Vascular Claudication (PAD) Flashcards
Age of onset?
mid 40’s and older
Male/Female
more males, but…
Family History
Positive
Predisposing Health Risks
Diabetes
Hypertension
High cholesterol
History of smoking
Type of onset and progression
Onset: insidious
Progression: slow, gradual
Symptom Location
Buttock, thigh, calf
Symptom Descriptors
Ache
Cramp
Tiredness
If occlusion at level of aorta:
- weakness
- numbness
- tingling
Aggravating factors
walking
Alleviating factors
rest
stopping the walking
Review of systems
Cold feet/foot
ROM/Mobility
N/A
Palpation/Observation
Cold extremity
Trophic skin changes: shiny, hair loss
Decreased or absent pulses
Special Tests
Increased pallor with elevation of foot
Decreased venous filling time, dependent rubor
ABI less than 0.8-> suggests moderate disease