MED SURG III - QUIZ 2 EXAM STUDY GUIDE SOLUTION
Arterial Insufficiency Etiology - - Arteriosclerosis Obliterans (Buerger's Disease)
- Atheroembolism
Venous Insufficiency Etiology - - Thrombophebitis
- Trauma, vein obstruction
Arterial Insufficiency Risk factors: - - Smoking, Diabetis meliitus
- Hyperlipproteinemia
- hypertension
Venous Insufficiency Risk factors: - - Venous hypertension
- Varicose veins
- Inherited trait
Arterial Insufficiency PAIN - -Severe muscle ischemia
-Intermittent Claudication
- Worse with exercise, relived by rest
- Rest pain = Severe involvement
- Muscle fatigue, cramping, numbness, paresthesias overtime
Venous Insufficiency PAIN - - Minimal to moderate steady pain
- Aching pain in LE with prologned standing or sitting (dependency)
- Superficial pain along the course of vein
Arterial Insufficiency Location of Pain - - Usually calf, lower leg or dorsum of foot
- May occur in thigh, hip or buttock
Venous Insufficiency Location of Pain - - Muscle compartment tenderness
, Arterial Insufficiency Vascular - - Decreased or absent pulses
- Pallor of forefoot on elevation, dependent rubor
Venous Insufficiency Vascular - - Venous dilatation or variscosity
- Edema: Moderate to severe
Skin changes associated with:Arterial Insufficiency - - Pale, shiny, dry, loss of hair
- Nail changes - thickened and ridged
- Coolness of extremity
-edema minimal unless extremity kept in dependent position to relieve pain
Skin changes associated with: Venous Insufficiency - - liposclerosis (thickening in the tissues underneath
the skin)
- dark, cyanotic
- thickened, brown
- may lead to stasis dermatitis, cellulitis
Arterial Insufficiency Acute Stage - - Acute arterial obstruction
- Distal pain, paresthtic, pale, pulseless, sudden onset
Venous Insufficiency Acute Stage - - Acute thrombophlebitis (DVT)
- Calf pain, aching, edema, muscle tenderness
- 50% asymptomatic
Arterial Insufficiency :Ulceration - - May develop in toes or feet or areas of trauma
- Gangrene may develop
Venous Insufficiency:Ulceration - - May develop at sides of ankles, especially MEDIAL MALLEOLUS
Arterial Insufficiency Etiology - - Arteriosclerosis Obliterans (Buerger's Disease)
- Atheroembolism
Venous Insufficiency Etiology - - Thrombophebitis
- Trauma, vein obstruction
Arterial Insufficiency Risk factors: - - Smoking, Diabetis meliitus
- Hyperlipproteinemia
- hypertension
Venous Insufficiency Risk factors: - - Venous hypertension
- Varicose veins
- Inherited trait
Arterial Insufficiency PAIN - -Severe muscle ischemia
-Intermittent Claudication
- Worse with exercise, relived by rest
- Rest pain = Severe involvement
- Muscle fatigue, cramping, numbness, paresthesias overtime
Venous Insufficiency PAIN - - Minimal to moderate steady pain
- Aching pain in LE with prologned standing or sitting (dependency)
- Superficial pain along the course of vein
Arterial Insufficiency Location of Pain - - Usually calf, lower leg or dorsum of foot
- May occur in thigh, hip or buttock
Venous Insufficiency Location of Pain - - Muscle compartment tenderness
, Arterial Insufficiency Vascular - - Decreased or absent pulses
- Pallor of forefoot on elevation, dependent rubor
Venous Insufficiency Vascular - - Venous dilatation or variscosity
- Edema: Moderate to severe
Skin changes associated with:Arterial Insufficiency - - Pale, shiny, dry, loss of hair
- Nail changes - thickened and ridged
- Coolness of extremity
-edema minimal unless extremity kept in dependent position to relieve pain
Skin changes associated with: Venous Insufficiency - - liposclerosis (thickening in the tissues underneath
the skin)
- dark, cyanotic
- thickened, brown
- may lead to stasis dermatitis, cellulitis
Arterial Insufficiency Acute Stage - - Acute arterial obstruction
- Distal pain, paresthtic, pale, pulseless, sudden onset
Venous Insufficiency Acute Stage - - Acute thrombophlebitis (DVT)
- Calf pain, aching, edema, muscle tenderness
- 50% asymptomatic
Arterial Insufficiency :Ulceration - - May develop in toes or feet or areas of trauma
- Gangrene may develop
Venous Insufficiency:Ulceration - - May develop at sides of ankles, especially MEDIAL MALLEOLUS
