Peripheral Vascular And Lymphatics

Question 1

Arterial disease causes..

Answer 1

Signs and symptoms of oxygen deficit

Question 2

Chronic arterial disease characteristics

Answer 2

Character- intermittent claudication, cramp, numbness, feeling of cold
Onset/duration- chronic pain, gradual onset after activity
Agg factors- activity, claudication distance, elevation
Relieving factors- rest, dangling feet
Symptoms- cool, pale skin

Question 3

Venous disease causes signs and symptoms of..

Answer 3

Metabolic waste build up

Question 4

Venous disease characteristics

Answer 4

Character- aching, tiredness, feeling of fullness
Onset/duration- chronic pain at end of day
Agg factors- prolonged standing, sitting
Relieving factors- elevation, lying, walking
Symptoms- edema, varicose veins, weeping ulcers at ankles

Question 5

Raynauds syndrome

Answer 5

Caused by diseased artery

Whitening of the fingers

Question 6

Lymphedema

Answer 6

Usually from breast cancer, treatments, will see in clinical
No BP in the arm

Question 7

Abnormal findings related to PVD in the legs

Answer 7

Arteriosclerosis- ischemic
Venous stasis ulcer
Arterial ulcer
DVT

Question 8

Arterial ischemic ulcer- buildup of fatty plaques on intima (atherosclerosis) plus hardening, calcification of the arterial wall (arteriosclerosis).

Answer 8

Subjective- deep muscle pain in calf/foot, claudication with walking, pain at rest indicated worsening

Objective- coolness, pallor, elevational pallor, Rubor, ⬇️ pulses, systolic Bruit, malnutrition, distal gangrene

Question 9

Venous stasis ulcer- after a DVT, 88% of all Lower leg ulcers

Answer 9

Subjective- aching pain in calf/Lower leg, worse at end of day and with prolonged standing/sitting, itching with stasis dermatitis

Objective- Lower leg edema, firm coarse thick skin, pulses are normal, petichae, borders are irregular and shallow, may contain granulation tissue, weeping stasis, dermatitis may be present.

Question 10

What causes the brown discoloration around a venous stasis ulcer?

Answer 10

RBC leak to the skin and break down to hemosiderin (iron deposits) which cause the brown pigment

Question 11

DVT- emergency at risk for pulmonary embolism

• alert Doctor
• hemoptysis
• low pulse Ox (less than 90, give oxygen therapy)

Answer 11

Subjective- sudden onset of intense sharp deep muscle pain

Objective- increased warmth, swelling (compare to show), redness, dependent cyanosis/mild/absent, tender to palpate