Term
| Arteries contain three layers of tissue, they are/ |
|
Definition
| intima, adventitia, media |
|
|
Term
| This layer is composed of smooth muscle cells that dilate and constrict to accomodate for changes in blood pressure |
|
Definition
|
|
Term
| This layer surrounds the lumen of all blood vessels and is composed of a single layer of endothelial cells with specialized metabolic properties |
|
Definition
|
|
Term
| This is the outer layer of the artery containing the connective tissue and nerve fibers |
|
Definition
|
|
Term
| 3 most common places to palpate pulses in the arm |
|
Definition
|
|
Term
| Resistance to blood flow occurs primarily in the? |
|
Definition
|
|
Term
| do you find larger, highly elastic arteries closer to or farther away from the heart? |
|
Definition
|
|
Term
| 4 locations for pulses in the leg |
|
Definition
| femoral, popliteal, dorsalis pedis, posterior tibial |
|
|
Term
| This consists of lipid-filled foam cells, with a lipid core and a fibrous cap of smooth muscle cells and a collagen-rich matrix, often a precede thrombosis? |
|
Definition
|
|
Term
|
Definition
| return blood from the tissues to the heart |
|
|
Term
| blood from the lower extremities drain into the? |
|
Definition
|
|
Term
| Blood from the upper extremities, head, neck and trunk drains into the? |
|
Definition
|
|
Term
| These veins carry approximately 90% of blood from the lower extremities? |
|
Definition
|
|
Term
| The two major superficial veins in the legs are the? |
|
Definition
| great saphenous, small saphenous |
|
|
Term
| veins contain these and arteries do not. they are used to facilitate blood flow from the extremities to the heart? |
|
Definition
|
|
Term
| this refers to the stenotic, occlusive, and aneurysmal disease of the aorta, its visceral arterial branches, and the arteries of the lower extremities? |
|
Definition
| PAD (peripheral arterial disease) |
|
|
Term
| pain or cramping in the legs that is exacerbated with exercise and relieved with rest within 10 minutes is called? |
|
Definition
| intermittent claudication |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| common femoral or aortoiliac |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| asymmetrica blood pressure readings are seen in? |
|
Definition
| coarctation of the aorta and dissecting aortic aneurysm |
|
|
Term
| True or false? prominent veins in an edematous arm suggest arterial obstruction? |
|
Definition
|
|
Term
| True or false? axillary lymph node dissection may cause lympedema of the arm and hand? |
|
Definition
|
|
Term
| diminished, weaker than expected pulses are graded as/ |
|
Definition
|
|
Term
| bounding pulses are graded as? |
|
Definition
|
|
Term
| Brisk, expected (normal) pulses are graded as? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| In Raynaud's disease, radial pulses are often normal or abnormal? |
|
Definition
|
|
Term
| bounding carotid, radial and femoral pulses may indicate? |
|
Definition
|
|
Term
| asymmetrical diminished pulses may indicate what from atherosclerosis or embolism? |
|
Definition
|
|
Term
| This term refers to the enlargement of the lymph nodes? |
|
Definition
|
|
Term
| In order to perform an adequate peripheral vascular examination of the lower extremities the clothing must be removed!!!! |
|
Definition
|
|
Term
| Chronic arterial occlusion from atherosclerosis causes? |
|
Definition
| intermittent claudication |
|
|
Term
| An exaggerated, widened femoral pulse suggests a? |
|
Definition
|
|
Term
| Atherosclerosis (arteriosclerosis obliterans) most commonly obstructs arterial circulation in which part of the body? |
|
Definition
|
|
Term
| Referring to the previous question, would the femoral pulse be normal or abnormal? the popliteal pulse? |
|
Definition
| femoral would be normal (proximal to the occlusion), popliteal would be decreased or absent (distal to the occlusion) |
|
|
Term
| Decreased or absent pedal pulses with normal femoral and popliteal pulses suggest occlusive disease in the lower popliteal artery or its branches, which is often seen in what prevalent disease? |
|
Definition
|
|
Term
| True or false? note the temperature in the legs with the back of the fingers? |
|
Definition
|
|
Term
| When checking for pitting edema, you should press on the area for how many seconds? |
|
Definition
|
|
Term
| A painful, swollen pale leg with tenderness in the groin over the femoral vein suggests? |
|
Definition
|
|
Term
| Local swelling, redness, and a subcutaneous cord suggest? |
|
Definition
| superficial thrombophlebitis |
|
|
Term
| brownish discoloration or ulcers just above the medial malleolus suggest? |
|
Definition
| chronic venous insufficiency |
|
|
Term
| On physical exam of the legs, you notice dilated tortuous veins that feel like they have a thickened wall, these are called? |
|
Definition
|
|
Term
| Arterial occlusive disease is much less common in the arms than in the legs. Absent or diminished pulses at the wrist are found in acute embolic occlusion and in? |
|
Definition
| Buerger's disease or thromboandiitis obliterans |
|
|
Term
| This test is used to test for arterial patency in the wrist and hand? |
|
Definition
|
|
Term
| True or false? marked pallor on elevation of the leg suggests arterial insufficiency? |
|
Definition
|
|
Term
| This test is used to test the competency of the venous valves? |
|
Definition
|
|
Term
| Patient presents with a complaint of crampy pain in the lower extremities when she goes for her mile walk in the morning, when she returns home, she sits in the living room and the pain goes away in approximately 10 minutes, this situation is indicitive of? |
|
Definition
| intermittant claudication |
|
|
Term
| 25 year old women steps off a plane in Denver, Colorado to temperatures in the 20's, she then notices that her fingertips are numb and white in color. There is no pain and on arrival to the hotel, the fingertips regain their color. This suggests |
|
Definition
|
|
Term
| Patient presents to the office with pain in the foot and lower leg. On physical exam, you note absent distal pulses, the limb feels cold and the patient tells you that it is numb. These signs and symptoms are most likely caused by what? |
|
Definition
|
|
Term
| A 66 year old male who is post-op day 5 of hip surgery complains of pain in the calf and lower leg. He tells you that it feels "tight." He tells you that when he elevates the leg, he feels relief. His hx and symptoms are most likely due to a? |
|
Definition
|
|
Term
| Patient presents to the clinic with an acute onset of pain in the posterior aspect of his right thigh. On inspection you notice what looks like a "cord" along the calf. He has a low grade fever and palpation reveals tenderness in the area. what is? |
|
Definition
| superficial thrombophlebitis |
|
|
Term
| Wal mart cashier walks into your office complaining of aching in the legs that has been going on for weeks. She states that the pain worsens as the day progresses and when she gets home and puts her legs up she feels much better. On inspection, you see what looks like an ulcer superior to the medial malleolus. This sounds like? |
|
Definition
| Chronic venous insufficiency |
|
|
Term
| A 56 year old smoker walks into the office complaining of pain in the arch of the foot with exercise and is relieved with rest. He also complains of coldness and numbness at the tips of the fingers, you also notice slight ulceration at the tip of the big toe. Whats this? |
|
Definition
| Buerger's disease (thromboangiitis obliterans). |
|
|
Term
| Patient complains of constant pain in the ankle and foot. You note no pulses at all and that the foot is cool to the touch. You also notice ulceration on the 1st and 2nd toes. Whats this? |
|
Definition
| Chronic arterial insufficiency |
|
|
Term
| Patient complains of a very painful lesion on the medial aspect of the shin above the ankle. You note normal pulses and normal temperature of the foot. You note the the extremity has taken on a brownish coloration with marked edema. What is? |
|
Definition
| Chronic venous insufficieny |
|
|
