Peripheral Vascular Exam (PVD)
Peripheral Vascular Exam (PVD)
Please assess the student performing a peripheral vascular exam of the upper and lower extremities
Student's Email:

GENERAL - Observe the student doing the following:

Washes hands
       
Introduces self and exam to patient
               
Appropriate draping of patient

Expose both legs to the ASIS. Ensure the groin remains draped

               

INSPECTION - The student should comment on the following:

Patient's general appearance

Ex: Well/unwell, in pain

               
Swelling
               
Erythema
               
Atrophy/hypertrophy
               
Deformities
               
Skin and nail changes

Ex: Hair loss, shiny skin

               
Arterial & venous ulcers

Arterial - Distal to medial malleolus, Venous - Proximal to medial malleolus

               
Varicose veins
               
Signs of cyanosis

Central - Bluish mucous membranes, Peripheral - Bluish extremities

               
Examines for symmetry
               

PALPATION - Observe the student performing the following manoeuvers:

Palpates the popliteal pulse

In the popliteal fossa with the knee flexed

               
Palpates the posterior tibial pulse

Posterior to the medial malleolus

               
Palpates the dorsalis pedis pulse

Lateral to extensor hallucis longus tendon

               
Comments on rate, rhythm, and amplitude of pulses
               
Palpates pulses bilaterally
               
Peripheral edema

Best detected over the tibia, or the dorsum of foot

               
Temperature

Compare temperature bilaterally

               
Capillary refill

Normal - Return of color within 3-4 seconds

               
Tenderness
               

SPECIAL TESTS - Observe the student performing the following manoeuvers:

Pallor on elevation

Normal - mild pallor, Abnormal - Marked pallor signifies arterial insufficiency

               
Rubor on dependency

Normal - Color returns in <10seconds, Abnormal - Flushing

               

GLOBAL RATING SCALES - Please rate the student on their overall performance:

Understands rational of manoeuvers and findings
                   
Organized approach
                   
Sensitivity toward patient concerns and comfort during the examination