Chronic Peripheral Arterial Insufficiency - Revision history

wikademia>Wikademia at 01:18, 21 April 2009

2009-04-21T01:18:48Z

← Older revision		Revision as of 01:18, 21 April 2009
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	*skin ''temperature'' (compare bilaterally)		*skin ''temperature'' (compare bilaterally)
	*''capillary refill time''		*''capillary refill time''
			{{ntnes}}
	*Pulses:		*Pulses:
	**Abdominal Aorta - palpate for aneurism		**Abdominal Aorta - palpate for aneurism

2009-04-21T01:14:58Z

14 revisions

← Older revision	Revision as of 01:14, 21 April 2009
(No difference)

2008-06-25T00:19:09Z

← Older revision		Revision as of 00:19, 25 June 2008
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	==Other OSCE modules==		==Other OSCE modules==
	{{OSCE2}}		{{OSCE2}}
	[[Category:Medicine]][[Category:OSCE]]		[[Category:Cardiovascular Medicine]][[Category:OSCE]]

2007-05-22T02:06:51Z

Palpation

← Older revision		Revision as of 02:06, 22 May 2007
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	===Palpation===		===Palpation===
	*skin ~~TEMPERATURE~~ (compare bilaterally)		*skin ''temperature'' (compare bilaterally)
	*Capillary refill time		*Capillary refill time

2007-05-22T02:06:20Z

Inspection

← Older revision		Revision as of 02:06, 22 May 2007
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	==Lower Limb==		==Lower Limb==
	===Inspection===		===Inspection===
	*same as UL: cyanosis/pallor, hair loss, shiny skin, ulcerations (especially ~~HEEL~~), dystrophic nails		*same as UL: cyanosis/pallor, hair loss, shiny skin, ulcerations (especially on the heel), dystrophic nails
	**edema (pitting or non)		**edema (pitting or non)

2007-05-22T01:55:29Z

Provocative Tests

← Older revision		Revision as of 01:55, 22 May 2007
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	*'''Ankel to Brachial Index'''		*'''Ankel to Brachial Index'''
	*compares the palpated systolic BP in the arm to that of the ankle		*compares the palpated systolic BP in the arm to that of the ankle
	*with patient supine, place the center of the bladder posterior and ~ 3 cm above the medial malleolus		**with patient supine, place the center of the bladder posterior and ~ 3 cm above the medial malleolus
	**resting ABI < 1 is abnormal		***resting ABI < 1 is abnormal
	**< 0.95 → significant narrowing of blood vessels in the legs, ↑ CV risk		***< 0.95 → significant narrowing of blood vessels in the legs, ↑ CV risk
	**< 0.8 → intermittent claudication		***< 0.8 → intermittent claudication
	**< 0.4 → claudication may occur at rest		***< 0.4 → claudication may occur at rest
	**< 0.25 → severe limb-threatening PAD		***< 0.25 → severe limb-threatening PAD

	==Lower Limb==		==Lower Limb==

2007-05-22T01:50:11Z

Palpation

← Older revision		Revision as of 01:50, 22 May 2007
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	*Pulses:		*Pulses:
	**AA		**Abdominal Aorta - palpate for aneurism
	**radial, ulnar		**radial, ulnar
	**brachial - in antecubital fossa, medial to biceps tendon		**brachial - in antecubital fossa, medial to biceps tendon

2007-05-22T01:49:05Z

Palpation

2007-05-22T01:48:50Z

Palpation

← Older revision		Revision as of 01:48, 22 May 2007
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	===Palpation===		===Palpation===
	*measure the ~~BLOOD PRESSURE~~		*measure the ''blood pressure''
	*skin ~~TEMPERATURE~~ (compare bilaterally)		*skin ''temperature'' (compare bilaterally)
	*~~CAPILLARY REFILL TIME~~		*''capillary refill time''

	*PULSES:		*PULSES:

2007-05-18T04:32:50Z

Provokative Tests

← Older revision		Revision as of 04:32, 18 May 2007
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	'''DeWeese’s test'''		'''DeWeese’s test'''
	*disappearance of previously palpable distal pulses after walking		*disappearance of previously palpable distal pulses after walking

			==Arterial vs. Venous Insufficiency==

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