Vascular Exam Flashcards

1
Q

End of bed inspection

A
Walking aids, oxygen, cigarettes
Leg hanging out of bed 
Well/ unwell
Missing limbs/ digits
Obese/ cachexic
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2
Q

Hands

A
Temperature
Capillary refill time 
Colour
Tar staining 
Xanthomata
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3
Q

Colour

A

Peripheral cyanosis

Raynaud’s (pale or blue fingers)

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4
Q

Tar staining

A

Smoker/ ex smoker

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5
Q

Xanthomata

A

Hyperlipidemia

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6
Q

Radio- radial delay

A

Thoracic artic dissection

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7
Q

Corneal arcus, xanthelasma

A

Yellow ring overlying the iris (only significant in under 50s)
Yellow raised lesions around the eyes: hypercholesteraemia

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8
Q

Legs

A
Colour
Trophic changes
Arterial ulcers
Scars
Venous disease
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9
Q

Colour

A

Pallor
Mottling
Redness
Necrosis

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10
Q

Trophic changes

A

Skin or toe nail changes

Loss of hair

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11
Q

Arterial ulcers

A

Little exudate
Punched out edges
Painful

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12
Q

Scars (legs)

A

Long saphenous vein harvest
Varicose vein
Vertical mid- inguinal - fem artery bypass/ femoral embolectomy
Mid line laparotomy score - aortibifemoral bypass

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13
Q

Venous disease

A
Varicose veins
Venous ulcers
Venous eczema
Haemosiderosis 
Lipodermatosclerosis
Atrophie blanche 
Oedema
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14
Q

Radio- femoral delay

A

Coarctation of the aorta

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