| A | B |
|---|
| Thromboangitis obliterans | aka Buerger's |
| Buerger's | 20-40 yr old males, affects lges, excess smoking, intermittent claudication, non-healing ulcers and gangrene, small arteries of feet and hands |
| Raynaud's | >15yr females, buerger's collagen disease, scleroderma, arterial spasms, triphasic color change in fingers, white-blue-red, finger tip ulcers and gangrene, cold sensitive |
| aneurysm | abnormal widening that involves all 3 layers |
| dissecting aneurysm | abrupt onset epigastric pain |
| ascending aorta aneurysm | associated with marfan's |
| descending aorta aneurysm | associated with hypertension, arteriosclerosis |
| intermittent claudication | commencement of pain while walking and disappearance of pain after rest |
| neurogenic intermittent claudication | not predictable, relief position related (lying down with knees bent) |
| causes of neurogenic intermittent claudication | degenerative joint disease and spinal canal stenosis |
| vascular intermittent claudication | predictably reproducible, relief always with rest |
| common causes vascular intermittent claudication | arteriosclerosis or buerger's disease |
| varicose veins | >20, incompetent valves, dilated tortuous channels ortho: perthe's and homan's |
| deep vein thrombosis | tenderness, edema, pain ortho: homan's |
| homan's | pt leg extended examiner dorsiflexes foot, pain in calf, DVT |
| perthe's aka tourniquet test | tourniquet is placed around upper thigh pt exercises leg for 60 sec and examiner notes prominence of varicosities |
| claudication time | walk at rate of 120 steps/minute for 60 sec, pain in legs |
| bicycle | pedal fast until painful, rest until painless, repeat, pain legs, + vascular |
| stoop | walking causes pain, stooping or flexing forward relieves it, pain in legs, + neurovascular |
