1. Peripheral Vascular Disease
(PVD)
• Narrowing of blood vessels
– outside of heart & brain
• Arterial or venous (or both)
• Often thought of as arterial problems

2. Thromboangiitis Obliterans
Buerger’s Disease
• Peripheral artery inflammatory disease
• Young men who smoke cigarettes

3. Buerger’s Disease
Pathophysiology S&S
• med & sm artery • Pain
inflammation • Diminished, absent
• hands & feet pulses
• emboli • Cyanosis (supine)
• vasospasm • Reddish blue (sitting)
• ischemia -- > pain --> • Skin shiny
necrosis • Diminished hair
growth

4. Raynaud’s Disease &
Raynaud’s Phenomenon
• Young women
• Etiology
– Idiopathic
– Secondary to systemic diseases
• SLE
• scleroderma
• serum sickness
• Vasospasms in small arteries & arterioles
– fingers, sometimes toes

5. Raynaud’s Disease &
Raynaud’s Phenomenon
S&S
• Pallor
• Numbness
• Sensation of cold
digits
• Bilateral
• Cyanosis
• Rubor
• Throbbing

6. Aneurysm Types
• Localized outpouching of vessel wall or
cardiac chamber
• True
– all 3 layers
• False
– clot within adventitial layer
• Dissecting
– blood within adventitial layer

10. Acute Arterial Occlusion S & S
Usually from thrombus or emboli
originating in LEFT heart
Extremities Brain
• Acute pain • Cover in neuro
• Tingling
– loss of sensation
– loss of reflexes
• Weakness
– loss of function
• Pallor /cold
– loss of pulse