Chapter 12 - PVD Flashcards

1
Q

MC cause of peripheral arterial occlusive disease:

A

Atherosclerosis affecting medium-large sized vessels of the extremities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

AAA usually occurs below ____

A

Renal arteries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

AAA are MC in which population?

A

White males

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Rule of 15 in diabetic patients =

A

15% of diabetics will develop a foot ulcer
15% of those ulcers will lead to osteomyelitis
15% of ulcers lead to amputation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Rule of 50 in diabetic patients =

A

50% of amputations are transfemoral/transtibial level
50% of pts have a 2nd amputation in 5 yrs or less
50% of pts die in 5 years or less

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the principle symptom of atherosclerosis?

A

Pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Define intermittent claudication

A

Pain in the lower extremity during exercise (relieved by rest)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Where is the site of pain in occlusive atherosclerosis?

A

Distal to the occlusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Define venous claudication

A

Pain that occurs with DVT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the unique feature of venous claudication?

A

Motionless standing is often more difficult than walking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Define neurogenic claudication

A
  • Common symptom of lumbar spinal stenosis
  • Inflammation of the nerves
  • Pain is often related to posture
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Leriche’s syndrome and what does the patient present with?

A
  • Chronic aortoiliac obstruction

- Intermittent claudication and ED

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Define pseudoclaudication

A
  • Bilat leg pain or numbness that occurs walking or at rest

- A/w musculoskeletal disease in lumbar area

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How is skin affected in arterial insufficiency vs. venous insufficiency?

A
  • Arterial = cool and pale extremity

- Venous = red and warm extremity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How do ulcers occur in arterial vs. venous disease?

A
  • Arterial = d/t trauma to toes/heel, painful, “punched out”

- Venous = stasis ulceration = painless in the ankle/medial malleolus areas, “cobblestone”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly