228:
22:
341:
With the patient supine, note the colour of the feet soles. They should be pink. Then elevate both legs to 45 degrees for more than 1 minute. Observe the soles. If there is marked pallor (whiteness), ischemia should be suspected. Next check for rubor of dependency. Sit the patient upright and observe
364:) and ask the patient to stand while you maintain pressure. If the leg veins now refill rapidly, the incompetence is located below the saphenofemoral junction, and vice versa. This test can be repeated using pressure at any point along the leg until the incompetence has been mapped out.
359:
One leg at a time. With the patient supine, empty the superficial veins by 'milking' the leg in the distal to proximal direction. Now press with your thumb over the saphenofemoral junction (2.5 cm below and 2.5 cm lateral to the
193:– arterial ulcers tend to be on the borders / sides of the foot, neuropathic ulcers on the plantar surface of the foot, venous ulcers tend on be on the medial aspect of the leg superior to the
413:
245:– should be tested for in dependent locations – dorsum of foot, if present then on the shins. If the patient has been in bed for a longer period of time one should check the
322:(ABPI) assesses peripheral vascular disease. It may however be unreliable in patients with calcified arteries in the calf (often diabetic patients) or those with extensive
406:
399:
333:
Venous refill with dependency (should be less than 30 seconds) – the vein should bulge outward within 30 seconds of elevation for one minute.
859:
32:
877:
800:
148:
and the bed or examination table should be flat. The patient's hands should remain at their sides with their head resting on a pillow.
788:
699:
872:
821:
447:
930:
319:
201:
668:
105:
925:
795:
783:
484:
479:
775:
154:
Draping – the legs should be exposed, the groin and thigh covered. Drapes are usually placed between the legs.
867:
650:
274:
904:
839:
711:
560:
265:
342:
the feet. In normal patients, the feet quickly turn pink. If, more slowly, they turn red like a cooked
755:
694:
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527:
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422:
216:
109:
891:
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336:
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280:
252:
194:
750:
611:
442:
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166:
145:
97:
391:
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729:
616:
588:
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361:
354:
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290:
379:
43:
919:
494:
112:, or when a patient presents with leg pain suggestive of a cardiovascular pathology.
686:
628:
550:
327:
210:
190:
130:
330:
or Toe-brachial pressure index (TBPI) should be measured to aid in the diagnosis.
816:
765:
570:
236:
227:
271:– on dorsal surface of the foot, running lateral to the tendon of the first toe
719:
638:
633:
583:
467:
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pulse – in the femoral triangle / halfway between the ASIS and pubic tubercle
555:
512:
125:
101:
844:
347:
184:
462:
343:
507:
323:
246:
760:
307:
268:
242:
226:
537:
353:
Brodie-Trendelenburg test (assessment of valvular competence if
284:
172:
395:
15:
86:
assess signs of pathology in the peripheral vascular system
55:
47:
239:– cool suggest poor circulation, sides should be compared
51:
231:
Example of pitting edema in a person with liver failure
39:
386:
http://circ.ahajournals.org/cgi/content/full/105/7/886
277:
pulse – posterior and inferior to the medial malleolus
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http://jama.ama-assn.org/cgi/content/full/300/2/197
82:
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162:On inspection the clinician looks for signs of:
388:Circulation: Tools for Coronary Risk Assessment
407:
8:
532:
414:
400:
392:
144:Position – patient should be lying in the
151:Lighting – adjusted so that it is ideal.
33:instructions, advice, or how-to content
74:
339:(assessment of arterial sufficiency):
96:is a medical examination to discover
7:
801:Upper limb neurological examination
42:so that it is more encyclopedic or
14:
115:The exam includes several parts:
287:, typically done with both hands
255:– should be less than 3 seconds.
20:
822:Ballard Maturational Assessment
682:Peripheral vascular examination
178:muscle wasting/muscle asymmetry
108:. It is performed as part of a
94:peripheral vascular examination
78:Peripheral vascular examination
448:History of the present illness
1:
789:Mini–mental state examination
700:Ankle–brachial pressure index
320:Ankle-brachial pressure index
202:peripheral vascular disease
947:
382:JAMA: Ankle Brachial Index
106:peripheral vascular system
796:Cranial nerve examination
200:hair – hair is absent in
140:Position/lighting/draping
119:Position/lighting/draping
207:shiny skin – seen in PVD
868:Athletic heart syndrome
275:Posterior tibial artery
905:Differential diagnosis
840:Well-woman examination
232:
266:Dorsalis pedis artery
230:
931:Physical examination
873:Sudden cardiac death
756:Shoulder examination
695:Abdominojugular test
528:Physical examination
475:Past medical history
217:Lipodermatosclerosis
110:physical examination
892:Assessment and plan
677:Cardiac examination
622:Swinging light test
490:Psychiatric history
423:Medical examination
283:pulse – behind the
40:rewrite the content
850:Breast examination
725:Rectal examination
659:Respiratory sounds
458:Nursing assessment
233:
171:previous surgery (
913:
912:
900:Medical diagnosis
886:
885:
761:Elbow examination
314:Special maneuvers
135:Special maneuvers
90:
89:
73:
72:
938:
926:Vascular surgery
746:Knee examination
594:Respiratory rate
533:
416:
409:
402:
393:
326:, in which case
281:Popliteal artery
253:Capillary refill
195:medial malleolus
181:edema (swelling)
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24:
23:
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909:
882:
854:
826:
805:
770:
751:Hip examination
739:Musculoskeletal
734:
706:
663:
645:
612:Eye examination
598:
565:
522:
443:Chief complaint
435:Medical history
429:
420:
376:
371:
358:
340:
316:
300:
262:
260:Arterial pulses
225:
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146:supine position
142:
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37:
25:
21:
12:
11:
5:
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669:Cardiovascular
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626:
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619:
617:Ophthalmoscopy
608:
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589:Blood pressure
586:
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495:Progress notes
492:
487:
485:Social history
482:
480:Family history
477:
472:
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455:
453:Systems review
450:
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431:
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427:history taking
421:
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396:
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374:External links
372:
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367:
366:
365:
362:pubic tubercle
355:varicose veins
351:
337:Buerger's test
334:
331:
315:
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305:femoral artery
299:
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291:Femoral artery
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88:
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28:
26:
19:
13:
10:
9:
6:
4:
3:
2:
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832:Gynecological
829:
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818:
815:
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812:
808:
802:
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797:
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790:
787:
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784:Mental status
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357:are present):
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243:Pitting edema
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45:
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35:
34:
29:This article
27:
18:
17:
776:Neurological
730:Bowel sounds
687:Heart sounds
681:
551:Auscultation
328:toe pressure
298:Auscultation
211:Haemosiderin
161:
153:
150:
143:
131:Auscultation
114:
93:
91:
61:
38:Please help
30:
817:Apgar score
766:GALS screen
651:Respiratory
579:Temperature
571:Vital signs
468:Medications
237:Temperature
48:Wikiversity
920:Categories
720:Liver span
584:Heart rate
561:Percussion
546:Inspection
499:Mnemonics
369:References
346:, suspect
158:Inspection
122:Inspection
56:Wikivoyage
712:Abdominal
556:Palpation
463:Allergies
223:Palpation
187:(redness)
126:Palpation
102:pathology
64:July 2013
52:Wikibooks
31:contains
845:Pap test
810:Neonatal
536:General/
517:COASTMAP
348:ischemia
213:deposits
185:erythema
629:Hearing
344:lobster
104:in the
83:Purpose
860:Sports
691:Other
508:OPQRST
503:SAMPLE
324:oedema
308:bruits
247:sacrum
191:ulcers
167:trauma
46:it to
878:RED-S
639:Rinne
634:Weber
604:HEENT
269:pulse
204:(PVD)
173:scars
98:signs
54:, or
538:IPPA
513:SOAP
425:and
303:For
285:knee
44:move
100:of
922::
92:A
50:,
415:e
408:t
401:v
350:.
249:.
197:.
175:)
66:)
62:(
58:.
36:.
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