Chapter 3 Arterial Testing (signs, symtoms, disease mechanisms) Flashcards
What are the 3 types of chronic occlusive disease
1) claudication
2) ischemic rest pain
3) tissue loss
What type of chronic occlusive disease results when there is pain in muscles usually occurring during exercise subsidding with rest
Claudication
This type of chronic occlusive disease results from inadequate blood supply to muscle
Claudication
Pseudo-claudication mimics _______ symptoms but is neurogenic or orthopedic in origin
Vascular
This type of chronic occlusive disease is a more severe symptom of diminished blood flow and occurs when a limb is not dependent
Ischemic rest pain
What type of chronic occlusive disease results from necrosis or death of tissue and is due to deficient or absent blood supply
Tissue loss
Name the 6 P’s of acute arterial occlusion
1) pain
2) pallor
3) pulselessness
4) paraesthesia
5) paralysis
6) polar (cold)
What type of occlusion is an emergency situation since the abrupt onset does not provide for the development of collateral channels
Acute arterial occlusion
What type of occlusion may result from thrombus, embolism, or trauma
Acute arterial occlusion
A condition that exists when symptoms of intermittent digital ischemia occur in response to cold exposure or emotional stress
Raynaud’s phenomenon
What color is pallor
White
What color is cyanosis
Blue
What color is rubor
Dark red
Ischemia due to digital arterial spasms, common in young women that may be hereditary describes what vasospastic disorder
Primary Raynauds
What is another name for secondary raynauds
Obstructive raynauds syndrome
Secondary Raynauds may be the first manisfestation of ________ disease
Buergers
________ result of deficient blood supply; skin pale
Pallor
________ suggests dilated vessels or vessels dilated secondary to reactive hyperemia; skin is reddened
Rubor
_________ is a concentration of deoxygenated hemoglobin causing a bluish discoloration
Cyanosis
Name 5 arteries that are palpable pulses
1) aorta
2) femoral
3) popliteal
4) DPA
5) PTA
What artery is not palpable
Peroneal
What’s another name for auscultation
Bruits
Elevated plasma lipids closely associated with development of atherosclerosis describes
Hyperlipidemia
What is another name for atherosclerosis
Obliterans
Thickening, hardening and loss of elasticity of the artery walls describes
Atherosclerosis
In atherosclerosis changes occur in what 2 layers of the vessel
intima and media
Smoking, hyperlipidemia and family history are major risk factors for
Atherosclerosis
What is caused by obstruction of the aorta usually occurring in males
Leriche syndrome
Obstruction of a vessel by a foreign substance or blood clot describes a
Embolism
Blue toe syndrome is an example of
Embolism
Small plaque breaking loose and traveling distally until it lodges in a small vessel is the most frequent cause of an
Embolism
What type of aneurysm is a dilatation of all 3 arterial wall layers
True aneurysm
Name the 2 types of true aneurysms
1) fusiform
2) saccular
Diffuse circumferential dilatation describes what type of aneurysm
Fusiform
A localized out pouching describes what type of aneurysm
Saccular
This type of aneurysm occurs when a small tear of the the inner wall allows blood to form a cavity between 2 wall layers
Dissecting
Where does a dissecting aneurysm often occur
Thoracic aorta
This type of aneurysm results for me a defect in the main artery wall
Pseudo-aneurysm
The most common location of a true aneurysm is
infrarenal aorta
What is another name for Buergers disease
Thromboangitis obliterans
What is a congenital narrowing or structure of the thoracic aorta called
Coarctation of the aorta
A thin membrane dividing the arterial lumen into 2 compartments describes a
Dissection
In a dissection what part of the arterial wall is weakened
A) intima
B) media
C) adventitia
B) media
_______ claudication results from inadequate blood supply to the exercising muscle
True
What are the 4 causes of true claudication
1) arterial spasms
2) atherosclerosis
3) arteriosclerosis
4) occlusion
What is another name for pseudo false claudication
Musculoskeletal
Buttock claudication strongly suggests what type of disease
Aorto iliac
In buttock claudication if symptoms are unilateral this suggests what type of disease
Iliofemoral
Thigh claudication suggests what type of disease
External iliac/common femoral
Calf claudication suggests what type of disease
Femoral/ popliteal disease
Where do 3 symptoms occur during ischemic rest pain
1) forefoot
2) heel
3) toes
What part of the body does ischemic rest pain not in
Calf
_________ is the most severe symptom of arterial insufficiency
Necrosis
Name the 4 risk factors and contributing diseases
1) diabetes
2) hypertension
3) hyperlipidemia
4) smoking
Atherosclerosis most commonly occurs where
At the carotid bifurcation
________ ________ syndrome may be caused by ulcerated and/or atherosclerotic lesion: and embolization
Blue toe
What are the 2 main complications of an aneurysm
1) rupture of aortic aneurysm
2) distal embolization of peripheral aneurysm
__________ is not generally considered to be a causative factor for a dissecting aneurysm
Atherosclerosis
A __________ is essentially a pulsating hematoma
Pseudo aneurysm
To be considered a _____________there must be a communication from the main artery to the pulsatile structure in the tissue
Pseudo aneurysm
What are the 3 types of arteritis
1) Takayasu
2) temporal
3) poly arteritis
What is the most common form of arteritis
Buergers disease
What is another name for Buegers disease
Thromboangiitis obliterans
___________ __________ is a secondary result of Buergers disease
Superficial thrombophlebitis
Buergers disease is most often associated with collagen vascular syndromes such as ________ arthritis and _______
Rheumatoid arthritis and lupus
What disease is associated with heavy smoking, occurring in men younger than 40 and presents with occlusions of the distal arteries
Buergers disease
2 clinical findings of coarctation of the aorta include
1) hypertension due to decreased kidney perfusion
2) manifestations of lower extremity ischemia
What are 2 other names for primary Raynaud’s phenomenon
1) Raynaud’s disease
2) spastic Raynauds syndrome
Primary Raynauds syndrome is common in young _______ and may be ________
Young women
Hereditary
What are 2 other names for secondary Raynauds
1) secondary Raynaud’s phenomenon
2) obstructive raynaud syndrome
What is the most written about entrapment syndrome
Entrapment of the popliteal artery
Entrapment of the popliteal artery is caused by compression of the _______ artery by the _______ head of the ________ muscle
Compression of the pop artery by the medial head of the gastrocnemius muscle
_______ is a result of deficient blood supply
Parlor
______ suggests damaged dilated vessels or vessels dilated as a result of reactive hyperemia or infection
Rubor
__________ occurs when there is a concentration of deoxygenated hemoglobin
Cyanosis
Livedo reticularis is what color
Purple
__________ __________ is on the skin of the dorsum of the foot and is usually the result of dilated capillary and venule filling
Livedo reticularis
__________ as a result of arterial insufficiency are deep and regular in shape
Ulcerations
Where are ulcerations usually located
Over the tibial area
_________ is death of a tissue
Gangrene
________ is caused by deficient or absent blood supply
Gangrene
Loss of hair on the extremity may reflect a poor _______ state caused by decreased ________
Poor nutritional state by decreased circulation
An _______ in capillary refill time denoted a ______ in arterial perfusion
Increase
Decrease
A diminished or absent pulse suggests _______ _________
Arterial insufficiency
A 0 grading pulse means
None
A 1+ grading pulse means
Weak
A 2+ grading pulse means
Good
A 3 + grading pulse means
Strong
A 4+ grading pulse means
Bounding
What artery can’t be palpated
Peroneal
_______ are abnormal low frequency sounds heard on auscultation
Bruits
Bruits are caused by significant stenosis that sets up a vibratory response in the tissue _______ to the stenosis
Distal
A 1+ bruit indicates
Mild
A 2 + bruit indicates
Moderate
A 3 + bruit indicates
Severe
A bruit that extends throughout diastole is sometimes referred to as
Pandiastolic
A bruit that extends throughout diastole is usually associated with more severe _______ _______
Arterial disease