Loyola University Medical Education Network Patient Centered Medicine 2
August 7, 2007

The Peripheral Vascular System
Bernadette Aulivola, MD

THE PERIPHERAL and CARDIOVASCULAR SYSTEMS 

Lecture: 1:15 p.m., Tobin Hall (190)
Assignment
 
Reading Assignment
1.  Bates' Guide to Physical Examination and History Taking, 8th ed., Chapters 14 
2. Bates' Guide to Physical Examination and History Taking, 8th ed., pp. 245-279
3.   Computer Assisted Lessons
A. Stethoscope, Blood Pressure, and Neck Veins
B. Heart Sounds and Murmurs
C. Peripheral Blood Vessels Exam

Key Concepts and Learning Objectives
Describe the relevant anatomy and physiology as pertains to the examination of the arteries and veins

  1. Identify signs and systems of arterial and venous insufficiency and ulcers
  2. Identify surface anatomy of arteries and veins
  3. Identify clinical significance of physical findings to predict Peripheral Vascular Disease
  4. Identify the grading system for peripheral pulses
  5. Identify the difference between a thrill and bruit

Small Group Session: Immediately following lecture, SDLs, Seminar Rooms, or CSC (330)
 

Equipment Required: Bring stethoscope, blood pressure cuff, and shorts to wear to facilitate
practicing the exam steps on each other.
Session Objectives Teaching Methods
The Peripheral Vascular Exam
1. Perform steps 5, 34, 38, 48, 50, 52, and 53, of the Basic Screening Examination Details.
2.  Write up examination of peripheral exam.
3. Describe how to grade pulses.
4. Perform Allen Test

Cardionvascular Exam
  1. Perform Cardionvascular exam steps 6, 33, 35, 36, 37, and 39 of the Basic Screening Examination Details.
  2. Write up Cardionvascular exam
 Pediatric Exam
Brief question and answer on Monday's Pediatric Exam and Lecture

The Peripheral Vascular Exam

1.  Brief discussion  to review the major concepts learned from the readings and lecture.
2.  Co-facilitators review peripheral vascular exam technique and ensure understanding by all.
3. Students practice PV exam on each other
4.  Co-facilitators review how to write up PV exam.

 

Cardiovascular Exam

  1. Brief discussion to review Cardiovascular exam steps.
  2. Co-facilitators review Cardiovascular exam steps and ensure understanding by all.
  3. Students practice on each other
  4. Co-facilitators demonstrate how to write up the Cardiovascular exam.
lmedleyl@lumc.edu
Last Updated: 05/23/07
Created: 08/24/1998