Physical Examination 2

Question 1

Peripheral vascular system examination

Answer 1

1. Arms
2. Legs
3. Abdomen -> in the abdomen examination

Question 2

Peripheral vascular system examination arms

Answer 2

1. Inspection -> arm
   1) size, symmetry, skin color and texture
   2) swelling
   3) lesions
   4) hairs
   5) the venous pattern
   6) nail beds
2. Palpation
   1) palpate the pulses
   
   1. Radial
   2. Ulnar
   3. Brachial
      2) temperature (with backs of the fingers)
      3) palpate epitrochlear nodes (3 cm above medial epicondyle, groove between the biceps and triceps)
3. Tests
   1) Capillary refill time
   2) The Allen test (positive if palm is pallor (-abnormal))

Question 3

Peripheral vascular system examination legs

Answer 3

1. Inspection -> legs
   1) size, symmetry, skin color and texture
   2) swelling, edema
   3) lesions especially ulcers
   4) hairs
   5) the venous pattern -> look for varicosites-> better seen if patient stands up
   6) nail beds -> color, lesions
2. Palpation
   1) pulses
   
   1. Femoral
   2. Popliteal
   3. Posterior tibial (below the medial malleous)
   4. Dorsalis pedis
   2) temperature (with backs of the fingers)
   3) palpate for edema
   4) venous tenderness
   5) inguinal lymph nodes (horizontal and vertical)
3. Tests
   1) Homan sign

Question 4

Peripheral vascular system examination arms

Answer 4

1. Inspection -> arm
   1) size, symmetry, skin color and texture
   2) swelling
   3) lesions
   4) hairs
   5) the venous pattern
   6) nail beds
2. Palpation
   1) palpate the pulses
   
   1. Radial
   2. Ulnar
   3. Brachial
      2) temperature (with backs of the fingers)
      3) palpate epitrochlear nodes (3 cm above medial epicondyle, groove between the biceps and triceps)
3. Tests
   1) Capillary refill time
   2) The Allen test (positive if palm is pallor (-abnormal))

Question 5

Peripheral vascular system examination legs

Answer 5

1. Inspection -> legs
   1) size, symmetry, skin color and texture
   2) swelling, edema
   3) lesions especially ulcers
   4) hairs
   5) the venous pattern -> look for varicosites-> better seen if patient stands up
   6) nail beds -> color, lesions
2. Palpation
   1) pulses
   
   1. Femoral
   2. Popliteal
   3. Posterior tibial (below the medial malleous)
   4. Dorsalis pedis
   2) temperature (with backs of the fingers)
   3) palpate for edema
   4) venous tenderness
   5) inguinal lymph nodes (horizontal and vertical)
3. Tests
   1) Homan sign

Question 6

Peripheral vascular system examination arms

Answer 6

1. Inspection -> arm
   1) size, symmetry, skin color and texture
   2) swelling
   3) lesions
   4) hairs
   5) the venous pattern
   6) nail beds
2. Palpation
   1) palpate the pulses
   
   1. Radial
   2. Ulnar
   3. Brachial
      2) temperature (with backs of the fingers)
      3) palpate epitrochlear nodes (3 cm above medial epicondyle, groove between the biceps and triceps)
3. Tests
   1) Capillary refill time
   2) The Allen test (positive if palm is pallor (-abnormal))

Question 7

Peripheral vascular system examination legs

Answer 7

1. Inspection -> legs
   1) size, symmetry, skin color and texture
   2) swelling, edema
   3) lesions especially ulcers
   4) hairs
   5) the venous pattern -> look for varicosites-> better seen if patient stands up
   6) nail beds -> color, lesions
2. Palpation
   1) pulses
   
   1. Femoral
   2. Popliteal
   3. Posterior tibial (below the medial malleous)
   4. Dorsalis pedis
   2) temperature (with backs of the fingers)
   3) palpate for edema
   4) venous tenderness
   5) inguinal lymph nodes (horizontal and vertical)
3. Tests
   1) Homan sign

Question 8

Abdomen examination

Answer 8

1. Inspection