Nursing 3920A/B Lecture Notes - Lecture 3: Lipodermatosclerosis, Photodetector, Calcification

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A disease of blood vessels outside the heart. Peripheral vascular disease (pvd) affects the peripheral circulation, as opposed to the cardiac circulation. Pvd comprises diseases of both peripheral arteries and peripheral veins. Pvd is sometimes incorrectly used as a synonym for peripheral artery disease (pad). Skin shiny, taut, thin, erythema, dry, cool, Abpi < 0. 8 (abpi < 0. 4 critical ischemia) Induration/cellulitis: done more in the hospital, should be done more, picture of doppler, used to assess arterial circulation, normal abi value = 1. 0, ankle systolic pressure divided by the greatest systolic pressure in arm i. e. , Arterial ulcer or ischemic ulcer: small dry, painful, punched out, usually on foot, cool, pale limb, dry brittle toe nails. Intermittent claudication = cramping pain in the calves caused by poor circulation to the leg muscles. Occurs after an extended period of walking and relieved by rest.

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