Peripheral Vascular Disease (only 1/4 done)

Question 1

Just having PAD is equivalent to having _________ when it comes to mortality

Answer 1

Coronary heart disease

Question 2

What is the difference between acute and chronic limb ischemia

Answer 2

Acute: sudden decrease in limb perfusion, threat to limb

Chronic: patients present later than 2 weeks after onset of acute event

Question 3

What is a thrombus vs an embolus?

Answer 3

Thrombus: Clot formed locally in a blood vessel

Emobolus: dislodged clot or other debris that gets lodged in narrow arteries

Question 4

What severity of claudication:

Can walk 2 blocks

Answer 4

Mild

Question 5

What severity of claudication :

Can walk less than one block

Answer 5

Severe

Question 6

What is Leriche syndrome

Answer 6

Claudication (in butt, hip or thigh)

Diminished femoral pulses

Erectile dysfunction

Question 7

What is the most common site of claudication, and which artery is stenosed if you have it there?

Answer 7

Upper 2/3 of calf

Superficial femoral artery

Question 8

What is critical limb ischemia?

Answer 8

Insufficient blood flow at REST

THREATENED LIMB. TIME SENSTIVE

Question 9

What are some of the symptoms of critical limb ischemia

Answer 9

Pain in foot/toes aggravated by elevation

Non healing wounds

Gangrene

Skin discoloration (pale when elevated, red when lowered)

Hairless legs

Thin, dry, shiny skin

Cool temperature

Delayed cap refill

Diminished pulses

Question 10

What is ankle-brachial index?

Answer 10

Ratio of the ankle systolic BP divided by brachial BP

Systolic ankle
—————-
Systolic arm

Question 11

ABI of _______ with exertional symptoms is diagnostic for PAD

Answer 11

0.90 or less

Question 12

What is arterial duplex Doppler ultrasound used for?

Answer 12

Finding location and severity of stenosis

Can also be used to assess stent or graft patency