Peripheral vascular disease

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Peripheral vascular disease

  1. 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. 2. Thromboangiitis Obliterans Buerger’s Disease• Peripheral artery inflammatory disease• Young men who smoke cigarettes
  3. 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. 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. 5. Raynaud’s Disease & Raynaud’s Phenomenon S&S• Pallor• Numbness• Sensation of cold digits• Bilateral• Cyanosis• Rubor• Throbbing
  6. 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
  7. 7. 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

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