Aneurysms and peripheral vasc disease

Question 1

Aneurysm definition and etiology

Answer 1

localized dilation of the wall of the blood vessel

Hypertension atherosclerosis trauma

Question 2

aneurysm location, diagnosis, and consequences

Answer 2

popliteal Arteries and aorta

blowing murmur on auscultation over the artery CT,MRI, ultrasound

Rupture hemorrhage thrombi emboli

Question 3

Aortic aneurysms

Answer 3

pathological permanent dilation of the aortic wall involving any number of segments of aorta

At bifurcation of the aorta
90% below the renal arteries

Described in terms of location, size, morphological appearance, and origin

Question 4

Symptomatic aortic aneurysms

Answer 4

Back pain
Abdominal pain or pressure on
trachea
Left recurrent nerve
Esophagus
Strider
Jugular venous distention

Question 5

Implications for therapy

Answer 5

check for pulsating mass in abdominal area
Check for tenderness or dysphasia

With low back pain, every patient needs to have aortic aneurysm ruled out

Check for claudication pain, numbness, poor distal pulses, excessive fatigue

Question 6

manifestations of a rupture

Answer 6

groin pain
syncope
Paralysis
flank mass

medical emergency!!

Question 7

Peripheral vascular disease

Answer 7

Blood vessels outside the heart are affected

Slow and progressive circulatory disorder
Narrowing blockage spasm

Arteries veins lymphatics

Question 8

PAD affects

Answer 8

Arteries of the lower extremities

It is not due to non-atherosclerotic causes of arterial disease

Question 9

prevalence of PAD

Answer 9

Impacts one in 20 individuals over the age of 50

One and every three individuals over age of 50 with diabetes have PAD

8 to 10,000,000 individuals in the US have it

Worldwide there is 202 million individuals with PAD

Question 10

Risk factors of PAD

Answer 10

Smoking
Diabetes
Hypertension
High cholesterol
Obese
Age over 75
History of heart attack or stent
High c reactive proteins

Question 11

clinical presentation of PAD

Answer 11

angina pain, aching leg cramping
Fatigue in exercising muscle
discoloration of skin on legs or foot
Wounds or ulcers on feet or legs
reduced distal pulse

Question 12

Distinct presentations of PAD

Answer 12

asymptomatic
Classic claudication
Atypical leg pain
Critical limb ischemia
Acute limb ischemia

Question 13

what test differentiates between neurogenic or vascular?

Answer 13

Bicycle test of van gelderhen

pain Persist in flex position for vascular pain

Question 14

physical therapy goals for pad

Answer 14

Relieve exertional symptoms
Improve gait
Reduce atherosclerotic burden

Stop if there’s chest pain

Question 15

Medication for PAD

Answer 15

anti-platelet drugs

Cholesterol reducers

Anticoagulants

Anti-hypertensive

Question 16

Peripheral Venous disease

Answer 16

veins that carry deoxygenated blood to the heart are affected

heaviness or achiness in legs
itching
Ulcers
Swelling
bulging, or varicose veins

Question 17

chronic venous insufficiency

Answer 17

Issues with blood returning to the heart

Pooling blood in legs
Leads to high-pressure affected veins
Surrounding edema
Discoloration ulceration cellulitis

Question 18

novel oral anticoagulant

Answer 18

Wait three hours then mobilize

Question 19

Low molecular weight heparin

Answer 19

Wait more than five hours then mobilize

Question 20

Unfractionated heparin

Answer 20

Wait longer than 48 hours then mobilize