Arterial History and Physical
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What should the total cholesterol be?
less than 200
What should the bad cholesterol be?
less than 100
What is the abbreviation for bad cholesterol?
What is the abbreviation for good cholesterol?
What should good cholesterol be?
greater than 60
What are 6 risk factors for arterial disease?
- 1.) Smoking
- 2.) Family history
- 3.) Diabetes
- 4.) Hypertension
- 5.) Hyperlipidemia
- 6.) history of coronary artery disease
List 10 indications of why an arterial test may be ordered.
- 1.) Claudication
- 2.) Rest pain
- 3.) Traumatic Injuries
- 4.) Pre-op evaluation
- 5.) Post-op evaluation
- 6.) Predict healing
- 7.)Determine amputation level
- 8.) Long term monitoring
- 9.) Follow up radiology procedure
- 10.) Surgical candidate
Where should you never take a blood pressure on a patient?
over a graft
When a patient is complaining about pain what is an important fact and hint to know where to start looking for the problem?
look above the area of pain.
Disease is always above the muscle group complaining about.
How long should a patient lay down before you preform the arterial exam?
At least 15 minutes.
Where are the four pulse points that should be graded at the lower extremity?
- 1.) PT
- 2.) DP
- 3.) POPA
- 4.) CF
Define chronic arterial disease.
Disease that has formed over a long period of time, progressively gets worse over time.
What are 7 trophic changes seen in chronic arterial disease?
- 1.) Loss of hair on feet
- 2.) Thickening of toe nails
- 3.) Shining tone to skin
- 4.) Cool skin temperature
- 5.) Color change
- legs up-pale/white
- legs down-rubor/red
- 6.) No palpable pulse
- 7.) Ulcer-necrosis
What is the medical term meaning
cool skin temperature or cold blooded?
Where is the most common site for arterial disease that can be found in the diabetic and non- diabetic?
Distal superficial Femoral artery
What can act as collaterals in the Hunter's Canal area?
And why would they?
Deep Femoral Artery
If the Superficial Femoral Artery has disease.
What type of arterial disease is critical?
Chronic Arterial disease
Acute Arterial disease?
Acute Arterial disease
Define Acute Arterial Disease.
Quick onset of symptoms (hours to maybe 2 days)
What are the six P's of acute arterial disease?
- 1.) Pain
- 2.) Pallor-whitish color
- 3.) Pulselessness
- 4.) Polar or Poikilothermia
- 5.) Parathesia- loss of feeling, tingling
- 6.) Paresis- loss of motor ability
What does Pallor mean?
What does Polar mean?
What does Parathesia mean?
loss of feeling or tingling
What does Paresis mean?
loss of motor ability
What is important to remember when taking blood pressures in the lower extremity?
Blood pressures in the ankle should be the same or higher than the Brachial blood pressures.
What are the four point system in the Ankle/Arm Index and what does each one mean?
- 1.0 + Normal
- .95 - .50 Claudication
- < .5 Rest pain
- < .3 Limb threatening
What does PVD stand for?
Peripheral Vascular Disease
What is arteriosclerosis?
hardening of the arteries
What is atherosclerosis?
a type of arteriosclerosis
common cause is fatty deposits
What would you like to do?
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