Vascular Exams Flashcards
(6 cards)
1
Q
What do you look for in GI of UL?
A
Tar staining Scarring Cyanosis/limb pallor (color) Tendon xanthomas Gangrene Examine hands carefully temperature capillary refill
2
Q
What do you look for in GI of LL for venous pathology?
A
shape discoloration pigmentation swelling varicose veins scars oedema varicose eczema ulceration
3
Q
What do you look for in GI of LL for arterial pathology?
A
color hair loss atrophic shiny skin ulceration peripheral presssure points infection necrotic + missing toes
4
Q
What do you do when you suspect varicose veins? Describe the test
A
Trendelenburg Test
- elevate limb as far as possible and milk, then occlude the saphenofemoral junction.
- pt swing over to side and stand
- variscosities refill immed. –> perforating veins further down leg
- no imm. refill –> incompetence @ saphenofemoral junction
5
Q
What do you do when you suspect peripheral arterial disease? Describe the test
A
Buerguer's Test - ask if any pain or restriciton in hips - elevate feet to 90º - watch pallor normal --> pale @ 90º diseased vessels go before (50 severe & 25 critical ischaemia) - pt bring leg over side of bed - observe feet - PVD feet engorge + purple, then deep red (reactive hyperaemia)
6
Q
What do the different phasic flows of blood mean?
A
Triphasic - normal
biphasic - atherosclerosis
monophasic - severe vascular disease
