PVD

Question 1

LERICH SYNDROME WHAT IS IT

Answer 1

BLOCKAGE OF THE ABDOMINAL AORTA BEFORE IT BIFURCATS TO ILIAC VESSELS

Question 1

signs of leriche syndrome

Answer 1

inability to form an erection
intermittend claudifcation, legs and buttocks
absent femoral pulses
non helaing ulcers, wounds on lower body
numbness in lower half

Question 2

what are the 6 p’s

Answer 2

1. pain
2. pallor
3. poikilothermia
   4/ . pulselessness
   5.parestheisa
   6.paralyisis

Question 3

what do the 6 p’s refer too

Answer 3

peripheral vascular disease

Question 4

what is the purpose of ankle brachial index

Answer 4

to check for restriction of blood flow, e.g PVD like in lerich syndrome

Question 5

nomral ankle brachial index

Answer 5

around 1 or above (makes ssnes becuase ideally ankle and arm pressure should be thesame so 120/120 is 1

Question 6

if you have pvd the blood pressure reading of ankle would be..

Answer 6

lower (and hence why you get a decimal as ankle number is lower and yu are divind by a higher number

Question 7

fromula for index

Answer 7

ankle SBP/arm sbp

Question 8

what are the vessels of the foot we are interested in in terms of blood flow

Answer 8

there are 2
1. dorslais pedis
2. posterior tibial

Question 9

where is dorsalis pedis and posterior tibial

Answer 9

dorsum of the foot

meidal aspect of the medial malleulus

Question 10

apparenly sometimes you dont feel the dorslias pedis its normal but YOU SHOULD ALWAYS BE ABLE TO FEEL POSTERIOR TIBIAL

Question 11

pvd exam how would you perform it

Answer 11

check radial pulses - same time
brachial artery
external carotid artery - move neck to the side ask to hold in a breath

check femoral, dorsalis pedis, posterior tibial artery

Question 13

what can we use to give us an idea of blood flow through a vessel

Answer 13

us doppler - non invasive

ct angio - more invasive