peripheral artery disease

Question 1

Describe the clinical presentation of arterial occlusive disease.

Answer 1

atherosclerotic disease of the arteries supplying the lower limb

Question 2

Describe the clinical presentation and progression of venous disorders.

Answer 2

Look- ulceration, pallor and hair loss
Feel- temperature, capillary refill time, peripheral sensation, pulses

Question 3

Identify the possible surgical interventions for the treatment of arterial occlusive disease.

Answer 3

angioplasty, surgical bypass, stent placement

Question 4

describe ABPI

Answer 4

ankle brachial pressure index
ankle pressure/ brachial pressure

Question 5

describe buergers test

Answer 5

elevate legs and check for pallo, hang legs over bed and if they are slow to regain colour sign of peripheral artery disease

Question 6

imaging to investigate disease

Answer 6

duplex scan- dynamic, no radiation, not good in abdomen
CTA/MRA- detailed, contrast and radiation however can overestimate calcification
angiogram

Question 7

acute limb ischaemia

Answer 7

embolus, blood clot, air bubble, fatty deposit

Question 8

history of acute limb ischaemia

Answer 8

cardiac history, onset of symptoms, risk factors for CLI

Question 9

risk factors of CLI

Answer 9

male, age, smoking, hypercholesterolemia, hypertension, diabetes

Question 10

Fontaine classification

Answer 10

stage 3 and 4 are critical limb ischaemia