Peripheral vascular disease (acute and chronic limb)

Question 1

Define Peripheral vascular disease (acute and chronic limb)

Answer 1

Range of syndromes caused by atherosclerosis in lower limbs

Question 2

Aetiology and risk factors of Peripheral vascular disease (acute and chronic limb)

Answer 2

Chronic-Most commonly caused by atherosclerosis
after a while, can cause tissue loss, hair loss, ulceration, thin skin

risk factors
all risk of artherosclerosis
-Smoke, fat, old, FHx, HTN, men etc

Question 3

Epidiemology of Peripheral vascular disease (acute and chronic limb)

Answer 3

Increase with Age-25% of over 85% have it

5% of over 60

Question 4

Signs and Sx of Peripheral vascular disease (acute and chronic limb)

Answer 4

CHRONIC:
Most commonly asymptomatic
Intermittent claudication, relieved with rest and worse as walking
pallor leg when elevated (someone’s sign)
Thigh/buttock pain

Critical limb-ABPI < 0.5
more bad-pain at rest, gangrene, can cause tissue loss, hair loss, ulceration, thin skin-risk of losing limb

Diminished absent limb pulse
cold extremities
reduced CRT

ACUTE-Thrombosis-6P’s-rest pain
Pain pallor pulselessness parasthesia, peringshingly cold paralysis
blood flow-severly impaired

Question 5

Investigations of Peripheral vascular disease (acute and chronic limb)

Answer 5

Ankle brachial index-under 0.9 is intermittent claudication,

under 0.5 is critical limb

Question 6

Managmenet of Peripheral vascular disease (acute and chronic limb)

Answer 6

Chronic -lifestyle (exercise, better diet, more statins)

Anything more severe-surgery (bypass)

Acute-Surgical thrombectomy