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BATES Peripheral Vascular System

This document summarizes key aspects of examining the peripheral vascular system. It outlines the anatomy of arteries, veins and capillaries. It describes important symptoms to ask about including pain, weakness, numbness and color changes. It lists important topics for health promotion like screening for peripheral artery disease. Examination techniques are provided like measuring blood pressure, listening for bruits, palpating pulses. Special tests are described like the Allen test. Finally, it lists painful peripheral vascular disorders and mimics.

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Angelica Mae Dela Cruz
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143 views2 pages

BATES Peripheral Vascular System

This document summarizes key aspects of examining the peripheral vascular system. It outlines the anatomy of arteries, veins and capillaries. It describes important symptoms to ask about including pain, weakness, numbness and color changes. It lists important topics for health promotion like screening for peripheral artery disease. Examination techniques are provided like measuring blood pressure, listening for bruits, palpating pulses. Special tests are described like the Allen test. Finally, it lists painful peripheral vascular disorders and mimics.

Uploaded by

Angelica Mae Dela Cruz
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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BATES Peripheral Vascular System

1. Know the anatomy of the arteries, veins, capillaries and lymph system
a. Arteries
i. Contain 3 concentric layers: intima, media, and adventitia
ii. Internal elastic membrane – borders intima & media
iii. External elastic membrane – separates the media from adventitia
b. Veins
i. Are thin-walled and highly distensible
ii. Also contains intima, media, and adventitia
c. Lymphatic system
i. Right lymphatic duct – drains fluid from the right side of the head, neck, thorax,
and right upper limb
ii. Thoracic duct – collects lymph fluid from the rest of the body
2. Know the concerning symptoms to focus on in the health history
a. Abdominal, flank, or back pain
b. Pain or weakness in the arms or legs
c. Intermittent claudication
d. Cold, numbness, pallor in the legs; hair loss
e. Swelling in calves, legs, feet
f. Color change in fingertips or toes in cold weather
g. Swelling with redness or tenderness
3. Know the important topics for health promotion and counseling
a. Screening for lower extremity peripheral artery disease
b. The ankle-brachial index
c. Screening for renal artery disease
d. Screening for abdominal aortic aneurysm
4. Know the techniques of examination for the peripheral vascular system
a. Measure the blood pressure in both arms
b. Palpate the carotid upstroke, auscultate for bruits
c. Auscultate for aortic, renal, and femoral bruits
d. Palpate the aorta and assess its maximal diameter
e. Palpate the pulses of the brachial, radial, ulnar, femoral, popliteal, DP, and PT arteries
f. Inspect the ankles and feet for color, temperature, and skin integrity
i. Note for any ulcerations
ii. Inspect for hair loss, trophic skin changes, hypertrophic nails
5. Know the special techniques in examining the peripheral vascular system
a. Evaluating arterial perfusion of the hand
i. The Allen Test – compares patency of the ulnar and radial arteries
b. Postural color changes of chronic arterial insufficiency
c. Mapping varicose veins
d. Evaluating the competency of venous valves
6. Know how to record the examination of the peripheral vascular system
a. With/without edema
b. Bilateral pulses symmetric/asymmetric with grading
7. Know the painful peripheral vascular disorders and their mimics
a. Arterial disorders – Raynaud phenomenon; peripheral arterial disease; acute arterial
occlusion
b. Venous disorders – superficial phlebitis; superficial vein thrombosis; DVT; chronic
venous insufficiency
c. Thromboangiitis obliterans
d. Compartment syndrome
e. Acute lymphagitis
f. Mimics – acute cellulitis; erythema nodosum

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