Sequence of Peripheral Pulse Site
Temporal, Carotid, Brachial, Radial, Ulnar, Femoral, Popliteal, Posterior Tibial, Dorsalis Pedis
Where do you palpate for edema in the legs?
Over tibia, behind medial malleolus, and on dorsum of each foot looking for pitting (depression)
Inspecting upper extremities perform the following.
Capillary Refill (brisk?), Palpate radial, Ulnar, and Brachial pulses
What is the Allen's test
When using two thumbs & applying pressure of patients Ulnar artery & Radial artery, while patient makes a fist. Release pressure to ensure blood refill back in hand.
What would be considered subjective data on a patient pertaining to the lower extremities
Medication (BCP, leg pain, cramps, or tingling.
When performing physical examination of the legs be sure to
Inspect and palpate the legs, capillary refill, Homan's sign, palpate all peripheral pulses & check for pretibial & medial malleolus for edema.
What is the mechanism of venous flow?
Skeletal muscle pressure, Inspiration (Thoracic & Abdominal pressure), Intraluminal valves.
When checking temperature on the lower extremities
Check with both side at same time with dorsal region of hand.
In the elderly, they tend to experience
Loss of hair on legs, thin shiny skin, dorsalis pedis and posterior tibial pulses are more difficult to palpate, increased risk of venous thrombosis & Arteriosclerosis.
Arteriosclerosis can be defined as
Peripheral blood vessels more rigid. Occur in mostly the elderly.
It would be abnormal to find
Raynaud's disease, a disease that occurs from being in cold for long periods of time.
Compression therapy, the cornerstone of treatment for venous insufficiency, can cause tissue necrosis and ulceration in patients with underlying arterial disease.