

very deep pitting, indentations last a long time, leg is grossly swollen and distorted

4+

13

Bilatera, dependent pitting edema occurs with __, --, and --

heart failure, diabetic neuropathy, hepatic cirrhosis

14

varicosities occur in the __ veins

saphenous

15

a palpable wave transmission occurs when the __ are incompetent

valves

16

elevation pallor  (marked ) indicates __ insufficiency

arterial

17

Dependent rubor (deep blue-red color)occurs with severe __ insufficiency

arterial

18

chronic hypoxia produces a loss of __ tone and a poolin of blood in the veins

vasomotor

19

Delayed __ filling occurs with arterial insufficinecy

venous

20

Motor loss occurs with severe __ deficit

arterial

21

Sensory loss occurs with __deficit, esp __

arterial, diabetes

22

divice to detec weak peripheral pulse, monitor B/P in infants or kids or measure a low B/P in lower extremities

doppler ultrasonic stethoscope

23

___to determine extent of PAD a b/p cuff is placed above the ankle and determine the systolic pressue in either the posterior timbial or dorsalis pedis artery. Divide that figure by systolic pressure of the brachial artery

Ankle-brachial Index  (ankle systolic/arm systolic=ABI

24

Ankle-Brachial index is is less reliable in diabetes mellitus because of__ and may give false High

calcification

25

ABI of 0.90 or <__

peripheral arterial disease (PAD)

26

ABI 0.90 to 0.70

mild claudication

27

ABI 0.70 to 0.40

moderate to severe claudication

28

ABI 0.40 to 0.30

severe claudication usually with rest pain except i presence of  diabetic neuropathy

29

ABI<0.30-

ischemia, with impending loss of tisse

30

Weak pulses occur with __ of diminished cardiac output

vasoconstriction

31

Full, bound pulses occur with patent __ __ as  result of the large left-to right shunt

ductus arteriosus

32

Diminisheed or absent femoral pulses while upper extremity pules are normal suggest __ of __

coarctation, aorta

33

Enlarged, warm, tender nodes indicate current __. Look for source of it

infection

34

Remain alert for generalized edema plus hypertension, suggest __ a dangerous obstetric condition

preeclampsia

35

Deep muscle pain, usually in calf, but may be lower leg or dorsum of foot. Chronic arterial symptoms or acute arterial symptoms

Chronic arterial

36

Sudden onset (within one hour) chronic arterial symptom or acute arterial symptom

Acute arterial symptom

37

Varies, distal to occlusion, may involve entire leg. Chronic arterial symptoms. Or. Acute arterial symptoms

Acute arterial symptoms

38

6 Ps: Pain, Pallor, pulselessness, parenthesis,poikilothermia (coldness), paralysis (indicates severe)
Chronic arterial symptoms. Or acute arterial symptoms

Acute arterial symptom

39

Chronic pain, onset gradual after exertion
Chronic arterial symptom or acute arterial symptoms

Chronic arterial symptoms

40

Intermittent claudication, feels like cramp, numbness and tingling, feeling of cold. Chronic arterial symptoms. Or. Acute arterial Center

Chronic arterial symptom

41

History of vascular surgery; arterial invasive procedure; abdominal aneurysm (emboli); trauma, including injured arteries; chronic arterial fibrillation.
Chronic arterial symptom or acute arterial symptom

Acute arterial symptom

42

Activity (walking stairs, walking,; claudication distance and specific number of blocks, stairs it takes to produce pain. Chronic arterial symptom or acute arterial sent

Chronic arterial symptom

43

Throbbing. Chronic arterial symptom or acute arterial symptom

Acute arterial symptom

44

Elevation (rest pain indicates severe involvement). Chronic arterial symptoms. Or. Acute arterial symptoms

Chronic arterial symptom

45

Cool, pale skin. Chronic arterial symptoms. Or. Acute arterial symptom

Chronic arterial symptom

46

Pain, pale, no calls, coldest, severe. Chronic arterial symptom or acute arterial symptoms

Acute arterial symptom

47

Older adults, more males and females, inherited predisposition, history of hypertension, smoking, diabetes, hypercholesterolemia, obesity, vascular disease. Chronic arterial or acute arterial

Chronic arterial

48

Rest (usually within 2 min(standing). Dangling (severe involvement).
Chronic arterial or acute arterial

Chronic Arterial

49

Calf pain
. Chronic venous. Or. Acute Venus

Acute Venus

50

Edema, varicosities, weeping ulcers at ankles. Chronic venous. Or. Acute Venus

Chronic venous

51

Sudden onset (within one hour. Acute Venus or chronic venous

Q Venus

52

Aching, tiredness, feeling of fullness in calf or lower leg
chronic venous or acute Venus

Chronic venous

53

Pain may increase with sharp dorsiflexion of what. Acute Venus or chronic venous

Acute Venus

54

Chronic pain, increases at end of day. Acute Venus or chronic venous

Chronic venous

55

Aggravated by standing, sitting for long time. Chronic venous or acute venous

Chronic venous

56

Relieved by elevation, lying, walking. Chronic venous. Or,. Acute Venus

Acute Venus

57

Person at risk that he has job with prolonged standing or sitting; obesity; pregnancy; prolonged bed rest; history of heart failure; , varicosities, or thrombophlebitis, veins crushed by trauma or surgery acute Venus or chronic venous

Chronic venous

58

Relieving factors: elevation, lying, walking. Chronic ((Chronic venous or acute venous))

Chronic venous

59

"Rest (usually within 2 min(standing). Dangling (severe involvement).
((Chronic or Acute))

chronic arterial

60

"Calf pain

Acute venous