Peripheral Artery Disease

Question 1

3 Patterns of Occlusion

Answer 1

Aortoiliac
Femoropopliteal
Tibial - often in diabetics

Question 2

3 Etiologies

Answer 2

Arteriosclerosis
Congenital (coarctation, narrowing)
Inflammatory (arteritis) - Takayasu’s disease

Question 3

4 Symptoms

Answer 3

1. Claudication - pain in muscle group precipitated by exercise and RELIEVED UPON REST
2. Rest Pain - very specifically in foot
   Weakness and Coldness - not specific

Question 4

8 Signs

Answer 4

Palor
Rubror
Cyanosis
Ulceration
Gangrene
Decreased Pulses
Hair Loss
Shiny Smooth Skin

Question 5

2 Diagnostic Studies and Important Points About Them

Answer 5

1. Doppler - shouldn’t be only pulse. Normal should have palpable pulse too
2. Arteriography - only used as road map for surgery

Question 6

2 Symptom Indications for Surgery

Answer 6

Claudication - relatively. More if patient desires/needs

Rest Pain - Sign of impending gangrene so hell yeah

Question 7

3 Sign Indications for Surgery

Answer 7

Gangrene
Unhealed Ulcers may need, might heal on own
Pulses - femoral and foot should be palpable

Question 8

2 Operations

Answer 8

Bypass and endovascular stents

Question 9

Popliteal Aneurysms

Answer 9

Not as at risk to rupture, but instead can embolize down leg and thrombose, leading to limb loss

Question 10

Diabetics

Answer 10

Still do a full workup on them even though less you can do. More likely to have small vessel disease