Limb ischaemia Flashcards
What is partial chronic limb ischaemia?
intermittent claudication
When is pain worse in intermittent claudication?
on walking
When is pain worse in spinal stenosis?
worse on standing
What is risk of limb loss from intermittent claudication?
v low
Treament of intermittent claudication?
lifestyle changes
What is a sign of worsening of intermittent claudication?
pain at rest, especially at night (ischaemic night pain)
Where is pain in ischaemic night pain?
toes/forefoot
If night pain is further up leg, what is it?
NOT ischaemic night pain
What relieves ischaemic night pain?
standing up, foot getting cold
What is it that causes the pain in claudication?
lactic acid
What is there increased risk of if rest pain is present?
gangrene, limb loss, ulcer
In which type of ulcer is surrounding skin normal?
arterial
Which ulcer type has sloping edges?
venous
What is critical limb ischaemia?
rest pain or tissue loss caused by ARTERIAL insufficiency
Risk of limb loss at 1 year with critical limb ischaemia?
50%
