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DPT830 (Exam 2) > Peripheral Vascular Disease > Flashcards

Peripheral Vascular Disease Flashcards

1
Q

What is a common complaint of a patient with Peripheral Vascular Disease?

A

Leg Pain

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2
Q

What is Peripheral Artery Disease (PAD)?

A

Arterial Disease (Atherosclerosis)

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3
Q

What is Chronic Venous Insufficiency?

A

Venous Disease (Valve Problems)

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4
Q

What are some artery sites of high probability of Arterial Disease?

A

Iliac Artery, Femoral Artery, Posterior Tibial Artery

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5
Q

What are some complications that arise with Atherosclerosis?

A

Narrowed Lumen (Ischemia)
Thrombosis (Infarction)
Weakened Vessel Walls (Aneurysms)

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6
Q

Aortic Aneurysms are likely to rupture when they are how big?

A

6cm or greater?

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7
Q

If a patient has an Aortic Aneurysm, what are some of the immediate symptoms?

A
  • Mid-Abdominal Pain (w/ Exertion)
  • Elevated BP
  • Pulsating Mass in Lower Abdomen
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8
Q

What are some clinical presentations of PAD?

A

Intermittent Claudication
Atypical Lower Extremity Pain
Threatened Limb (Ischemia)

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9
Q

What is Intermittent Claudication?

A

A reproducible discomfort of a defined group of muscles that is induced by exercises & relieved by rest.

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10
Q

What are common sites of Intermittent Claudication?

A

Hip, Thigh, Calf

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11
Q

What is Atypical Lower Extremity Pain?

A

Pain lasting longer than 10m AFTER cessation of physical activity.

Pain that occurs both at Rest AND Exertion.

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12
Q

How long does Acute Limb Ischemia typically take to develop & after what type of event?

A

Thromboembolism > 2 wks > Acute Limb Ischemia

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13
Q

How long does Chronic Limb Ischemia typically take to develop & after what type of event?

A

Arterial Stenosis or Occlusions > more than 2wks > Chronic Limb Ischemia

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14
Q

What are some other symptoms of PAD?

A
  • Reduced/Absent Pulses Distal to claudication.
  • Burning, Ischemic pain @ rest (aggravated by elevating extremity)
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15
Q

How is PAD diagnosed?

A

Abnormal arterial examination / tissue loss w/ rest pain and/or absence of pulse.

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16
Q

What is Ankle-Brachial Index (ABI)?

A

Ratio of SBP in ankle to SBP in the arm?

17
Q

What ABI value indicates arterial occlusion (PAD)?

A

< 0.90

18
Q

What is a borderline value for an ABI index?

A

0.91 - 0.99

19
Q

What is a normal range value for an ABI index?

A

1.00 - 1.29

20
Q

How is PAD treated?

A

Smoking Cessation
Diet
Exercise Therapy

21
Q

What are PAD Aerobic FITT Recommendations?

A

F: 3-5 days/wk
I: 40-59% VO2R (to point of pain)
T: 30-45 min/day > progress to 60min/day
T: Weight Bearing Cardio

22
Q

What are PAD Resistance Training FITT Recommendations?

A

F: 2 days/wk (non-consecutive)
I: 60-80% 1RM
T: Whole Body (lwr limb emphasis)
T: 6-8 exercises, 2-3 sets ea., 8-12 reps

23
Q

What are the PAD Flexibility FITT Recommendations?

A

F: 2-3 days/wk (daily most effective)
I: Point of tightness of discomfort
T: 10-30s static hold / x2-4 reps ea.
T: Static, Dynamic, PNF

24
Q

What are some vein-related conditions?

A

Teleangiectasias / Reticular veins (spider) & Varicose veins

25
Q

Chronic Venous Insufficiency is the presence of what?

A

Skin changes, Edema, or Ulceration.

26
Q

Venous Hypertension constitutes what?

A

Inadequate muscle pump function
Incompetent venous valves (venous reflux)
Venous Obstruction

27
Q

What are some physical symptoms of Chronic Venous Insufficiency?

A

Pain (after exercises), Leg Heaviness, Swelling, Dry Skin, Muscle Cramps.

28
Q

What are some clinical signs of Chronic Venous Insufficiency?

A

Dilated veins (c1-c2)
Edema (c3)
Lipodermatosclerosis (c4)
Ulceration (c5)

29
Q

What are some management strategies of Chronic Venous Insufficiency?

A

Leg Elevation, Exercise, Compression Therapy, Ablation Therapy.

DPT830 (Exam 2) (8 decks)

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