Peripheral Vascular System- Lecture and Lab Info Flashcards Preview

Clinical Assessment 2 > Peripheral Vascular System- Lecture and Lab Info > Flashcards

Flashcards in Peripheral Vascular System- Lecture and Lab Info Deck (44):
1

What pressure is associated with the arterial system?

Hydrostatic pressure

2

What pressure helps on the venous side?

Osmotic pressure (low)
Pressure from proteins (albumin)

3

What are inguinal lymph nodes usually enlarged with?

STDs

4

When would all lymph nodes be enlarged?

AIDS

5

What is the most common symptoms of PAD?

Claudication

6

What are some risk factors for venous conditions?

Pregnancy
Supplemental estrogen
Sitting for a long period of time
Valves

7

What are risk factors for PAD if 50 or under

Diabetes or atherosclerosis risk factor of smoking, dyslipidemia, hypertension or hyperhomocysteinemia

8

Who is at risk for PAD at age 70 and older?

Everyone

9

In ages 50 to 69, what are the risk factors for PAD?

history of smoking or diabetes

10

In what condition (besides PAD) can you see an abnormal ABI?

Coarctation of the aorta

11

At what size will a AAA be surgically removed?

5.5 cm

12

What can cause secondary hypertension?

Problems with the renal artery

13

In PAD what malleolus is more likely to be affected?

Lateral

14

In what condition will there be a point of injury and the site of injury will be hot to the touch?

Cellulitis

15

When measuring for edema, the difference between ankles should be no more than...

1 cm

16

When measuring for edema, the difference b/w calfs should be no more than...

2 cm

17

What is a bounding pulse classified as?

3+

18

What is a brisk, expected normal pulse classified as?

2+

19

What is an absent pulse classified as?

0

20

What is a diminished, weaker than normal pulse classified as?

1+

21

What are the ROS for peripheral vascular system?

lower extremity edema, claudication, skin changes suggestive of venous or arterial insufficiency

22

What is malignant hypertension?

Hypertensive emergency of when there is progressive end organ changes

23

What would constitute a screen for renal artery disease if <30

Hypertension

24

What conditions are suspicious for renal artery disease?

Accelerated, resistant, or malignant hypertension
Worsening of renal function or worsening after use of angiotensin-converting enzyme inhibitor
unexplained small kidney
sudden unexplained pulmonary edema

25

What are some risk factors for a AAA?

Age 65 or older
Family history
CAD, PAD
hypertension
Hyperlipidemia

26

Who gets a one time screening for a AAA?

Men aged 65-75 with history of having ever smoked

27

What would be an abnormal result on an abdominojugular reflux test?

sustained rise of blood in jugular column

28

What does the Allen test check?

Radial and Ulnar artery patency

29

What is pulse pressure?

Systolic- diastolic

30

What should pulse pressure be?

30-40 mm Hg

31

What causes a diminished PP

Decreased stroke volume
Heart failure
Hypovolemia
Severe aortic stenosis

32

What causes an increased pulse pressure?

Increased stroke volume: exercise, fever, anemia, hyperthyroid
Decreased compliance (aging, atherosclerosis)

33

What type patient will you find sacral edema in?

Bed bound

34

What type pain has a tendency to radiate down?

Neurological

35

What pressure do jugular vein pulsations reflect?

Right atrium

36

JVP increases with....

Inspiration

37

Which internal jugular vein is often easiest to see?

Right

38

What is a positive result for HJR?

>4 cm

39

Which pulse should you auscultation before you palpate? Why?

Carotid, detect presence of bruits

40

What causes pitting edema?

Loss of intravascular oncotic pressure

41

What causes lymphedema

Lymph channel obstruction due to tumor, inflammation, lymph node dissection or radiation

42

How do you perform the Abdominojugular (aka hepatojugular) reflux test?

10-15 seconds of steady pressure w/ heel of hand on RUQ below costal margin
Observe for rise of blood column in jugular
Abnormal= sustained rise

43

What is Raynaud's phenomenon secondary to?

Collagen disease

44

What type bacterial is lymphangitis caused by?

Strep