Peripheral Vascular Disease
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 631 Ratings
🗓️ 11 December 2019
⏱️ 15 minutes
🧾️ Download transcript
Summary
Francisco presents with significant left lower leg edema and discoloration along the medial side. The physical therapist is challenged with determining which of the following interventions should be performed FIRST.
How well do you know your peripheral vascular diseases? Let's test your skills in this excellent episode about peripheral vascular disease interventions.
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Transcript
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| 0:00.0 | You are now tuning in to the MPTE clinical files to mock MPTE-based questions told and solved |
| 0:07.0 | by week. Thank you for tuning in to the MPT clinical files. My name is Kyle Rice, the MPT prep coach, |
| 0:13.2 | the founder of the PT Hustle and the creator of the MPT Prep Success coaching program. |
| 0:18.4 | And if you would like a free cheat sheet that goes along with this specific |
| 0:22.4 | question, tune in to the end of this episode. I'm going to give you more information on how to get that. |
| 0:28.5 | All right. So for our next MPT clinical file, we have our patient Francisco. And Francisco presents |
| 0:33.6 | with significant left lower leg edema and discoloration along the medial side. |
| 0:39.8 | The patient's medical chart confirms chronic venous insufficiency. |
| 0:44.8 | However, the patient also has an ABI value of 0.45 in the same extremity. |
| 0:51.8 | Which of the following interventions should be performed first? |
| 0:56.1 | So we have A, sequential pneumatic compression at 30 to 40 millimeters of mercury. |
| 1:02.1 | B, graded aerobic exercise. |
| 1:05.1 | C, manual lymphatic drainage followed by short stretch bandaging. |
| 1:15.3 | D, supine lying with left leg positioning above the heart. All right. So when we look at this question, we have Francisco. |
| 1:20.9 | And Francisco presents with the significant left lower leg edema. All right. So already thinking like, hmm, why is my patient presenting with left lower leg edema? |
| 1:33.2 | Notice it's not the full leg. |
| 1:34.7 | Notice it's not the right leg as well. |
| 1:37.4 | So what potentially could be causing that? |
| 1:40.8 | Now as we continue down in that same exact sentence, it says, and discoloration along the |
| 1:45.4 | medial side. See, that is a, that is something that really starts to ring bells off in my head. |
| 1:53.1 | The reason being is that when you look at cardiopalm and your understanding just vascular |
| 2:00.7 | system and so forth, discoloration along the medial |
... |
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