AND ANSWERS GRADED A+
◉ Examination Findings of a child with Kawasaki disease. Answer:
Fever, Conjunctival Injection, Strawberry Tongue, and Edema of the
Hands and Feet.
Lymphadenopathy and Polymorphous Nonvesicular Rashes.
◉ Ammonia in breath odor. Answer: Uremia (ammonia)
◉ Grading of Pulses. Answer: 4+ Bounding
3+ Full, Increased
2+ Expected
1+ Diminished, barely palpable
0 Absent, not palpable
◉ Acute Limb Ischemia (ALI). Answer: Stage I - Viable - No sensory
impairment - No motor impairment - Audible Arterial Doppler Signal -
Audible Venous Dopler Signal
Stage IIa - Marginally Threatened - Minimal Sensory Impairment - No
Motor Impairment - Often inaudible Arterial Doppler Signal - Audible
Venous Doppler Signal
, Stage IIb - Immediately Threatened - Rest Pain Sensory Impairment -
Mild to moderate Motor Impairment - Inaudible Arterial Doppler Signal
- Audible Venous Doppler Signal
Stage III - Irreversible - Anesthetic Sensory Impairment - Paralytic/rigor
Motor Impairment - Inaudible Arterial Doppler Signal - Inaudible
Venous Doppler Signal
◉ Assessment for Peripheral Arterial Disease. Answer: Site of Pain is
Distal to the Narrowing.
Note:
Pulses (strong, weak or possibly absent)
Possible systolic bruits over the arteries that may extend through
diastole.
Loss of expected body warmth.
Localized pallor and cyanosis.
Collapsed superficial veins, with delay in venous filling.
Thin, atrophied skin; muscle atrophy.
◉ Varicosity Findings In Pregnant Women. Answer: With increasing
cardiac output beginning in the 1st trimester, the pulse may be more
easily palpated, with an abrupt rise and rapid fall. With increasing blood
volume in the second trimester, jugular a and v waves may be easier to
see. JVP should remain normal. Peripheral edema is a common finding
as the pregnancy progresses. Varicose veins can develop during
pregnancy and in the postpartum period.