Question

Outline key subjective data to collect to assess the health of the peripheral vascular and lymphatics systems.

Answer 1

Peripheral vascular system is one of the cardiovascular systems. Cardiovascular system in which right side of veins receives the blood from the tissues to the right side of the heart. Left side of the arteries supplies from the left side of the heart to tissue. Here arteries, arterioles, capillaries, veins and venules and lymphatic vessels an role maintaintaing the function of peripheral vascular system and lymphatic system. lymphatic system consists of spleen, thymus, tonsils, lymph nodes.

History collection regarding the peripheral vascular system

Age is one factor to be considered because advances in age, there is a chance in the arteries, arterioles such as atherosclerosis. Age is non modifiable factor

Gender: female are chances to have atherosclerotic changes in the arteries because of loss of estrogen after menopause. Estrogen tends to protect arteries by avoiding the lipid stagnation in the arteries.

Work: some of the work tends to have more stress. That affects causes injury to the vessels. Drivers, nurses, teachers, construction workers tend to have varicose veins due to long standing of dangling legs

Personal history: Lifestyle: diet plays an important in developing of atherosclerotic because high fat and high simple carbohydrate increase a chance of diabetes mellitus and later development of high cholesterol

Smoking: changes in the arteries due to nicotinic effect that affect the arteries and causes spasm and reduced blood circulation to the tissues.

Exercise: lack of exercise that decrease blood circulation to the peripheral tissues and tissues lacks poor circulation of oxygen and blood

Family history: family history of atherosclerotic disease, hypercholesterolemia tend to have more chances of atherosclerotic disease, hypertension, diabetes mellitus, renal artery disease

History of taking medication related to : women tend to have to use oral contraceptives that increase hypercoagulability of blood. History of taking anticoagulant medication for heart related disease, history of any fracture that causes the clot formation, any history of cancer, spinal cord injury that causes paralysis and immobilization, pregnancy in which chances to have rectal hemorrhoid. Diabetes mellitus patients chances to have diabetic ulcer due to poor circulation of blood and oxygen to tissue. History of hypertension causes aortic aneurysm, history of cirrhosis of liver that causes dilation of vessels in the skin

Present history: way of sitting for example crossing of legs that impairs the blood circulation to the periphery and tight clothing such as shoe, laces, and inner wears also impairs blood circulation.

Pain: type of pain, nature of pain and aggravating factors. In Reynaud phenomenon, vasoconstriction occurs in times of exposure to cold. Claudicating of pain no of steps that increase pain, relieved with rest, rest pain, location of pain is to be asked. In varicose veins nocturnal pain is a charcaterstic of varicose vein

Edema: nature of edema, dependent edema and independent edema, unilateral edema, bilateral edema

Any cognitive changes: memory and motor speech, dizziness, giddiness related to poor circulation to cerebrum

Eyes: time of bleeding due to rupture of tiny blood vessels due to hypertension,

Vision: due to occlusion of retinal vessels causes blurred vision, loss of vision

Skin; color changes in the color and duration of color changes

Lymphatic system: socioecomic history: nature of living, mosquito exposure, opens drainage systems.

History: history of infection and which type of infection, ear and nose and teeth, tonsils infection causes nearby enlargement of nodes. Breast cancer causes enlargement of nodes in the arm pit. Hodgekisn and non hodgekins diseases is a cancer of lymphoma.