TEST BANK For Huether and McCance's Understanding Pathophysiology, Canadian 2...
Periferal vascular disease
1. PERIFERAL VASCULAR DISEASE
Occurs in three to ten% of population, increases to 15-21% after 70 years.
ETIOLOGY
Athersclerosis # one cause
Thrombosis
Thrombo emboli from aneurysm, blue toe syndrome
Small vessel occlusion or burgers disease
Vasospastic digits
Aneurysm
Arteritis
Giant cell arteritis
RISK FACTORS
70 plus years
Gender
Smoking
Diabetes
Dyslipidemia
HTN
Inflammatory markers ie: crp etc…
Homosystine
Hyper coagulation
Race
2. PAD CLINICAL CLLASIFICATIONS
Rutherford classification, 4 stages
0
1
2
3
modify risk factors
claudication, no resting pain
ischemic resting pain
trophic changes, ulcerations etc…
SIGNS AND SYMPTOMS
Acute occlusion: pallor, pain, pulse paralyze
Coldness
Blue toe
Ulceration
Non healing wounds