JoAnn Smith, 74 years old Peripheral Arterial
Disease (PAD) Case Study 2024 Update Graded A+
(SOLVED)
Peripheral vascular disease can be a manifestation of what? - ANSWER: Systemic
atherosclerosis
Systemic athersclerosis can result in what? - ANSWER: Peripheral vascular disease
Peripheral vascular disease is chronic or acute? - ANSWER: both, can be chronic or
acute
Peripheral vascular disease is characterized by... - ANSWER: partial or total arterial
occlusion
What happens in PVD when the arteries are partially or totally occluded? - ANSWER:
Oxygen and nutrients are prevented from reaching the lower extremities
If oxygen and nutrients are prevented from reaching certain areas in a patient with
PVD due to occlusion, what will happen? - ANSWER: tissue damage/death below the
obstructed area.
There are two types of flow obstructions, what are they? - ANSWER: inflow and
outflow
What is an inflow obstruction? - ANSWER: involves the distal end of aorta and
common, internal, and external iliac arteries. Gradual occlusion will not cause
significant damage
What is an outflow obstruction? - ANSWER: involves infra-inguinal artery and are
below the superficial femoral artery. gradual occlusion causes significant damage.
Which causes more damage, gradual occlusion of the infra-inguinal artery, or gradual
occlusion of the distal end of the aorta and common, internal, and external iliac
arteries? - ANSWER: gradual occlusion of the infra-inguinal artery. this is an outflow
obstruction.
Which type of flow obstruction involves infra-inguinal artery and are below the
superficial femoral artery. gradual occlusion causes significant damage? - ANSWER:
Outflow
Which type of flow obstruction involves the distal end of aorta and common,
internal, and external iliac arteries. Gradual occlusion will not cause significant
damage - ANSWER: inflow
, What was the estimated cost of care for flow obstructions in the US in 2010? -
ANSWER: 350 billion dollars
What is acute arterial occlusive disease? - ANSWER: a form of arteriosclerosis
involving occlusion of the arteries
Where is arterial occlusive disease typically found in the body? - ANSWER: found in
lower extremities 90 percent of the time
How might arterial occlusive disease be caused? - ANSWER: from trauma or from
thrombosis or embolism of an already narrowed artery
Which ailment usually results from trauma or from thrombosis or embolism of an
already narrowed artery? - ANSWER: arterial occlusive disease
Which ailment occurs suddenly without warning signs? - ANSWER: arterial occlusive
disease
What is the most frequent cause of arterial occlusive disease? - ANSWER:
embolization of a thrombus from the heart or an atherosclerotic aneurysm
What are some heart conditions in which a thrombus can develop? (5) - ANSWER:
MI, Mitral valve disease, chronic A Fib, cardiomyopathy, and prosthetic heart valves
The following heart conditions can contribute to developing what? what can result in
what? MI, Mitral valve disease, chronic A Fib, cardiomyopathy, and prosthetic heart
valves - ANSWER: thrombi, arterial occlusive disease
Thrombi in the right side of the heart travel where? - ANSWER: to the lungs
Thrombi in the left side of the heart can travel where? - ANSWER: anywhere in
systemic circulation
Blood supply distal or proximal to the embolus is decreased? - ANSWER: Distal
Which ailment of the vasculature is usually abrupt in onset? - ANSWER: Arterial
occlusive disease
If crhonic arterial occlusion is present, what might mask symptoms of an acute
occlusion? - ANSWER: Collateral circulation
Collateral circulation can mask symptoms of what? - ANSWER: an acute arterial
occlusion in a patient with chronic arterial occlusion
What are the 6 p's of acute arterial ischemia? - ANSWER: Pain, parasthesias,
poikilothermia (temp takes on envirotemp), paralysis, pallor, pulselessness
Disease (PAD) Case Study 2024 Update Graded A+
(SOLVED)
Peripheral vascular disease can be a manifestation of what? - ANSWER: Systemic
atherosclerosis
Systemic athersclerosis can result in what? - ANSWER: Peripheral vascular disease
Peripheral vascular disease is chronic or acute? - ANSWER: both, can be chronic or
acute
Peripheral vascular disease is characterized by... - ANSWER: partial or total arterial
occlusion
What happens in PVD when the arteries are partially or totally occluded? - ANSWER:
Oxygen and nutrients are prevented from reaching the lower extremities
If oxygen and nutrients are prevented from reaching certain areas in a patient with
PVD due to occlusion, what will happen? - ANSWER: tissue damage/death below the
obstructed area.
There are two types of flow obstructions, what are they? - ANSWER: inflow and
outflow
What is an inflow obstruction? - ANSWER: involves the distal end of aorta and
common, internal, and external iliac arteries. Gradual occlusion will not cause
significant damage
What is an outflow obstruction? - ANSWER: involves infra-inguinal artery and are
below the superficial femoral artery. gradual occlusion causes significant damage.
Which causes more damage, gradual occlusion of the infra-inguinal artery, or gradual
occlusion of the distal end of the aorta and common, internal, and external iliac
arteries? - ANSWER: gradual occlusion of the infra-inguinal artery. this is an outflow
obstruction.
Which type of flow obstruction involves infra-inguinal artery and are below the
superficial femoral artery. gradual occlusion causes significant damage? - ANSWER:
Outflow
Which type of flow obstruction involves the distal end of aorta and common,
internal, and external iliac arteries. Gradual occlusion will not cause significant
damage - ANSWER: inflow
, What was the estimated cost of care for flow obstructions in the US in 2010? -
ANSWER: 350 billion dollars
What is acute arterial occlusive disease? - ANSWER: a form of arteriosclerosis
involving occlusion of the arteries
Where is arterial occlusive disease typically found in the body? - ANSWER: found in
lower extremities 90 percent of the time
How might arterial occlusive disease be caused? - ANSWER: from trauma or from
thrombosis or embolism of an already narrowed artery
Which ailment usually results from trauma or from thrombosis or embolism of an
already narrowed artery? - ANSWER: arterial occlusive disease
Which ailment occurs suddenly without warning signs? - ANSWER: arterial occlusive
disease
What is the most frequent cause of arterial occlusive disease? - ANSWER:
embolization of a thrombus from the heart or an atherosclerotic aneurysm
What are some heart conditions in which a thrombus can develop? (5) - ANSWER:
MI, Mitral valve disease, chronic A Fib, cardiomyopathy, and prosthetic heart valves
The following heart conditions can contribute to developing what? what can result in
what? MI, Mitral valve disease, chronic A Fib, cardiomyopathy, and prosthetic heart
valves - ANSWER: thrombi, arterial occlusive disease
Thrombi in the right side of the heart travel where? - ANSWER: to the lungs
Thrombi in the left side of the heart can travel where? - ANSWER: anywhere in
systemic circulation
Blood supply distal or proximal to the embolus is decreased? - ANSWER: Distal
Which ailment of the vasculature is usually abrupt in onset? - ANSWER: Arterial
occlusive disease
If crhonic arterial occlusion is present, what might mask symptoms of an acute
occlusion? - ANSWER: Collateral circulation
Collateral circulation can mask symptoms of what? - ANSWER: an acute arterial
occlusion in a patient with chronic arterial occlusion
What are the 6 p's of acute arterial ischemia? - ANSWER: Pain, parasthesias,
poikilothermia (temp takes on envirotemp), paralysis, pallor, pulselessness
