Diff Dx: PVD

Question 1

Chronic arterial insufficiency or chronic venous insufficiency?

Edema: moderate to severe, especially after dependency

Answer 1

Venous

Question 2

Chronic arterial insufficiency or chronic venous insufficiency?

Superficial pain along course of vessel

Answer 2

Venous

Question 3

Chronic arterial insufficiency or chronic venous insufficiency?

Risk factor: DM

Answer 3

Arterial

Question 4

Chronic arterial insufficiency or chronic venous insufficiency?

May lead to stasis dermatitis, cellulitis

Answer 4

Venous

Question 5

Chronic arterial insufficiency or chronic venous insufficiency?

Loss of hair

Answer 5

Arterial

Question 6

Chronic arterial insufficiency or chronic venous insufficiency?

Pain may occur in thigh, hip, buttock

Answer 6

Arterial

Question 7

Chronic arterial insufficiency or chronic venous insufficiency?

Pain in calf, lower leg, dorsum of foot

Answer 7

Arterial

Question 8

Chronic arterial insufficiency or chronic venous insufficiency?

Etiology: thrombophlebitis, trauma, vein obstruction (clot), vein incompetence

Answer 8

VENOUS

Question 9

Chronic arterial insufficiency or chronic venous insufficiency?

Risk factor: ligamentous laxity

Answer 9

Venous

Question 10

Chronic arterial insufficiency or chronic venous insufficiency?

Minimal to moderate steady pain

Answer 10

Venous

Question 11

Chronic arterial insufficiency or chronic venous insufficiency?

Hemosiderin deposition: dark, cyanosis, thickened brown skin

Answer 11

Venous

Question 12

Chronic arterial insufficiency or chronic venous insufficiency?

Coolness of extremity

Answer 12

Arterial

Question 13

Chronic arterial insufficiency or chronic venous insufficiency?

Risk factor: varicose veins, venous HTN

Answer 13

Venous

Question 14

Chronic arterial insufficiency or chronic venous insufficiency?

Ulceration may develop at sides of ankles, especially medial malleolus along course of vessels; gangrene absent, painful, shallow, exudative, and have granulation tissue in base; irregular borders

Answer 14

venous

Question 15

Chronic arterial insufficiency or chronic venous insufficiency?

Pallor of forefoot on elevation, dependent rubor

Answer 15

Arterial

Question 16

Chronic arterial insufficiency or chronic venous insufficiency?

Venous dilation or varicosity

Answer 16

Venous

Question 17

Chronic arterial insufficiency or chronic venous insufficiency?

Risk factors: age > 60 yo

Answer 17

Arterial

Question 18

Chronic arterial insufficiency or chronic venous insufficiency?

Risk factor: slightly higher in men

Answer 18

Arterial

Question 19

Chronic arterial insufficiency or chronic venous insufficiency?

Acute ___ obstruction: distal pain, paresthetic, pale, pulseless, sudden onset

Answer 19

Arterial

Question 20

Chronic arterial insufficiency or chronic venous insufficiency?

Acute thrombophlebitis (DVT): calf pain, aching, edema, muscle tenderness, 50% asymptomatic

Answer 20

Venous

Question 21

Chronic arterial insufficiency or chronic venous insufficiency?

Risk factor: dyslipidemia

Answer 21

Arterial

Question 22

Chronic arterial insufficiency or chronic venous insufficiency?

Pain in muscle compartment/tenderness

Answer 22

Venous

Question 23

Chronic arterial insufficiency or chronic venous insufficiency?

Lipodermatosclerosis: fibrosis of subcutaneous tissues

Answer 23

Venous

Question 24

Chronic arterial insufficiency or chronic venous insufficiency?

Severe muscle ischemia/intermittent claudication

Answer 24

Arterial

Question 25

Chronic arterial insufficiency or chronic venous insufficiency? Etiology: atherosclerosis, thrombosis, emboli, inflammatory process

Answer 25

ARTERIAL

Question 26

Chronic arterial insufficiency or chronic venous insufficiency? Risk factor: hyperhomocysteinemia

Answer 26

Arterial

Question 27

Chronic arterial insufficiency or chronic venous insufficiency? Risk factor: inherited trait

Answer 27

Venous

Question 28

Chronic arterial insufficiency or chronic venous insufficiency? Pale, shiny, dry skin

Answer 28

Arterial

Question 29

Chronic arterial insufficiency or chronic venous insufficiency? Risk factor: increased BMI

Answer 29

Venous

Question 30

Chronic arterial insufficiency or chronic venous insufficiency? Risk factor: African American

Answer 30

Arterial

Question 31

Chronic arterial insufficiency or chronic venous insufficiency? Nail changes

Answer 31

Arterial

Question 32

Chronic arterial insufficiency or chronic venous insufficiency? Rest pain indicates severe involvement

Answer 32

Arterial

Question 33

Chronic arterial insufficiency or chronic venous insufficiency? Paresthesias over time

Answer 33

Arterial

Question 34

Chronic arterial insufficiency or chronic venous insufficiency? Risk factor: women

Answer 34

venous

Question 35

Chronic arterial insufficiency or chronic venous insufficiency? Risk factor: HTN

Answer 35

Arterial

Question 36

Chronic arterial insufficiency or chronic venous insufficiency? Worse with exercise, relieved by rest

Answer 36

Arterial

Question 37

Chronic arterial insufficiency or chronic venous insufficiency? Aching pain in lower leg with prolonged standing/sitting (dependency)

Answer 37

Venous

Question 38

Chronic arterial insufficiency or chronic venous insufficiency? Muscle fatigue, cramping, numbness

Answer 38

Arterial

Question 39

Chronic arterial insufficiency or chronic venous insufficiency? Decreased or absent pulses

Answer 39

Arterial

Question 40

Chronic arterial insufficiency or chronic venous insufficiency? Ulceration may develop in toes, feet, or areas of trauma; pale or yellow to black eschar, gangrene may develop; regular in shape and may appear punched out

Answer 40

Arterial

Question 41

Chronic arterial insufficiency or chronic venous insufficiency? Risk factor: smoking

Answer 41

arterial

Question 42

Chronic arterial insufficiency or chronic venous insufficiency? Risk factor: sedentary lifestyle/prolonged sitting

Answer 42

Venous