True or False: Brachial systolic blood pressure is normally higher than systolic blood pressure in the ankle
What is True
100
Four manifestations of leaky valves in peripheral veins
What are: varicose veins, skin discoloration, swelling, venous ulcers
100
immobility, being old, cancer, and trauma
What are common causes of thrombosis?
100
See the slide compare and contrast characteristics of arterial and venous ulcer
What is arterial ulcer/venous ulcer
200
Pitting edema and squared off toes
What are early signs of lymphedema (see slide)
200
Interpret the following ABI results
--1.5
--1.1
--0.4
What is 1.5 -calcified vessels and ABI results not helpful
1.1-normal
0.4-severe arterial disease
see slide
200
The return of blood from the peripheral venous system to the heart is accomplished by 3 mechanisms
What are: muscle pump, respiratory pump, venous valves to prevent backflow
200
characteristics of pain associated with DVT
What is pain with walking and standing
200
See slide
What is a stage one pressure ulcer
300
the slide shows___________
What is late stage lymphedema
300
aching pain in the back of legs with walking that is relieved by standing within 5 minutes
What is intermittent claudication
300
View the slide and develop a set of differentials
What are differentials: lipodermatoschlerosis, mixedema, diabetes,
300
Unreliable test for DVT frequently done in clinical area
What is Homan's sign
300
PUSH Tool (see slide)
What is tool used to evaluate healing pressure ulcers
400
diagnostic indicator of lymphedema
What is Stemmer sign--see slide
400
pharm and nonpharm prescription for patient with mild to moderate intermittent claudication
What are walking for 30 minutes, stop until pain is relieved and continue exercising to increase walk-pain time
Medications: cilostazol to improve walking time
pentoxifyline-decreases viscosity of blood by making RBC's more pliable
400
A standardized classification system to describe peripheral vascular disease
What is CEAP
C-clinical signs
E-etiology
A-anatomy
P-pathophysiology
400
Syncope
What is a frequent presenting diagnosis for a patient with a PE
400
see slide
What is a suspected deep tissue injury
500
--nonpitting
--just women
--spares the foot
What are the differences between lipedema and lymphedema--see slide
500
why the elderly are often poor candidates for amputation
What are co-morbidity burden, mental status, difficulty learning and ambulating with a prosthesis
500
Non-pharm management of CVI (chronic venous insufficiency)
What is elevate legs (with blocks-not pillows/recliner)
support hose -15-20 Hg is mild
foot and ankle exercises
keep skin moist
500
Falls risk and drug-drug interactions
What are issues that need to be considered when prescribing anticoagulation to the elderly