Cardiovascular and Pulmonary: Peripheral Vascular Disease: Arterial Disease

Question 1

Occlusive Peripheral Arterial Disease

Answer 1

• Occlusion of medium to large sized vessels

- Results from peripheral atherosclerosis

Question 2

Occlusive Peripheral Arterial Disease: Pulse

Answer 2

• Pulses decreased or absent

- Diminished blood supply to area

Question 3

Occlusive Peripheral Arterial Disease: Color

Answer 3

• Pale on elevation

- Dusky Rubor on dependency

Question 4

Occlusive Peripheral Arterial Disease: Early Stages

Answer 4

• Intermittent Claudication

- Occurs regularly and predictably with walking and relieved by rest

Question 5

Occlusive Peripheral Arterial Disease: Late Stages

Answer 5

• Pain with rest
• Muscle atrophy
• Trophic changes

Question 6

Occlusive Peripheral Arterial Disease: Other

Answer 6

Critical patients will exhibit 
- Resting or nocturnal pain
- Skin ulcers
- Gangrene
Affects primarily the LE

Question 7

Diabetic Angiopathy

Answer 7

• Blood glucose levels that elevate and accelerate atherosclerosis.
• Neuropathy is a major complication
• Neurotrophic ulcers can lead to gangrene and amputation

Question 8

Raynaud’s Disease

Answer 8

• Episodic spasm of small arteries and arterioles

- Abnormal vasoconstrictor reflex

Question 9

Raynaud’s Disease: Exacerbating Factors

Answer 9

• Cold

Question 10

Raynaud’s Disease: Presentation in the Hands

Answer 10

• Pallor
• Cyanosis
• Numbness/Tingling

Question 11

Raynaud’s Disease: Gender

Answer 11

• Effects mostly females