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16 Cards in this Set
- Front
- Back
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Troisier’s node
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Left (hand of the devil) supravlavicular node. Mets of thoracic/ abd/ pelvic tumor
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Virchow’s node
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same as troisier’s, but spread of gastric CA
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Sister mary joseph’s nodule
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periumbilical nodule or mass. Intrapelvic/abd malignancies
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Asymmetric pulses
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elderly-atherosclerotic lesion or dissection of aorta. Younger- coarctation
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Raynaud’s phenomenon
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dipping hand in ice water leads to painful vasospasm, white→ blue → red fingers. Due to systemic vascular d/o
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Allen test
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radial/ ulnar A patency test. Report results as name, side of A, and refill time
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Periph vascular disease
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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
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PE for PVD
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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
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How do you measure venous filling time
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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
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Buerger’s test
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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
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Neuropathic ulcer on DM pt’s foot
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surrounded by callous, painless, little gangrene
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Chronic venous stasis
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found at perimalleolar area of inner ankle, characteristic skin changes—hyperpigmentation, stasis dermatitis, skin thickening and induration. Painless, warm, no gangrene.
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Charcot foot
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neuropathic osteoarthropathy causing sensory and motor loss. Ulcerations. Foot looks like leg of rocking chair.
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Diurnal variation & gravity dependence for venous vs low protein vs lymph edema
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yes, yes, no
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Trendelenburg test
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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
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DVT signs
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tenderness, swelling
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