Peripheral Vascular Disease

Question 1

Arterial Disease - Occlusive peripheral arterial disease

Answer 1

chronic, occlusive arterial disease of medium and large sized vessels
result of peripheral atherosclerosis

Question 2

Arterial Disease - Occlusive peripheral arterial disease - Associated with

Answer 2

Hypertension

Hyperlipidemia

Question 3

Arterial Disease - Occlusive peripheral arterial disease - color

Answer 3

pale on elevation

dusky red on dependency

Question 4

Arterial Disease - Occlusive peripheral arterial disease early stages

Answer 4

pt exhibit intermittent claudication

pain described as burning, searing, aching, tightness, or cramping

Question 5

Arterial Disease - Occlusive peripheral arterial disease late stages

Answer 5

pt exhibit pain at rest, muscle atrophy, trophic changes

Question 6

Arterial Disease - Occlusive peripheral arterial disease - affects primarily

Answer 6

LE

Question 7

Arterial Disease - Thromboangiitis Obliterans (Buerger’s disease)

Answer 7

chronic inflammatory vascular occlusive disease of small arteries and veins

Question 8

Arterial Disease - Thromboangiitis Obliterans (Buerger’s disease) - occurs more commonly in

Answer 8

young adults, males, smokers

Question 9

Arterial Disease - Thromboangiitis Obliterans (Buerger’s disease) - progression of disease

Answer 9

begins distally and progresses proximally in both UE and LE

Question 10

Arterial Disease - Thromboangiitis Obliterans (Buerger’s disease) - s/s

Answer 10

paresthesias or pain
cyanotic or cold extremity 
diminished temp sensation
fatigue 
risk of ulceration and gangrene

Question 11

Arterial disease - Raynauds

Answer 11

episodic spasm of small arteries and arterioles
abnormal VC reflex exacerbated by exposure to cold or emotional stress
mostly affects females

Question 12

Vascular disease - varicose veins

Answer 12

distended, swollen superficial veins

may lead to varicose ulcers

Question 13

Vascular disease - Venous thromboembolism (VTE)

Answer 13

Fomration of blood clot in deep vein that can lead to complications like DVT, PE or postthrombotic syndrome

Question 14

Vascular disease - Venous thromboembolism (VTE) - mortality

Answer 14

incidence of 10-30% within 1 month of diagnosis

Question 15

Vascular disease - Venous thromboembolism (VTE) - morbidity

Answer 15

1/3 experience another VTE within 10 yrs

Question 16

Vascular disease - Deep vein thrombophlebitis

Answer 16

clot formation and acute inflammation in deep vein

usually occurs in LE and is associated with forced immobilization

Question 17

Vascular disease - Deep vein thrombophlebitis - medical management

Answer 17

anticoagulation therapy to prevent new clots from forming
compression stockings
DO NOT USE HOMANS SIGN on someone with a suspected DVT

Question 18

Vascular disease - Pulmonary embolism

Answer 18

Presents abruptly with chest pain and dyspnea

LIFE THREATENING - 20% die immediately, 40% within 3 months

Question 19

Vascular disease - CHronic venous stasis.incompetence

Answer 19

venous valvular insufficiency from fibroelastic degeneration of valve tissue
venous dilation

Question 20

Vascular disease - CHronic venous stasis.incompetence - grading system

Answer 20

Grade 1 - mild aching, minimal edema, dilated superficial veins
Grade 3 - venous claudication, sever edema, cutaneous dilation

Question 21

Lymphatic disease - lymphadenopathy

Answer 21

enlargement of nodes with or without tendernes

Question 22

Lymphatic disease - Lymphedema

Answer 22

chronic disorder with exessive accumulation of fluid due to obstruction of lymphatics or removal of lymph nodes

Question 23

Lymphatic disease - primary lymphedema

Answer 23

congenital condition with abnormal lymph node or lumph vessel foramation

Question 24

Lymphatic disease - Secondary lymphedema

Answer 24

acquired, due to injury of one or more parts of the lymphatic system
Surgery, tumors, trauma, infection, radiation therapy, chrnic venous insufficiency

Question 25

Lymphatic disease - Acute lymphangitis

Answer 25

acute bacterial infection spreading throughout lymph system