[11] Peripheral Vascular Disease Flashcards
Most common cause of Peripheral Vascular Disease
Atherosclerosis
Most common venous disorder
Chronic Venous Insufficiency
Clinical syndrome described ny intermittent hip/thigh/calf claudication, impotence and significantly decreased bilateral femoral pulses
Leriche Syndrome
Most common manifestation of Peripheral Arterial Disease
Asymptomatic PAD
Deadly Duo for PVDs
Smoking and Obesity
Severe Aortic Regurgitation upon Inspection is called?
Corrigan’s Pulse
“Heart” of veinous valve movement
Calf Muscle Pump
[True Claudication vs. Pseudoclaudication]
Cause
T: Occlusive Arterial Disease
F: Spinal Stenosis
[True Claudication vs. Pseudoclaudication]
Onset
T: Walking
F: Erect Posture
[True Claudication vs. Pseudoclaudication]
Discomfort
T: Cramp, ache, fatigue
F: Parasthesia, pain
[True Claudication vs. Pseudoclaudication]
Bilateral
T: +/-
F: Generally bilateral
[True Claudication vs. Pseudoclaudication]
Relief
T: Standing Still
F: Sit down, lean on something, flex the spine
Test done to examine microcirculation in the hand
Allen’s Test
What is Elevation Pallor
Test wherein a patients ankle is raised and should pale in 15-20 seconds and pink up in less than 60 seconds
If the sole remains pale, there is increased likelihood of severe PAD
What is Dependency Rubor
Patients legs are dangled off the side of the bed and if a foot reddens severely and persists, that leg is affected with PAD
Ischemic/Arterial Ulcers are usually located?
Tips of Extremities
Venous Stasis Ulcers are usually located?
Ankle Area (Middle Malleoli)
Neuropathic Ulcers are usually located?
High friction areas
Usually found in diabetic patients
[Embolic vs. Thrombotic Acute Limb Ischemia]
Onset of Symptom
E: Rapid
T: Slow
[Embolic vs. Thrombotic Acute Limb Ischemia]
Prior Symptoms
E: Infrequent
T: Frequent
[Embolic vs. Thrombotic Acute Limb Ischemia]
Opposite Leg Affected
E: Not affected
T: Affected
[Embolic vs. Thrombotic Acute Limb Ischemia]
Recent Heart Disease
E: Frequently with
T: +/-
[Embolic vs. Thrombotic Acute Limb Ischemia]
Amputation Risk
E: Low
T: High
[Embolic vs. Thrombotic Acute Limb Ischemia]
More Deadly of the Two
Thrombotic
Is a higher ankle brachial index better or a lower one?
Higher, the lower the value the higher the risk of dying from a cardiac event
Define: CVI Stage 0
No visible sign of disease
Define: CVI Stage I
Telangiectasia/Reticular Veins
Define: CVI Stage II
Varicose Veins
Define: CVI Stage III
Ankle Edema
Define: CVI Stage IV
Changes in Skin and Subcutaneous Tissue
Define: CVI Stage V
Healed Ulcer
Define: CVI Stage VI
Active Stasis Ulcer
Difference between Lipidemia and Lymphedema
Feet are spared in Lipidemia because of the retinaculum which limits deposition of fat
