Term
|
Definition
|
|
Term
|
Definition
femoral
popliteal
dorsalis pedis
posterior tibial |
|
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Term
|
Definition
| carry 90% of venous return from lower extremeties |
|
|
Term
|
Definition
|
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Term
|
Definition
| connect superficial (saphenous) system with deep system |
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|
Term
| common or concerning symptoms with the peripheral vascular system |
|
Definition
pain in arms/legs
intermittent claudication
cold, numbness, pallor in legs, alopecia
color change in fingertips or toes in cold weather
swelling in calves, legs or feet
swelling with redness or tenderness |
|
|
Term
| arterial peripheral vascular disease legs |
|
Definition
| intermittent claudicatrion: ask pts if they have ever had pain/ cramping in legs |
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|
Term
| arterial spasm fingers/toes |
|
Definition
| "do your fingertips/toes ever change color in cold weather or when you handle cold objects?" |
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|
Term
| venous peripheral vascular disease |
|
Definition
| swelling of the feel and legs |
|
|
Term
| risk factors for peripheral arterial disease |
|
Definition
current/past tobacco use
hyperlipidemia
diabetes mellitus
CAD
hypertension
cerebrovascular disease |
|
|
Term
|
Definition
temporal
carotid
abdominal
brachial
radial
ulnar
femoral
popliteal
dorsalis pedis
posterior tibialis |
|
|
Term
| delay in capillary refill time |
|
Definition
arterial occlusion, hypovolemic shock, hypothermia
may be affected by the temperature |
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|
Term
|
Definition
| may be venous obstruction (thrombophlebitis) |
|
|
Term
| intermitten pallor and cyanosis of hands/fingers |
|
Definition
|
|
Term
| streaky redness, tenderness along vein |
|
Definition
|
|
Term
|
Definition
reduced blood flow to the lower extremities (area affected) usualy caused by atherosclerotic process
pulses decreased or absent
temperature cool
edema may be absent or present
skin is thin, shiny, and atrophic
skin around the ulcer has no excess pigment
pain is severe
gangrene may develop |
|
|
Term
|
Definition
stasis of blood in lower extremities resulting from chronic lower leg edema caused by thrombophlebitis or valvular imcompetence
prominent leg veins
lower leg edema
affected leg hard and leather like to touch
pulses normal but difficult to feel with edema
gangrene does not occur
pain is not severe
skin around ulcer pigmented and sometimes fibrotic |
|
|
Term
| if edema present look for causes: |
|
Definition
recept DVT
chronic venous insufficiency
lymphedema |
|
|
Term
|
Definition
| slight pitting with about 2-mm depression that usually disappears rapidly. no visible distortion of the extremity |
|
|
Term
|
Definition
| deeper pitting with about 4mm depression that disappears in 10-15 seconds no visible distortion of extremity |
|
|
Term
|
Definition
| depression of about 6mm lasting more than a minute. dependent extremity looks swollen |
|
|
Term
|
Definition
| very deep pitting with about 8-mm depression that lasts 2-3 min. dependent extremity is grossly distorted |
|
|
Term
| amplitude of arterial pulses |
|
Definition
0= absent, unable to palpate
1+ diminished, weaker than expected
2+ brisk, expected
3+ increased
4+ bounding |
|
|
Term
|
Definition
flex elbow 90 degrees support forearm
feel in groove b/w biceps and triceps muscle
3cm above medial epicondyle |
|
|
Term
|
Definition
| may indicate arterial narrowing or obstruction on one side |
|
|
Term
|
Definition
| if there is absent pulse, pallor, pain, or parasthesia of distal upper arm may indicate arterial occlusion |
|
|
Term
| cool extremities may be due to: |
|
Definition
decreased circulation
vasoconstriction
raynaud's disease
buerger's disease |
|
|
Term
|
Definition
assess peripheral vascular flow by assessing arterial flow in the hands
it both arteries are not patent, the site cannot be used to obtain an arterial specimen |
|
|
Term
|
Definition
assess circulation to the feet
ankle systolic pressure divided by brachial systolic pressure
detects stenosis of 50% or more in major vessels of legs |
|
|
Term
|
Definition
digital arteries respond excessively to vasospastic stimuli
intermittent attacks of ischemia of fingers, toes, ears, or nose following exposure to cold or stress
occurs in young women |
|
|
Term
|
Definition
occlusive vascular disease in which small and medium size peripheral arteries become inflamed, spastic, and thrombotic
often seen in men who smoke and are below 40 |
|
|
Term
|
Definition
| chronic arterial disorder, arteries become thick, loss of elasticity, and calcified |
|
|
Term
|
Definition
| form of arteriosclerosis and a result of deposits of fat and fibrin in artery |
|
|
Term
| peripheral vascular disease (PVD) |
|
Definition
| arterio and atherosclerosis cause a decrease in blood supply to tissues, esp. those in lower extremities |
|
|
Term
|
Definition
| blood clot; blood and plaque adheres to vessel wall; occlusion of vessel |
|
|
Term
|
Definition
blood clot dislodges and moves into circulatory system.
pain, numbness, tingling, coldness in involved extremity
distal pulselessness in involved extremity
line of demarkation-distal pallor and cooler temperature |
|
|
Term
|
Definition
| a venous thrombus: blood clot that forms on wall of vein and fully or partially occludes flow of venous blood back to the heart |
|
|
Term
|
Definition
dull, aching pain in affected extremity (usually calf)
edema
fever
malaise
chronic venous insufficiency
disorder involving stasis of blood in lower extremities as a result of obstruction and reflux of venous valves |
|
|
Term
|
Definition
irregular, tortuous veins with imcompetent valves
long saphenous veins |
|
|
Term
|
Definition
| unilateral swelling associated with an obstruction in lymph nodes |
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