Writing Up the Physical Examination

Listed here are examples of the write-up for the examination of the vascular system.

• The extremities are normal in color, size, and temperature. All pulses in the upper and lower extremities are grade 2 and are equal. No bruits are present. No clubbing, cyanosis, or edema is present.

• There are yellow, waxy, sharply demarcated lesions on both anterior shins. Both legs appear slightly cool, the left greater than the right. There is a punched-out ulceration on the lateral aspect of the left ankle. The left big toe is blackened, with a sharp demarcation. The femoral pulses are grade 2 bilaterally. No distal pulses are felt. There is 1+ pretibial edema present bilaterally. No clubbing or cyanosis is present.

• The right lower extremity is 3 cm larger than the left, measured 4 cm below the inferior aspect of the patella. The right calf is tender, warm, and erythematous. A cord is palpated in the right groin. Both lower extremities are edematous

Table 15-4 Differential Diagnosis of the Main Vascular Diseases Causing Gangrene

Feature Diabetes Atherosclerosis Thromboangiitis Obliterans Raynaud's Disease Arterial Embolism and hyperpigmented. There is 3+ pretibial edema on the right and 2+ pretibial edema on the left. A small ulceration is present above the left medial malleolus. The arterial pulses are grade 2 at the femoral arteries and grade 1 at the popliteal arteries. No pulses are palpated distal to the popliteal arteries. No clubbing or cyanosis is present.

Was this article helpful?

0 0
Hearing Aids Inside Out

Hearing Aids Inside Out

Have you recently experienced hearing loss? Most probably you need hearing aids, but don't know much about them. To learn everything you need to know about hearing aids, read the eBook, Hearing Aids Inside Out. The book comprises 113 pages of excellent content utterly free of technical jargon, written in simple language, and in a flowing style that can easily be read and understood by all.

Get My Free Ebook

Post a comment