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23 Cards in this Set

  • Front
  • Back
what are the 2 groups of veins in the leg
Deep and Superficial veins.
Deep and Superficial veins. What is the difference between them on the basis of support?
Deep are supported by surrounding tissues Superficial are subcutaneous, with relatively poor tissue support.
Name the superficial veins
Great saphenous vein and small saphenous vein
Know the course of each Great saphenous vein and small saphenous vein
Great saphenous vein ( starts in dorsum, passes anterior to the medial malleous, continues up the medial aspect of the leg and join the femoral vein of the deep venous system below the inguinal ligament) and small saphenous vein ( begins at side of the foot, passes upward along the posterior calf, and joins the deep venous system in the popliteal fossa)
Where is the location of epitrochlear lymph nodes?
On the medial surface of the arm approx 3 cm above the elbow.
Which areas do they drain- pitrochlear lymph nodes?
Lymthatics from the ulnar surface of the forearm and hand the little and ring fingers.
What are the 2 groups of superficial inguinal lymph nodes?
Horizontal and Vertical
What is the location of each? superficial inguinal lymph nodes?
Horizontal group lies in a chain high in the antertior thigh below the inguinal ligament. Vertical groups clusters near the upper part of the saphenous
Define intermittent claudication.
Pain or cramping in legs duration exertion that is relieved by rest within 10 mins.
What is its cause? intermittent claudication.
Usually atherosclerosis. PAD (peripheral heart disease) refers to stenotic, occlusive, and aneutysmal disease of the aorta.
How intermittent claudication can be distinguished from the leg pain due to spinal stenosis?
For spinal stenosis which also produces leg pain from exertion can be reduced by leaning forward ( stretching spinal cord) and less readily received by rest. Page 477
Know the locations caused by ischemia of aortoiliac
( buttock, hip)
Know the locations caused by ischemia of iliac-pudental
,( erectile dysfunction)
Know the locations caused by ischemia of common femoral or aortoiliac
thigh
Know the locations caused by ischemia of superficial femoral
upper calf
Know the locations caused by ischemia of popliteal
lower calf
Know the locations caused by ischemia of tibial or paroneal arteries
foot
Ischemia of which artery can cause abdominal pain after meals and associated food fear?
celiac or superior or inferior mesenteric artieries
What is the US preventive Services Task Force recommendation of the screening of abdominal aortic aneurysm?
one time screening by ultrasound in men between 65- 75 with hx of ever smoking more 100 cigs/lifetime.
What are the causes of asymmetric BP in the two arms?
Coarctation of the aorta and dissecting aortic aneurysm
What are the causes of lymphedema of the arm and hand?
May follow from node dissection and radiation therapy Page 481
Know the 4 grades of pulses and the character of each.
3+Bounding
2+Brisk, expected,
1+ Diminshed, weaker than expected.
0 Absent, unable to palpate.
What is the cause of asymmetric diminished pulses
?