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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
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
Periferal vascular disease

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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