Diff Dx: PVD Flashcards
Chronic arterial insufficiency or chronic venous insufficiency?
Edema: moderate to severe, especially after dependency
Venous
Chronic arterial insufficiency or chronic venous insufficiency?
Superficial pain along course of vessel
Venous
Chronic arterial insufficiency or chronic venous insufficiency?
Risk factor: DM
Arterial
Chronic arterial insufficiency or chronic venous insufficiency?
May lead to stasis dermatitis, cellulitis
Venous
Chronic arterial insufficiency or chronic venous insufficiency?
Loss of hair
Arterial
Chronic arterial insufficiency or chronic venous insufficiency?
Pain may occur in thigh, hip, buttock
Arterial
Chronic arterial insufficiency or chronic venous insufficiency?
Pain in calf, lower leg, dorsum of foot
Arterial
Chronic arterial insufficiency or chronic venous insufficiency?
Etiology: thrombophlebitis, trauma, vein obstruction (clot), vein incompetence
VENOUS
Chronic arterial insufficiency or chronic venous insufficiency?
Risk factor: ligamentous laxity
Venous
Chronic arterial insufficiency or chronic venous insufficiency?
Minimal to moderate steady pain
Venous
Chronic arterial insufficiency or chronic venous insufficiency?
Hemosiderin deposition: dark, cyanosis, thickened brown skin
Venous
Chronic arterial insufficiency or chronic venous insufficiency?
Coolness of extremity
Arterial
Chronic arterial insufficiency or chronic venous insufficiency?
Risk factor: varicose veins, venous HTN
Venous
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
venous
Chronic arterial insufficiency or chronic venous insufficiency?
Pallor of forefoot on elevation, dependent rubor
Arterial
Chronic arterial insufficiency or chronic venous insufficiency?
Venous dilation or varicosity
Venous
Chronic arterial insufficiency or chronic venous insufficiency?
Risk factors: age > 60 yo
Arterial
Chronic arterial insufficiency or chronic venous insufficiency?
Risk factor: slightly higher in men
Arterial
Chronic arterial insufficiency or chronic venous insufficiency?
Acute ___ obstruction: distal pain, paresthetic, pale, pulseless, sudden onset
Arterial
Chronic arterial insufficiency or chronic venous insufficiency?
Acute thrombophlebitis (DVT): calf pain, aching, edema, muscle tenderness, 50% asymptomatic
Venous
Chronic arterial insufficiency or chronic venous insufficiency?
Risk factor: dyslipidemia
Arterial
Chronic arterial insufficiency or chronic venous insufficiency?
Pain in muscle compartment/tenderness
Venous
Chronic arterial insufficiency or chronic venous insufficiency?
Lipodermatosclerosis: fibrosis of subcutaneous tissues
Venous
Chronic arterial insufficiency or chronic venous insufficiency?
Severe muscle ischemia/intermittent claudication
Arterial
Chronic arterial insufficiency or chronic venous insufficiency?
Etiology: atherosclerosis, thrombosis, emboli, inflammatory process
ARTERIAL
Chronic arterial insufficiency or chronic venous insufficiency?
Risk factor: hyperhomocysteinemia
Arterial
Chronic arterial insufficiency or chronic venous insufficiency?
Risk factor: inherited trait
Venous
Chronic arterial insufficiency or chronic venous insufficiency?
Pale, shiny, dry skin
Arterial
Chronic arterial insufficiency or chronic venous insufficiency?
Risk factor: increased BMI
Venous
Chronic arterial insufficiency or chronic venous insufficiency?
Risk factor: African American
Arterial
Chronic arterial insufficiency or chronic venous insufficiency?
Nail changes
Arterial
Chronic arterial insufficiency or chronic venous insufficiency?
Rest pain indicates severe involvement
Arterial
Chronic arterial insufficiency or chronic venous insufficiency?
Paresthesias over time
Arterial
Chronic arterial insufficiency or chronic venous insufficiency?
Risk factor: women
venous
Chronic arterial insufficiency or chronic venous insufficiency?
Risk factor: HTN
Arterial
Chronic arterial insufficiency or chronic venous insufficiency?
Worse with exercise, relieved by rest
Arterial
Chronic arterial insufficiency or chronic venous insufficiency?
Aching pain in lower leg with prolonged standing/sitting (dependency)
Venous
Chronic arterial insufficiency or chronic venous insufficiency?
Muscle fatigue, cramping, numbness
Arterial
Chronic arterial insufficiency or chronic venous insufficiency?
Decreased or absent pulses
Arterial
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
Arterial
Chronic arterial insufficiency or chronic venous insufficiency?
Risk factor: smoking
arterial
Chronic arterial insufficiency or chronic venous insufficiency?
Risk factor: sedentary lifestyle/prolonged sitting
Venous
