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Peripheral Vascular Disease
              (PVD)
• Narrowing of blood vessels
  – outside of heart & brain

• Arterial or venous (or both)

• Often thought of as arterial problems
Thromboangiitis Obliterans
       Buerger’s Disease
• Peripheral artery inflammatory disease
• Young men who smoke cigarettes
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
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
Raynaud’s Disease &
     Raynaud’s Phenomenon
         S&S
• Pallor
• Numbness
• Sensation of cold
  digits
• Bilateral
• Cyanosis
• Rubor
• Throbbing
Aneurysm Types
• Localized outpouching of vessel wall or
  cardiac chamber
• True
  – all 3 layers
• False
  – clot within adventitial layer
• Dissecting
  – blood within adventitial layer
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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Peripheral vascular disease

  • 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
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  • 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