Health Assessment Across the Lifespan NRS 102

 Structure and Function  Subjective Data—Health History Questions  Objective Data—The Physical Exam  Abnormal Findings Slide 20-2

Arteries  Temporal artery  Carotid artery  Arteries in the arm  Brachial  Ulnar  Radial  Arteries in the leg  Femoral  Popliteal  Dorsalis pedis  Posterior tibial Slide 20-3

Veins  Jugular veins  Veins in the arm  Veins in the leg  Deep veins  Femoral  Popliteal  Superficial veins  Great saphenous  Small saphenous  Perforators (connecting veins) Slide 20-4

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 Leg pain or cramps  Skin changes on arm or legs  Swelling  Lymph node enlargement  Medications Slide 20-10

 Preparation  Equipment needed (occasionally)  Paper tape measure  Tourniquet or blood pressure cuff  Stethoscope  Doppler ultrasonic stethoscope Slide 20-11

Arms— Inspect and palpate  Skin  Profile sign  Capillary refill  Symmetry  Radial pulse  Ulnar pulse  Brachial pulse  Epitrochlear lymph node  Modified Allen test Slide 20-12

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Legs— Inspect and palpate  Skin and hair  Symmetry  Temperature  Calf muscle  Inguinal lymph nodes  Femoral pulse  Popliteal pulse  Posterior tibial pulse  Dorsalis pedis pulse  Pretibial edema  Leg veins  Assess while patient stands  Manual compression test Slide 20-16

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Slide © Pat Thomas, 2006.

Slide From Bloom A, Watkins PH, Ireland J: Color atlas of diabetes, ed 2, St. Louis, 1992, Mosby.

Slide © Pat Thomas, 2006.

 Additional techniques  Color changes  Doppler ultrasonic stethoscope  Ankle-brachial index (ABI) Slide 20-23

 Weak, “thready” pulse – 1+  Full, bounding pulse – 3+ Slide 20-24

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 Arms  Raynaud’s syndrome  Lymphedema  Legs  Arteriosclerosis—ischemic ulcer  Venous (stasis) ulcer  Superficial varicose veins  Deep vein thrombophlebitis  Occlusions  Aneurysms Slide 20-28