Vascular disorders

Question 1

Dx for superficial thrombophlebitis

Answer 1

Duplex ultrasound can be a clinical Dx, R/O Factor V Leiden.

Question 2

Worse with walking and elevation of legs

Answer 2

PAD

Question 3

Dx for PAD

Answer 3

Angiography (preferred) or duplex ultrasound

Question 4

What is stasis dermatits?

Answer 4

Brown pigmentation and thickening of the skin associated with Venous insufficiency

Question 5

Thickened nails

Answer 5

PAD

Question 6

Factor V Leiden

Answer 6

Superficial Thrombophlebitis

Question 7

Palpable cord

Answer 7

Superficial Thrombophlebitis

Question 8

Ulcers and rash at lateral malleolus

Answer 8

PAD

Question 9

Tx for Superficial Thrombophlebitis?

Answer 9

Xa band if recent surgery. Extremity elevation, warm compresses, normal daily activity, NSAIDs, elastic support compression stockings. Bed rest if severe.

Question 10

Muscle atrophy

Answer 10

PAD

Question 11

Stasis dermatitis

Answer 11

Venous insufficiency

Question 12

Erythema in legs with dependency

Answer 12

PAD

Question 13

Normal skin temp

Answer 13

Venous insufficiency

Question 14

Cool or cold skin

Answer 14

PAD

Question 15

Thin shiny skin with loss of hair

Answer 15

PAD

Question 16

What is leg dependency?

Answer 16

When legs are in active and sitting still at rest (prolonged sitting or standing)

Question 17

Pallor

Answer 17

PAD

Question 18

Worse with prolonged standing or sitting (worsens with leg dependency)

Answer 18

Venous insufficiency

Question 19

brown pigmentation and thickening of skin (stasis dermatits)

Answer 19

Venous insufficiency

Question 20

Dx for venous insufficiency

Answer 20

Trendelenberg test and/or ultrasound

Question 21

Levido Reticularis (mottled skin)

Answer 21

PAD

Question 22

Cyanotic legs with dependency (sitting still or at rest)

Answer 22

Venous insufficiency

Question 23

Minimal to no leg edema

Answer 23

PAD

Question 24

Tx for venous insufficiency?

Answer 24

Periods of leg elevation, elastic compression stockings,

avoid prolonged periods of standing or sitting. Patient should exercise regularly.

Question 25

Prominent leg edema

Answer 25

Venous insufficiency

Question 26

Ulcers and rash at medial malleolus

Answer 26

Venous insufficiency

Question 27

Pain worsens in cold weather

Answer 27

PAD

Question 28

tenderness, pain, induration, edema, erythema along the course of the superficial vein

Answer 28

Superficial Thrombophlebitis

Question 29

mottled appearance

Answer 29

PAD

Question 30

Tx for PAD

Answer 30

Stop smoking, daily ASA or clopidogrel or XA band or cilostazol, surgery if needed. Daily walking (until pain occurs then rest until it resolves, continue walking for a 45-minute session)

Question 31

Decreased pulses

Answer 31

PAD

Question 32

Improves with walking and elevation of legs

Answer 32

Venous insufficiency

Question 33

Normal pulses

Answer 33

Venous insufficiency

Question 34

Atrophic skin changes

Answer 34

PAD

Question 35

Dx using Trendelenburg test

Answer 35

Venous insufficiency

Question 36

What is a mottled skin?

Answer 36

Patchy and irregular colors. The skin may have red and purple marks, streaks, or spots. It may also have a marbled appearance with different colors.

Question 37

Tx for venous insufficiency ulcers

Answer 37

Una boot or skin graft if severe

Question 38

Improves with rest and prolonged sitting (improves with leg dependency)

Answer 38

PAD