APA Peripheral Vascular Disease
Peripheral Vascular Disease Case Studies
A 52-year-old man complained of affliction and airtight in his appropriate dogie acquired by walking two blocks. The affliction was adequate with abeyance of activity. The affliction had been accretion in abundance and intensity. Concrete assay allegation were about accustomed except fordecreased beard on the appropriate leg. The patient’s popliteal, dorsalis pedis, and afterwards tibialpulses were clearly decreased compared with those of his larboard leg.
Routine class work
Within accustomed banned (WNL)
Doppler ultrasound systolic pressures
Femoral: 130 mm Hg; popliteal: 90 mm Hg; afterwards tibial: 88 mm Hg; dorsalis pedis: 88 mm Hg (normal: aforementioned as brachial systolic claret pressure)
Decreased amplitude of distal femoral, popliteal, dorsalis pedis, and afterwards tibial beating waves
Femoral arteriography of appropriate leg
Obstruction of the femoral avenue at the midthigh level
Arterial bifold scan
Apparent arterial obstruction in the apparent femoral artery
With the analytic account of archetypal alternate claudication, the noninvasive Doppler and plethysmographic arterial vascular abstraction alone accurate the attendance and area of the arterial occlusion in the adjacent femoral artery. Most vascular surgeons adopt arteriography to certificate the area of the vascular occlusion. The accommodating underwent a bypass from the adjacent femoral avenue to the popliteal artery. Afterwards anaplasty he was asymptomatic.
Critical Thinking Questions
What was the account of this patient's affliction and cramping?
Why was there decreased beard on the patient's appropriate leg?
What would be the cardinal concrete assessments afterwards anaplasty to actuate the
adequacy of the patient's circulation?
What would be the analysis of alternate Claudication for non-occlusion?
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