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Flashcards in Vascular Deck (111)
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1

Most common cause of arterial stenosis and occlusion

atherosclerosis

2

biggest risk factor for atherosclerosis

smoking

3

cholesterol profile that increases risk for atherosclerosis

elevated LDL
low HDL

4

Treatment for atherosclerosis

stope smoking
exercise, nutrition
antiplatelet
Beta blockers
statins
anithypertensives

5

Occlusion or stenosis of the arteries in the lower extremities

Peripheral Arterial Dz

6

PAD above the inguinal ligament

aortoilliac dz

7

PAD below the inguinal ligament

femoropopliteal dz

8

PAD below the popiteal trifurcation

tibial occlusive disease

9

presentations of PAD

Asymptomatic
Intermittent claudication
Ischemic rest pain
Skin ulceration
Gangrene

10

Sxs of aortoiliac dz

buttock pain

11

sx of femoropopliteal dz

thigh pain

12

sx of tibial occlusive dz

calf claudication

13

Described as an achiness or heaviness in the extremity with exercise and relieved by rest

claudication

14

syndrome caused by aortoiliac disease. have buttock claudication, absence of femoral pulses and erectile dysfunction

leriche syndrome

15

Burning or boring pain in the distal extremity (toes and feet) while supine and may be relieved by dangling foot off side of bed

Ischemic rest pain

16

Mummification without infection

dry gangrene

17

infection w/ cellulitis and purulent discharge

wet gangrene

18

what are the 5 Ps associated w/ PAD

pain, pallor, paresthesias, poikilothermia, and pulselessness (6 Ps – add paralysis)

19

what is a normal ABI?

>0.9

20

how to calculate ABI

BP at brachial and ankles

21

when is there claudciation w/ ABI

<0.8

22

where is there rest pain or tissue loss with ABI

<0.4

23

what can an ABI>1 indicate

calcification

24

for claudicaton you may have to repeat ABIs after what?

walking on the treadmill

25

normal flow in the artery

triphasic
w/ disease- biphasic then monophasic

26

tx for claudication

cessation of smoking
graded exercise (condition muscles)
walk until pain starts and continue until moderate
antiplatelets

27

how do you describe the claudication

onset of pain to a particular walking distance

28

who requires operative management with PAD

moderate to severe claudication that interferes w/ normal activity
rest pain
tissue loss

29

most minimally invasive tx for PAD

angioplasty w/wo stenting

30

procedure where you take a plaque out of an artery

endarterectomy