Pcom - Physical Assessment Pv System Quiz 8

Front 1

What is the common cause of a decreased or absent pedal pulse

Back 1

decreased or absent pedal pulse with normal femaral and popliteal pulse suggest occlusive disease ( astherosclerotic ) in the lower popliteal artery or its branches – often seen in diabetes mellitus.

Front 2

What is the character of pulse of femoral aneurysm and popliteal aneurysm? What is the cause.

Back 2

An exaggerated widened popiteal pulse suggests an aneurysm of the popliteal artery. Cause by atherosclerosis and primary occur in older men.

Front 3

What are the symptoms of deep iliofemoral thrombosis?

Back 3

Deep iliofemeral thrombosis signs are a painful swollen leg together with tenderness in the groin over the femoral vein.

Front 4

How specific is calf tenderness for the deep vein thrombosis in the calf

Back 4

Only 50% of pts have tenderness and cords deep in the calf . calf tenderness is nonspecific and may be present without thrombosis.

Front 5

What are the signs of superfical thrombophlebitis?

Back 5

superficial thrombophlebitis signs are local swelling redness warmth and subcutaneous cord suggests superficial thrombophlebitis_emerging risk factor for DVT

Front 6

What are the signs of chronic venous insufficiency in the leg?

Back 6

Signs of chronic venous insufficiency in the leg are brownish discoloration or ulcers just above the malleolus

Front 7

What is the causes of thickened brawny skin ?

Back 7

Causes of thickened brawny skin is lymphedema and advanced venous insufficiency.

Front 8

What is the causes of absent or diminished wrist pulses.

Back 8

Found in acute embolic occlusion and in Buergers disease or thromboangiitis obliterans.

Front 9

What is the purpose of the Allen test?

Back 9

Allen test give further info, useful to ensure patency of the ulnar artery before puncturing the radial artery for blood samples

Front 10

Define Raynauds disease.

Back 10

Raynauds disease episodic spasms of the small arteries and arterioles: no vascular occlusion

Front 11

What is the location in Raynauds disease?

Back 11

location distal portion of one or more fingers

Front 12

What is the timing in Raynauds disease?

Back 12

relatively brief but recurrent.

Front 13

What is aggravating and relieving factors in Raynauds disease?

Back 13

Aggravated by exposure to cold and emotional upset. Relieved by a warm environment

Front 14

What are the differences between chronic arterial and chronic venous insufficiency? and Pain

Back 14

chronic arterial = Intermittent caudation progressing to pain at rest
chronic venous insufficiency = Often painful

Front 15

What are the differences between chronic arterial and chronic venous insufficiency? and Mechanism

Back 15

chronic arterial = Tissue ischemia
chronic venous insufficiency = venous hypertension

Front 16

What are the differences between chronic arterial and chronic venous insufficiency? and Pulses

Back 16

chronic arterial = Decreased or absent
chronic venous insufficiency = NORMAL though may be difficult to feel through edema

Front 17

What are the differences between chronic arterial and chronic venous insufficiency? and Color

Back 17

chronic arterial = Pale, especially on elevation:dusky red on dependency
chronic venous insufficiency = NORMAL , or cyanotic on dependency Petechiae and then brown pigmentation appear with chronicity

Front 18

What are the features of chronic venous insufficiency ulcers

Back 18

Chronic venous insufficiency ulcers: ulcer contain small painful granulation tissue and fibrin; necrosis or exposed tendons are rare. Borders irregular flat and slightly steep.

Front 19

What are the features of arterial insufficiency ulcers

Back 19

This condition occurs in the toes, feet or possibly areas of trauma ( e.g, the shins). Surrounding skin shows no callus or excess pigment, although it may be atrophic.

Front 20

What are the features of neuropathic ulcers?

Back 20

this condition develops in pressure points of areas with diminished sensation; see in diabetic neuropathy, neurologic disorders and Hansen disease.

Front 21

What are the differences between pitting edema, chronic venous insufficiency edema, and Lymphedema.

Back 21

• Edema is soft, bilateral, with pitting on pressure . No thickening ulceration or pigmentation.
• C V Insufficiency; Edema is soft with pitting on pressure and occasionally bilateral. Look for brawny changes and skin thickening , especially near the ankle. Ulceration brownish pigmentation and edema in the feet are common.
• Lyphedema =Edema is soft in the early stages, then becomes indurated, hard and non pitting. skin is markedly thickened: ulceration is rare. There is no pigmentation. Edema is found in the feet and toes, often bilaterially.

Front 22

What are the differences between chronic arterial and chronic venous insufficiency? and Temperature

Back 22

chronic arterial = cool
chronic venous insufficiency = NORMAL

Front 23

What are the differences between chronic arterial and chronic venous insufficiency? and Edema

Back 23

chronic arterial = Absent or mild; may develop as patient tries to relieve rest pain by lowering the leg
chronic venous insufficiency = present often marked

Front 24

What are the differences between chronic arterial and chronic venous insufficiency? and Skin changes

Back 24

chronic arterial = Trophic changes; thin shiny atrophic skin; loss of hair over the foot and toes; nails thickened and ridged.
chronic venous insufficiency = Often brown pigmentation around the ankle stasis dermatitis and possible thickening of the skin and narrowing of the leg as scaring develops

Front 25

What are the differences between chronic arterial and chronic venous insufficiency? and Ulcerations

Back 25

chronic arterial = If present evolves toes or points of trauma on feet
chronic venous insufficiency = If present develops st the sides of ankle especially medially

Front 26

What are the differences between chronic arterial and chronic venous insufficiency? and Gangrene

Back 26

chronic arterial = May develop
chronic venous insufficiency =Does not develope