Vascular: Peripheral Arterial Disease Flashcards
symptoms of peripheral arterial disease
- intermittent claudication
- rest pain (worse at night) in the toes
causes and risk factors of PAD
- artherosclerosis
- smoking
- diabetes
- hypertension
- hyperlipidaemia
what is critical limb threatening ischaemia?
when the ischaemia is so extensive that there is a high risk of limb amputation
features of CLTI
- gangrene
- tissue loss
- rest pain
where would the claudication pain be?
distal to the obstruction
characteristics of the rest pain
- appears at night
- relieved by walking
- relieved by hanging the leg from the bed
clinical examination of PAD
- change in colout
- compare sides
- check for ulcers
- check temperature and pulses
- bruits
- Buerger’s test
what is the normal ABPI ratio?
1 (the smaller the number, the more severe the PAD)
what type of a waveform on Doppler indicates that the vessels are relatively healthy?
triphasic
what makes it more difficult to visualise an ultrasound image?
- body habitus
- calcification
- air
what do you use digital subtraction angiography do?
- bleeding
- thrombosis
- occlusion
- dissection
- embolisation
- infection
what type of amputations are there?
- digit amputation
- below-knee amputation
- above-knee amputation