Pvd Flashcards
1
Q
What are the 6 Ps
A
Perishingly cold Pulseless Pallor Pain Paraesthesia Paralysis
2
Q
Risk factors
A
Diabetes Hyperlipidemia High cholesterol Smoking Obesity High ldl and low ldl
3
Q
how common is PVD
A
20% of over 60s
4
Q
cause
A
usually atherosclerosis which clots in leg and causes reduced or no blood flow to muscles and tissue
5
Q
RF
A
diabetes obesity smoking high blood pressure, cholesterol lipids age M>F high LDL, low HDDL
6
Q
what is the classification system called
A
fontaine
begins with pain on walking - mild, moderate and severe intermittent claudication, pain on rest and then ulceration and gangrene
7
Q
signs and symptoms
acute and chronic
A
acute - 6 Ps pallor, pararesthesia, pershingly cold, pulseless, pain, paralysis other factors- sweatiness, heair loss ERECTILE DYSFUNCTION worse at night non healing wounds
8
Q
investiagations
A
ABPI < 0.9
1 is normal
positive bergers test- <20 degrees when leg turns pale and or pulseless -normally happens at 90 degrees
bloods- clotting factors, ESR, llipids
USS /Doppler
9
Q
management
A
treat cause smoking cessation diabetic treatment, anti hypertensives anti platelet- aspirin clopidgrel angioplasty balloon stent surgery nafifidrofyl oxlate
10
Q
differentials
A
DVT
diabetic neuropathy
sciatica
