Assessment
best way to palpate lymph nodes in head and neck
pads of digits 1-3, only one hand for submental. drag fingers across the skin as moving from set to set to avoid missing anything
dorsalis pedis
top of the foot
This is the likely cause of acute onset unilateral lower extremity redness, swelling
DVT. this is a 911 and requires urgent ultrasound and anticoagulation
Being bedbound/immobile and malignancy are risk factors for this emergent condition
DVT
10
popliteal
behind the knee
lymphedema, from resection of axillary lymph nodes 2/2 breast cancer
varicosed veins are a risk factor for
DVT
How to grade pitting edema
1+ - 4+ based upon depth or time to rebound
posterior tibialis
behind the medial malleolus
Cause of pain with walking, remits with rest
arterial disease. this condition is called claudication
DVT is a risk factor for
pulmonary embolus
This is a good assessment practice when one limb is larger than the other
measure its circumference
temporal
Cause of dark, ulcerated, weeping ulcers in the lower extremities
venous insufficiency/valve disease
why do they look like this?
This is how edema in the lower extremities presents in a systemic illness like heart failure
bilateral
List two other variables to assess the peripheral vascular system (other than grading pulses)
color, temp, cap refill, hair distribution
ulnar
medial forearm pinky side
The name of tortuous lower extremity veins common in pregnancy and the geriatric populations
varicosed veins
this is a normal finding in lower extremity pulses in the geriatric patient
1+. Vessels stiffen, cardiac output usually goes down. 1+ should be bilateral, and the remainder of the exam should be wnl as well- nl color, skin temp, hair distribution, and cap refill, although cap refill may be hard to elicit with dystrophic toenails