intermittent claudication history Flashcards
1
Q
Describe the pattern of pain and site of stenosis
A
buttock / thigh pain: aorta-iliac disease
calf pain: femoro-popliteal disease
2
Q
What are the symptoms of acute embolism?
A
sudden onset of symptoms
known embolic source (AF, mural thrombus post MI)
absence of previous symptoms of IC
cold leg (no time for collateral blood supply to develop)
normal vascular exam in other leg
3
Q
onset
A
gradual or suddenly what doing rest pain what triggers the pain exercise how far fixed distance?
4
Q
exacerbating / relieving factors
A
bending / twisting
worse at night?
analgesia / rest
5
Q
associated symptoms
A
foot ulcers
numb/cold feet
impotence
muscle weakness
6
Q
systemic enquiry
A
angina palpitations malignancy cardiovascular disease risk factors drug history impact of pain on day to day life
7
Q
investigations
A
resting doppler pressure indexes urinalysis, FBC, U&E, lipid progile, fasting glucose exercise testing non-invading imaging echo - cardiac disease, cardiac emboli
8
Q
medical therapy
A
Stop smoking lose weight manage hyperlipidaemia, modified diet Exercise take care not to injury leg aspirin, statins and ACEi treat hypertension and diabetes
9
Q
revascularisation
A
precutaneous balloon angioplasty and stent insertion
bypass surgery
amputation
