Peripheral Vascular Disease Flashcards
Arterial Disease - Occlusive peripheral arterial disease
chronic, occlusive arterial disease of medium and large sized vessels
result of peripheral atherosclerosis
Arterial Disease - Occlusive peripheral arterial disease - Associated with
Hypertension
Hyperlipidemia
Arterial Disease - Occlusive peripheral arterial disease - color
pale on elevation
dusky red on dependency
Arterial Disease - Occlusive peripheral arterial disease early stages
pt exhibit intermittent claudication
pain described as burning, searing, aching, tightness, or cramping
Arterial Disease - Occlusive peripheral arterial disease late stages
pt exhibit pain at rest, muscle atrophy, trophic changes
Arterial Disease - Occlusive peripheral arterial disease - affects primarily
LE
Arterial Disease - Thromboangiitis Obliterans (Buerger’s disease)
chronic inflammatory vascular occlusive disease of small arteries and veins
Arterial Disease - Thromboangiitis Obliterans (Buerger’s disease) - occurs more commonly in
young adults, males, smokers
Arterial Disease - Thromboangiitis Obliterans (Buerger’s disease) - progression of disease
begins distally and progresses proximally in both UE and LE
Arterial Disease - Thromboangiitis Obliterans (Buerger’s disease) - s/s
paresthesias or pain cyanotic or cold extremity diminished temp sensation fatigue risk of ulceration and gangrene
Arterial disease - Raynauds
episodic spasm of small arteries and arterioles
abnormal VC reflex exacerbated by exposure to cold or emotional stress
mostly affects females
Vascular disease - varicose veins
distended, swollen superficial veins
may lead to varicose ulcers
Vascular disease - Venous thromboembolism (VTE)
Fomration of blood clot in deep vein that can lead to complications like DVT, PE or postthrombotic syndrome
Vascular disease - Venous thromboembolism (VTE) - mortality
incidence of 10-30% within 1 month of diagnosis
Vascular disease - Venous thromboembolism (VTE) - morbidity
1/3 experience another VTE within 10 yrs
Vascular disease - Deep vein thrombophlebitis
clot formation and acute inflammation in deep vein
usually occurs in LE and is associated with forced immobilization
Vascular disease - Deep vein thrombophlebitis - medical management
anticoagulation therapy to prevent new clots from forming
compression stockings
DO NOT USE HOMANS SIGN on someone with a suspected DVT
Vascular disease - Pulmonary embolism
Presents abruptly with chest pain and dyspnea
LIFE THREATENING - 20% die immediately, 40% within 3 months
Vascular disease - CHronic venous stasis.incompetence
venous valvular insufficiency from fibroelastic degeneration of valve tissue
venous dilation
Vascular disease - CHronic venous stasis.incompetence - grading system
Grade 1 - mild aching, minimal edema, dilated superficial veins
Grade 3 - venous claudication, sever edema, cutaneous dilation
Lymphatic disease - lymphadenopathy
enlargement of nodes with or without tendernes
Lymphatic disease - Lymphedema
chronic disorder with exessive accumulation of fluid due to obstruction of lymphatics or removal of lymph nodes
Lymphatic disease - primary lymphedema
congenital condition with abnormal lymph node or lumph vessel foramation
Lymphatic disease - Secondary lymphedema
acquired, due to injury of one or more parts of the lymphatic system
Surgery, tumors, trauma, infection, radiation therapy, chrnic venous insufficiency
