1 / 12

Peripheral Vascular Disease

Peripheral Vascular Disease. Christopher B. Powe. Objectives. Definition of Peripheral Vascular Disease Etiology/Incidence of Peripheral Vascular Disease Signs and Symptoms of Peripheral Vascular Disease Diagnosis of Peripheral Vascular Disease Treatment for Peripheral Vascular Disease.

lknauer
Download Presentation

Peripheral Vascular Disease

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Peripheral Vascular Disease Christopher B. Powe

  2. Objectives • Definition of Peripheral Vascular Disease • Etiology/Incidence of Peripheral Vascular Disease • Signs and Symptoms of Peripheral Vascular Disease • Diagnosis of Peripheral Vascular Disease • Treatment for Peripheral Vascular Disease

  3. Risk Factors Non Modifiable Modifiable Smoking (A/V) HTN DM (A/V) Obesity Type A personality Oral contraception hyperlipidemia • Age • Gender male>female (A/V) • Race • Heredity

  4. Definition/Incidence • Disorder of peripheral arteries and viens • Commonly in lower extremities • One in five adults • Two categories • PAD • CVI

  5. Definition of Peripheral Vascular Disease • Peripheral arterial disease • Manifestation of systemic arthrosclerosis in which there is a partial or total blockage in the arteries, exclusive of the coronary and cerebral vessels. Defined as resting ankle-brachial index of < 0.90 • Occlusion arterial disease • Two forms of disorders. • Arteriosclerosis obliterans – Narrowing of the lumen in the artery that results from arteriolsclerosis • Thromboangiitis obliterans (Buerger’s disease) –Occlusion of the arteries that results from thrombosis and inflammation

  6. Definition Peripheral Venous Dx • Condition in which alteration in the character of veins results in thrombosis or decreased venous return • Superficial thrombophlebitis or deep thrombosis of veins

  7. Subjective/Physical Finding Arterial Dx Venous Dx Dependent edema Leg edema Shiny taut skin Hyperpigmentation Ulcers • 6 “P’s” • Pain • Pallor • Pulse absent • Parasthesia • Paralysis • Poikilothermia • Loss of hair to extremity effected • Glossy skin

  8. Peripheral Artery DiseaseSigns & Symptoms • Approximately half are asymptomatic • Intermittent claudication, particularly calf pain, that most often starts at the arch of the foot. (symptoms resolve in 2-5 minutes after rest) • Pain at rest • Pain relieved by dependent positioning • Coldness, numbness, or pallor of the extremity • Absent or diminished pulse, especially distal • Ulcerations of the feet or toes • Reduced pulses • Dependent Rubar • Dry scaly skin • Poor nail growth • Hair loss.

  9. Peripheral Venous Signs & Symptoms Superficial vein Deep vein Throbbing aching extremity Tender to touch Homan’s sign Fever Edema • Palpable cord, red vein • Tender, warm • Fever 70%

  10. Diagnostic Work-up Artery Dx Venous Dx Doppler plethysmography Venography • Doppler ultrasound • Arteriogram

  11. Management Artery Dx Venous Dx Elevation Warm compress NSAIDS/analgesics Bed rest Anticoagulation Possible fibrinolytic therapy if indicated IVC filter exercise progression gradually WT reduction Skin care • Balloon/laser angioplasty • Pain control • Artherectomy • Bypass • ASA • Consider Pletal • Trental 3 times daily for those able to ambulate and exercise before claudication • Smoking cessation • Control HTN, DM • Foot care

  12. READ

More Related