PVD

Question 1

What is Leriches syndrome and what does it suggest

Answer 1

Leriches syndrome is a triad of:

1. Intermittent claudication
2. Absent/diminished femoral pulses
3. Erectile dysfunction

May suggest PVD

Question 2

If the superficial femoral artery is compromised, where is pain felt

Answer 2

Upper 2/3 of calf

Question 3

Popliteal artery compromise gives pain where?

Answer 3

Lower 1/3 of calf

Question 4

Compromise of which artery causes pain in the foot

Answer 4

Tibial or peroneal artery

Question 5

What ABPI index is healthy / normal?

Answer 5

1-1.4

ABPI < 1 indicates PVD, ABPI > 1 indicates vessel wall stiffness due to calcification

Question 6

If PVD suspected, what investigation should be done?

Answer 6

Lower limb doppler ultrasound to determine location and severity of obstruction

Question 7

What are some pharmacological therapies for PVD

Answer 7

Long term anti platelet therapy with aspirin or clopidogrel
Lipid lowering therapy with statins
DM and HTN treatment

Question 8

If there is critical limb ischaemia or a failure to respond to conservative management over 6 months, what is considered/done

Answer 8

Revascularization through a bypass graft or endarterectomy