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Lecture objectives:
Arteries
Veins
Lymphatics
Abnormal findings:
Arteries.
Brachial
Radial
Ulnar
Femoral artery
Popliteal
Anterior tibial dorsalis pedis
Posterior tibial plantar arteries
Ischemia is a
deficient supply of
oxygenated arterial
blood to a body part,
due to constriction or
obstruction of a blood
vessel
Arteries
accessible to
examination
Jugular veins
Veins in the arm:
Veins accessible
to examination
Lymphatics.
Lymphatic
ducts and
drainage
patterns
Lymphatic ducts
Subclavian veins
Lymphoid tissue:
Lymph nodes:
Tonsils:
Spleen
Peyers patches (Lymphoid tissue in intestines)
Tymus gland
Bone marrow
2.
3.
4.
5.
6.
7.
8.
9.
Assesment:
Inspection and palpation
Objective data
Preparation:
Environment
Privacy
Order of exam
Equipment needed:
Tourniquet or blood
pressure cuff
Stethoscope
Paper tape measure
Doppler ultrasonic
stethoscope
Carotid Artery
Auscultation
Jugular Veins
Distended external jugular veins signify increased CVP, as with heart failure
The higher the CVP, the higher the position you will need
Question
Inspect for:
Color of skin and nailbeds
Temperature, texture and turgor of skin
Any lesions, edema
Nail clubbing.
160 degrees
What is normal nail bed angle?
Use profile sign to detect early clubbing
Capillary refill is an index of peripheral perfusion
and cardiac output.
Depress and blench the nail beds; release and note the
time for color return. Normally 1 to 2 seconds.
0 absent
1+, weak
2+, normal
3+, increased
4+, bounding
Inspect for:
Color of skin and nailbeds
Temperature, texture and
turgor of skin
Any lesions, edema
Capillary refill
Hair distribution
Size (swelling or atrophy)