Peripheral Arterial Conditions Flashcards
What does ARTS stand for?
Absent pulse/absent hair (shiny, cool legs)
Round, red sores
Toes + feet = pale/black ‘eschar’
Sharp calf pain (intermittent claudication)
What are the 6 P’s of peripheral arterial disease?
Pain Paralysis Pulselessness Polar (cold) Pale Paresthesia (tingling/numbness)
What are some examples of peripheral arterial diseases?
Raynaud’s
Buerger’s (TAO)
Arteriosclerosis obliterans (ASO)
Where do berry aneurysms most commonly appear?
arteries in the Circle of Willis (90% of brain aneurysms)
Which does NOT affect arterioles? Arteriosclerosis or atherosclerosis?
Atherosclerosis
Differentiate arteriosclerosis from atherosclerosis
atherosclerosis - atheromas develop in the tunica intima of arteries
arteriosclerosis - hardening/narrowing of any artery - muscle and elastic tissue of the tunica media are replaced by fibrous tissue
What is atherosclerosis obliterans?
proliferation of the tunica intima, causing complete obliteration of the lumen of an artery
95% of peripheral arterial diseases cases are…
ASO
If pain is increased by putting affected limbs in dependent position, this indicates…
DDx of DVT!
What is the most common occlusive arterial disease?
ASO
The first symptom of Buerger’s disease is often…
intermittent claudication in the arch of the foot or palm of the hand
What are some S&S seen with Buerger’s disease?
blood clot formation pain at rest edema cold sensitivity redness, cyanosis thin, shiny, hairless skin
What are some symptoms of PAD?
intermittent claudication diminished/absent pulse round, painful ulcers dependent rubor elevation paleness ischemia/cool skin
Raynaud’s is most common in what demographic?
women age 18-30
What special test would be appropriate for Raynaud’s disease?
capillary refill
local pulse/BP
allen’s test
