Chapter 12 - PVD Flashcards Preview

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Flashcards in Chapter 12 - PVD Deck (15)
1

MC cause of peripheral arterial occlusive disease:

Atherosclerosis affecting medium-large sized vessels of the extremities

2

AAA usually occurs below ____

Renal arteries

3

AAA are MC in which population?

White males

4

Rule of 15 in diabetic patients =

15% of diabetics will develop a foot ulcer
15% of those ulcers will lead to osteomyelitis
15% of ulcers lead to amputation

5

Rule of 50 in diabetic patients =

50% of amputations are transfemoral/transtibial level
50% of pts have a 2nd amputation in 5 yrs or less
50% of pts die in 5 years or less

6

What is the principle symptom of atherosclerosis?

Pain

7

Define intermittent claudication

Pain in the lower extremity during exercise (relieved by rest)

8

Where is the site of pain in occlusive atherosclerosis?

Distal to the occlusion

9

Define venous claudication

Pain that occurs with DVT

10

What is the unique feature of venous claudication?

Motionless standing is often more difficult than walking

11

Define neurogenic claudication

-Common symptom of lumbar spinal stenosis
-Inflammation of the nerves
-Pain is often related to posture

12

Leriche's syndrome and what does the patient present with?

-Chronic aortoiliac obstruction
-Intermittent claudication and ED

13

Define pseudoclaudication

-Bilat leg pain or numbness that occurs walking or at rest
-A/w musculoskeletal disease in lumbar area

14

How is skin affected in arterial insufficiency vs. venous insufficiency?

-Arterial = cool and pale extremity
-Venous = red and warm extremity

15

How do ulcers occur in arterial vs. venous disease?

-Arterial = d/t trauma to toes/heel, painful, "punched out"
-Venous = stasis ulceration = painless in the ankle/medial malleolus areas, "cobblestone"