Vascular Flashcards
Why might limb pain be an issue?
Most commonly musculoskeletal causes but with vascular issues there may be peripheral arterial disease which includes acute ischemia, chronic ischemia, raynauds phenomenon. And peripheral venous diseases such as dvt, varicose, chronic venous insufficiency
What are the red flags for limb pain?
A sudden, severe pain, acute limb ischemia(pallor, coolness, pulse deficit, delayed capillary refill), dyspnea, chest pain and or sweating, systemic toxicity, neurological deficits, risk factors for dvt, Bullard, necrosis, tenseness, foul discharge
Severe limb pain, sudden, can be acute ischemia but what characterises this?
The rule of six Ps
Painful (or painless), parasthesia, paralysed, pale, pulse less, perishing cold
A medical emergency
Intermittent claudication often suggests what?
Peripheral arterial disease. Can also result from neurological claudication.
Intermittent limb pain, what might somebody have to deal with day to day life and what physical things are seen?
In peripheral arterial disease intermittent claudication can create aching, cramping, pain occuring upon exercise, it is relieved by several minutes rest and usually occurs in the calf. The chronic skin changes that might occur include atrophy, hair loss, pale colour and ulceration.
What does prolonged hypertension do and what is the process?
Damaged the organs through arteriosclerosis. Sclerosis means abnormal hardening of bodynp tissue
Hypertension can lead to Ehat complications? And how do these complications occur
Heart failure through systolic and diastolic dysfunction
M.i by increasing after load
Ischemia stroke, aneurysm and dissection by accelerating athrisckerosis through arterial damage
Hemorrhagic stroke, nephrosclerosis and renal failure, retinopathy through weakened vessel walls by arterial damage.
Common complaints for vascular pathologies?
Same as for heart, chest discomfort, breathlessness, palpitation, pre and syncope, peripheral oedema. Addition is limb pain,
