claudication and risk factors fro coronary artery disease

Question 1

claudication

Answer 1

pain in one or both calves, thighs or buttocks when they walk more than a certain distance called the claudictaion distance

Question 2

history of claudiction suggests

Answer 2

peripheral vascular disease with poor blood supply to the affected muscles

Question 3

risk factors for claudication

Answer 3

smoking, diabetes, hypertension and a history of vascular disease elsehwere in the body, inclduing cerebrobvascular disease and ischaemic heart disease

Question 4

more severe claudication

Answer 4

cause the feet or legs to feel cold, numb and paainful at rest
rest pain is a symptom of severely compromised arterial supply

Question 5

six Ps of peripherl vascular disease

Answer 5

pain 
pallor 
pulselessness
paraesthesias 
perishingly cold 
paralysed

Question 6

popliteal artery entrapment

Answer 6

causes intermittant caludication on walking but not running

may happen in young men

Question 7

questions for peripheral vascular disease

Answer 7

• have you had problems walking
• does it go away when you stop walking
• have you had sores or ulcers on your feet that have not healed
• have you had diabetes, high blood pressure or problems with stroke or heart attacks in the past
  have you been a smoker

Question 8

hypercholesterolaemia as a risk factor for heart disease

Answer 8

familial hypercholesterolaemia may lead to ischaemic heaart disease before the age of 30
total serum cholesterol above 5.2mmol / L is considered undesirable

Question 9

if a patient has coronary disease, hyperlipidaemia can cause

Answer 9

very high triglyceride can cause pancreatitis

Question 10

hypertension is more important as a risk factor for

Answer 10

stroke than ischaemic heart disease

Question 11

other things that increase the risk of ischaemic heart disease

Answer 11

rheumatoid arthritis, psoriasis, poor dentition and gingivitis, HIV, erectile dysfunction

Question 12

alcohol as a risk factor for ischameic heart disease

Answer 12

alcohol is not a risk factor for ischameic heart disease

Question 13

signs a patient has had a CABG

Answer 13

coronary artery pypass grafting 
midline sternotomy scar 
leg scars (saphenous vein harvesting)

Question 14

signs a patient has had rheumatic fever

Answer 14

painful buttock injections as a child (penecillin)

history of chorea in women

Question 15

difference of cardiac breathlessness

Answer 15

worse on exertion and orthopnoea