Arterial and Venous Disease

Question 1

what is the function of the calf muscle with blood flow

Answer 1

peripheral heart - soleus and gastrocneimis pump blood through deep veins back to the heart via contractions

Question 2

outline typres of peripheral venous disease

Answer 2

varicose veins
venous eczma and ulceration
DVT
venous hypertension

the patient will present with muscle cramps and itching along the vein if a symptomatic presentation

Question 3

varicose veins

Answer 3

dilated veins collapse and distend - slows blood movement
weak vein walls

not nice to look at

Question 4

venous eczma and ulceration

Answer 4

itchiy , red , ulcerated
can lead to liperdematoslcerosis

a chronic and painful result of venous hypertension

Question 5

DVT

Answer 5

a thombosis fored , often in veins of the leg

due to virchows triad

occurs in post surgery, pregnancy

will see tender calf, odema, asymetry of legs , pyrexia with no other cause

promote movement after surgery and give prophylaxis to prevent

can cause a fatal pulmonary embolism

Question 6

outline peripheral arterial disease

Answer 6

cause of acute and chronic limb ischemia

acute
acute occlusion - no time to form collateral circulation
due to trauma or embolism

pain,pulsless,parastehisa,paralysis

refer to surgery asap

chronic -
will see intermittent claudication

or critcal ischemia at rest

can cause ulceration/gangrene

Question 7

where are the lower limb pulses

Answer 7

Femoral artery - MIPA - asis and pubic symph
Poplteal pulse - deep in the fossa
Posterior tibial pulse - behind the medial malleolus
Dorsis pedalis pulse - lateral to EHL tendon

Question 8

Doppler

Answer 8

give it a go but not vital