NSE 13A/B Chapter Notes - Chapter 28: Posterior Tibial Artery, Popliteal Vein, Popliteal Artery
9 Feb 2019
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Subjective data: leg pain or cramps, skin changes on arms or legs, swelling in the arms or legs, lymph node enlargement, medications. Inspect and palpate the legs: uncover legs while keeping genitalia draped. Inspect legs together- note colour, hair distribution, venous pattern( normally flat -- if not varicosities-- enlarged vein), size ( swelling or atrophy), any skin lesions or ulcers. If lower legs look asymmetrical or if dvt i suspected, measure calf circumference with tape. Infants and children: pulse should be normal and symmetrical - should be the same in the upper and lower extremities, lymph nodes often palpable in healthy infants and children -- non tender tho, vaccinations can produce local lymphadenopathy. Pregnant women: expect diffuse bilateral pitting edema in the lower extremities esp at the end of the day and intot he third trimester, varicose veins also common in the third trimester.
