Author Question: The clinician should be aware of the Wells' Criteria when evaluating a patient for deep vein ... (Read 75 times)

Ebrown

  • Hero Member
  • *****
  • Posts: 567
The clinician should be aware of the Wells' Criteria when evaluating a patient for deep vein thrombosis (DVT). Wells' Criteria are risk factors that are assigned points toward the likelihood of DVT. Wells' Criteria include:
 
  A. Active cancer
  B. Recent bedridden condition
  C. Pitting edema
  D. All of the above

Question 2

Your pregnant patient is at 8 weeks' gestation and complains of pain that radiates from the wrist into the fingers in the right hand. She is a computer programmer and uses a keyboard daily for 6 hours or more. The clinician should:
 
  A. Ask the person to place dorsal surfaces of hands together to check for Phalen's sign
  B. Teach the patient that carpal tunnel syndrome is common during pregnancy
  C. Tap the patient's right wrist to try to elicit tingling in the fingers for Tinel's sign
  D. All of the above



wshriver

  • Sr. Member
  • ****
  • Posts: 318
Answer to Question 1

ANS: D
Wells' Criteria Possible score: 2 to 9
1. Active cancer (treatment within last 6 months or palliative): +1 point
2. Calf swelling greater than or equal to 3 cm compared to asymptomatic calf (measured 10 cm below tibial tuberosity): +1 point
3. Swollen unilateral superficial veins (nonvaricose in symptomatic leg): +1 point
4. Unilateral pitting edema (in symptomatic leg): +1 point
5. Previous documented deep vein thrombosis: +1 point
6. Swelling of entire leg: +1 point
7. Localized tenderness along the deep venous system: +1 point
8. Paralysis, paresis, or recent cast immobilization of lower extremities: +1 point
9. Recently bedridden 3 days or more, or major surgery requiring regional or general anesthetic in the past 12 weeks: +1 point
10. Alternative diagnosis at least as likely: 2 points

Answer to Question 2

ANS: D
Carpal tunnel syndrome results from compression of the median nerve in the carpal tunnel, which results in paresthesias or weakness of the thumb, index, and middle fingers (Viera, 2003). Carpal tunnel syndrome occurs in 20 to 60 of pregnant women and often causes these women to awake with burning, numbness, and tingling in the median nerve distribution (Padua et al., 2001; Weimer et al., 2002). However, these symptoms usually tend to occur during the last trimester. Tinel's sign and Phalen's test should be performed. Upper extremity, grip, and finger strength should be assessed along with the ability to oppose the thumb to the fingers. An evaluation for thenar atrophy and dry skin on the thumb as well as index and middle fingers (median nerve distribution) should be completed. The size and shape of joints, skin color, pulses, and capillary refill should be noted.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question

wshriver

  • Sr. Member
  • ****
  • Posts: 318

 

Did you know?

Though the United States has largely rejected the metric system, it is used for currency, as in 100 pennies = 1 dollar. Previously, the British currency system was used, with measurements such as 12 pence to the shilling, and 20 shillings to the pound.

Did you know?

Inotropic therapy does not have a role in the treatment of most heart failure patients. These drugs can make patients feel and function better but usually do not lengthen the predicted length of their lives.

Did you know?

Earwax has antimicrobial properties that reduce the viability of bacteria and fungus in the human ear.

Did you know?

The most common treatment options for addiction include psychotherapy, support groups, and individual counseling.

Did you know?

Thyroid conditions cause a higher risk of fibromyalgia and chronic fatigue syndrome.

For a complete list of videos, visit our video library