PVD

Question 1

Intermitt claudication

Answer 1

Pain in muscs of lower limb elicited by exercise
Relieved by rest
Distal superfic femoral A most comm in adductor canal region, then iliac, then calf.
Anaer metab so subst P and lactate and K cause pain

Question 2

diffs

Answer 2

Spinal stenosis
Arthritis
MSK strain
Sciatica

Question 3

px

Answer 3

Calf caludication
Calf, thgh and buttock caludication
Bilat buttock cludicat and erectile fail, leriche synd- aorta and iliac A dis.

Question 4

RFs

Answer 4

Smoking
Chol
HTN
DM
Family hx
IHD
Cerebrovasc dis

Question 5

ix

Answer 5

Hx incl RF and ex tol
Exam- inspec skin, temp, cap refill, periph pulses, mass, bruits
FBC anaemia, gluc, lipids
ABPI ankle/brachial- artierial dis if under 0.9. With duplex.
Treadmill test
Duplex scan arterial tree
Angiogram CT or MRI

Question 6

mx

Answer 6

Stop smoking
RF mx
Exercise
Percut translumin angioplasty
Bypass
clopidogrel 1st line not asp
Statin atorvastatin

Question 7

Hx

Answer 7

Local pain
Durat 
Rest relieves 
Exercise tol 
Impact
RFs
Relev pmh

Question 8

Exam

Answer 8

Skin- colour, breakdown, ulcer, gangrene
Palpat- temp, cap refill, pulses, check for aneur and AF
Ausc- bruits