Peripheral Vascular Examination

Question 1

What 5 signs to look for on inspection of upper limbs in peripheral vascular examination?

Answer 1

Cyanosis
Pallor
Tar Stain
Xanthomata
Gangrene

Question 2

What 6 signs to look for on palpation of upper limbs in peripheral vascular examination?

Answer 2

Temp
CRT
Radial Pulse
Radial Radial Delay
Brachial Pulse
BP

Question 3

What should be auscultated in upper body in peripheral vascular exam?

Answer 3

Carotid artery for bruit

Question 4

What to look for on abdomen in peripheral vascular exam?

Answer 4

Inspect for pulsation
Auscultate renal and aortic arteries

Question 5

What to inspect in lower leg examination? (7)

Answer 5

Cyanosis
Pallor
Venous Ulcers
Arterial Ulcers
Hair Loss
Muscle Waste
Xanathomata

Question 6

What do venous ulcers look like? (4)

Answer 6

large, shallow, irregular, medial area

Question 7

what do arterial ulcers look like? (4)

Answer 7

small, deep, well defined borders, very painful

Question 8

What to look for on palpation of lower limbs? (8)

Answer 8

Temp
CRT
Femoral pulse
Popliteal Pulse
Posterior Tibial Pulse
Dorsalis Pedis Pulse
Sensation eg Peripheral neuropathy

Question 9

What does Peripheral neuropathy feel like?

Answer 9

Glove and stocking

Question 10

How to perform Buerger’s Test

Answer 10

1. Patient flat
2. Raise feet and legs to 45 degrees for 1-2 minutes
3. Observe for colour
4. Sit up and legs over side if blue then red this is Reactive Hyperaemia due to vasodilation

Question 11

How to detect acute limb ischaemia? (7)

Answer 11

<2 Weeks
Pulselessness
Sudden and at rest pain
Pale
Cold
Paraesthesia
paralysis

Question 12

How to detect critical limb ischaemia? (5)

Answer 12

> 2 Weeks
Reduced or absent pulses
Gradual and at rest pain
Pink
Warm