PAD Flashcards

1
Q

What is intermittent claudication?

A

exertional discomfort, relieved w/rest in specific muscles at risk for ischemia during exercise

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What does IC usually suggest?

A

atherosclerotic dz / PAD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What does IC in a young person suggest?

A

Popliteal entrapment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What does IC in a biker suggest?

A

external iliac artery kinking (endofibrosis of the iliac artery)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Sx of PAD

A
LEG CRAMPS
Pain R/T activity
Pain at rest
Non healing wounds
Gangrene
Some are asymptomatic, need to screen them
benefit from meds
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How to screen for PAD

A

ABI. Use highest arm SBP as denominator and highest ankle in rt and left as numerator (2 calculations)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Claudication in buttock and hip suggests…

A

aortoiliac dz

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Claudication in thigh suggests…

A

aortoiliac or femoral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Claudication in upper 2/3 of calf suggests…

A

superficial femoral artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Claudication in lower 1/3 of calf suggests…

A

Popliteal artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Claudication in foot suggests…

A

tibial or peroneal artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

PE for PAD includes:

A

BP, Pulse, Temp of extremities BL
Inspection for shiny skin, nail changes (thickened), ulcers/poor wound healing
Palpate for cool extremity
Auscultate for bruits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Where might you find diminished or absent pulses in relation to stenosis

A

below stenosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Where might you find bruits in relation to stenosis

A

over stenosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is Buerger’s test?

A

Patient supine, raise leg above central venous line. Normal limb does not lose color.
Immediately place limb dependent to body - observe rub or of lower limb
*limb may remain red if cellulitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is Leriche’s syndrome?

A

aortoiliac dz
Buttock & hip pain, achy weak hip, look for muscle atrophy
•almost always have erectile dysfunction

17
Q

Two classification systems for PAD

A

Fontaine and Rutherford

18
Q

Tx for PAD and renal stenosis

A

Aggressive!
ASA, antiplt, pentoxifylline, cilostazol (avoid in CHF)
Stents, statins, BP control

19
Q

Meds approved for tx of IC

A

pentoxifylline & cilostazol (C/I in HF!)