Peripheral Vascular Disease Case Study Paper.
Peripheral Vascular Disease Case Study Paper.
A 52-year-old man complained of pain and cramping in his right calf caused by walking two
blocks. The pain was relieved with cessation of activity. The pain had been increasing in
frequency and intensity. Physical examination findings were essentially normal except for
decreased hair on the right leg. The patient’s popliteal, dorsalis pedis, and posterior tibial
pulses were markedly decreased compared with those of his left leg. Peripheral Vascular Disease Case Study Paper.
Studies Results
Routine laboratory work Within normal limits (WNL)
Doppler ultrasound systolic pressures Femoral: 130 mm Hg; popliteal: 90 mm Hg;
posterior tibial: 88 mm Hg; dorsalis pedis: 88
mm Hg (normal: same as brachial systolic
blood pressure)
Arterial plethysmography Decreased amplitude of distal femoral, popliteal,
dorsalis pedis, and posterior tibial pulse waves
Femoral arteriography of right leg Obstruction of the femoral artery at the midthigh
level
Arterial duplex scan Apparent arterial obstruction in the superficial
femoral artery
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Diagnostic Analysis
With the clinical picture of classic intermittent claudication, the noninvasive Doppler and
plethysmographic arterial vascular study merely documented the presence and location of the
arterial occlusion in the proximal femoral artery. Most vascular surgeons prefer arteriography
to document the location of the vascular occlusion. The patient underwent a bypass from the
proximal femoral artery to the popliteal artery. After surgery he was asymptomatic. Peripheral Vascular Disease Case Study Paper.
Critical Thinking Questions
1. What was the cause of this patient’s pain and cramping? 2. Why was there decreased hair on the patient’s right leg? 3. What would be the strategic physical assessments after surgery to determine the
adequacy of the patient’s circulation?
4. What would be the treatment of intermittent Claudication for non-occlusion?
Facts about peripheral arterial disease (PAD)
• It affects 8 million people
• PAD symptoms are often mistaken for something else
• Symptoms of PAD including cramping, pain or
tiredness in the leg or hip muscles while
ambulating or climbing stairs
• Typically, this pain goes away with rest and
returns when ambulating
• If a patient smokes or has diabetes, they are at
greater risk of developing PAD
• Patients with PAD have a 3 times greater risk of
MI, stroke, or death from cardiovascular causes
compared to patients without PAD
• Risk factors include: smoking, diabetes, obesity,
hypertension, hypercholesterolemia, physical
inactivity
• Lifestyle changes and medication(s) can often be
used to manage PAD. Peripheral Vascular Disease Case Study Paper.
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