Peripheral Vascular Disease

Question 1

What is the definition of Peripheral Vascular Disease

Answer 1

Narrowing of arteries supplying limbs + peripheral reducing blood flow to these areas

Results in symptoms of claudication

Question 2

What are the 2 types of claudication in Peripheral Vascular Disease

Answer 2

Intermittent Claudication => Pain during exertion

Critical limb Ischaemia => Pain during Rest (6P’s)

Question 3

What are the 6P’s of critical limb ischaemiaq

Answer 3

Pain
Pallor
Pulseless

paralysis
Parasthesia
Perishing cold

Question 4

What 3 co-morbidities are associated with Peripheral Vascular Disease

Answer 4

HTN

Diabetes

Chronic Kidney Diseas

Question 5

What 3 signs are found in Peripheral Vascular Disease px

Answer 5

Tar staining fingers

Xanthomatas

Claudication

Question 6

What are 3 signs of an arterial leg ulcer

Answer 6

Punched Out appearance

Painful

Well defined borders

Question 7

What are 3 investigations for a Peripheral Vascular Disease (1 of these is a test)

Answer 7

Buerger’s Test

Duplex Ultrasound

Ankle brachial Pressure Index

Question 8

What is the Buerger’s Test

Answer 8

Raising leg to 90*

Normal ==> Foot + leg still red

Abnormal ==> Foot + leg become pale

Question 9

What is the management plan of Peripheral Vascular Disease px that has:

Intermittent Claudication (4)

Answer 9

ACNE

A torvastatin
C lopidogril / aspirin
N aftidrofuryl Oxalate
E ndovascular angioplasty / stent

Question 10

What is the management plan of Peripheral Vascular Disease px that has:

Critical Limb Ischaemia (3)

Answer 10

Endovascular Angioplasty

Endartectomy => removal of plaque

Endovascular Thrombolysis