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16 Cards in this Set

  • Front
  • Back
Troisier’s node
Left (hand of the devil) supravlavicular node. Mets of thoracic/ abd/ pelvic tumor
Virchow’s node
same as troisier’s, but spread of gastric CA
Sister mary joseph’s nodule
periumbilical nodule or mass. Intrapelvic/abd malignancies
Asymmetric pulses
elderly-atherosclerotic lesion or dissection of aorta. Younger- coarctation
Raynaud’s phenomenon
dipping hand in ice water leads to painful vasospasm, white→ blue → red fingers. Due to systemic vascular d/o
Allen test
radial/ ulnar A patency test. Report results as name, side of A, and refill time
Periph vascular disease
atherosclerotic obstructive lesion of lower extremity. Classically indicated by intermittent limb pain triggered by activity. Distal aorta: butt to calf. Femoropopliteal: calf. Peronial tibial A involvement – foot
PE for PVD
1) abnormal pedal pulses 2) femoral arterial bruit 3) prolonged venous filling time 4) unilateral limb coolness… gold std test: ankle-to-arm systolic pressure index
How do you measure venous filling time
have patient lie down, raise one leg 45 deg for 1 min. have pt sit up w. foot over examining table, >20 sec is abnormal
Buerger’s test
assess arterial perfusion. Step 1—have pt lie, raise leg to 90 deg, watch for pallor (poorer supply= less angle) step 2—have pt sit up w/ leg over table, watch for reactive hyperemia. + test is excess pallor and rubor
Neuropathic ulcer on DM pt’s foot
surrounded by callous, painless, little gangrene
Chronic venous stasis
found at perimalleolar area of inner ankle, characteristic skin changes—hyperpigmentation, stasis dermatitis, skin thickening and induration. Painless, warm, no gangrene.
Charcot foot
neuropathic osteoarthropathy causing sensory and motor loss. Ulcerations. Foot looks like leg of rocking chair.
Diurnal variation & gravity dependence for venous vs low protein vs lymph edema
yes, yes, no
Trendelenburg test
ID saphenous V, raise leg, apply tourniquet, have pt stand, release tournequite 60 sec later. watch leg V engorgement. If saph refills b4 release, backfilling of communicating veins. If after release, backfilling of incompetent saph valves
DVT signs
tenderness, swelling