2. 2
Outcomes
Identify pertinent peripheral-
vascular and lymphatic history
questions.
Obtain a peripheral-vascular and
lymphatic history.
Perform a peripheral-vascular
and lymphatic physical
assessment. (Continued)
5. 5
Functions
What are the functions of…
Peripheral-vascular structures:
Arteries: carry blood away from
heart
Veins: carry blood to heart
(Continued)
6. 6
Functions
What are the functions of…
Lymphatic structures:
Lymph nodes: filter microorganisms
and foreign substances from lymph
Tonsils: lymphatic tissue in
oropharynx destroys
microorganisms and foreign
substances (Continued)
7. 7
Functions
What are the functions of…
Thymus: secretes thymosin, helps
with T-cell differentiation
Spleen: filters blood and produces
lymphocytes and monocytes
Peyer’s patch: clusters of lymphoid
tissue found in small intestines
12. 12
Case Study
Tasha Jordan, 38- year-
old African American,
married, secretary
c/o increasing pain and
tenderness in left leg
since she delivered
premature baby 1 week
ago.
Pain: dull, throbbing,
swelling of leg
13. 13
History
What can the history tell you about
the P-V and lymphatic system?
Biographical data
Current health status
Past health history
Family history
Review of systems
Psychosocial history
17. 17
Pertinent
History Findings
Dull, throbbing pain; swelling left
leg; increases with standing and
walking
Prolonged bed rest before delivery
and 50 # weight gain during
pregnancy
More tired than usual
28. 28
Insufficiencies
Arterial
Intermittent claudication
Pulses decreased/absent
Pale elevated
Dusky red dependent
Temp is cool
Skin is thin/shiny/hair loss
Nails thick and ridged
If ulcers—around toes
Severe pain—unless
neuropathy masks it
Gangrene may develop
Venous
Prominent leg veins
(rope-like, spider-like)
Lower leg edema
Leg is hard and leathery
Pulses normal
Normal temp
Brownish pigmentation
Ulcers—occur at ankles
Pain not severe
Eczema or stasis
dermatitis
No gangrene