Campus Collusion
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Question Answer
_______ occurs in a patient with lower extremity PAD when the foot is lowered or dangled in a dependent position.
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Reactive hyperemia/dependent rubor
Rest pain is a phenomenon associated with lower extremity PAD and often occurs in the ________ and is aggravated by limb elevation.
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Toes or forefoot
Where do arterial ulcers from PAD typically form?
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Over bony prominences on the toes, feet and/or lower leg
What diagnostic studies are done to diagnose PAD?
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Doppler ultrasound to get Doppler pulses, ankle-brachial indexes, and segmental blood pressures. Duplex imaging and angiography.
How is a segmental BP taken and what is indicative of PAD?
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BP is taken with a Doppler and a BP cuff at the thigh, below the knee, and at the ankle while the patient is supine. Falloff of more than 30 mmHg indicates PAD
What is the ankle-brachial index and how is it taken?
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It is the division of the highest systolic ankle pressure by the highest systolic brachial number. Normal is 0.91-1.30. The lower the number, the more severe the PAD.
What type of patients cause ABI (ankle-brachial indexes) to be artificially elevated and therefore not diagnostic?
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Patients with diabetes mellitus
Arterial or Venous Ulcer? Absent pedal pulses
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Arterial
Arterial or Venous Ulcer? Ankle-brachial index (ABI) less than 0.70
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Arterial
Arterial or Venous Ulcer? Ankle-brachial index (ABI) normal
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Venous
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Arterial or Venous Ulcer? No edema
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Arterial
Arterial or Venous Ulcer? Ulcers on the tips of toes, foot or lateral malleolus
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Arterial
Arterial or Venous Ulcer? Round, smooth ulcerations, with little drainage and black eschar or pale pink granulation
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Arterial
Arterial or Venous Ulcer? Skin is cooler the farther down the leg you go
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Arterial
Arterial or Venous Ulcer? Lower leg edema
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venous
Arterial or Venous Ulcer? Ulcerations near the medial malleolus
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Venous
Arterial or Venous Ulcer? Moderate to large amount of drainage from the lesions
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Venous
Arterial or Venous Ulcer? Ulceration tissue is yellowish or has dark red granulation
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Venous
Arterial or Venous Ulcer? Dull ache or heaviness in the thigh or calf, painful ulcerations
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Venous
Arterial or Venous Ulcer? Skin is bronze-brown, varicose veins visible
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Venous
Arterial or Venous Ulcer? Skin is warm
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Venous
  
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