10. MTB Step 3 - Peripheral Arterial Disease (PAD) Flashcards
1
Q
PRESENTATION
What are (3) Common Presenting Signs/Symptoms of Peripheral Arterial Disease (PAD)?
A
- Claudication (pain in calves on exertion)
- Smooth, Shiny Skin with Loss of Hair and Sweat Glands
- Loss of Pulses in the Feet
Arterial Occlusion = Pain + Pallor + Pulselessness
2
Q
DIAGNOSIS
- What is the Best INITIAL Test for PAD?
- What is the Most ACCURATE Test for PAD?
A
-
Ankle-Brachial Index (ABI)
- Normal > 0.9
- Obstuction > 10% difference between Legs and Arms
- Angiography
3
Q
TREATMENT
What are the (5) Therapies that make up the Best INITIAL Therapy for PAD?
A
- Aspirin
- ACEIs
- Exercise (as tolerated)
- Cilostazol
- Statin (Target = LDL < 100)
4
Q
ACUTE ARTERIAL EMBOLUS
What are (3) Common Presenting Signs/Symptoms of Acute Arterial Embolus?
A
- Sudden Onset of Pain
- Loss of Pulse
- Cold Extremity