Peripheral Vascular Disease Case Study

Peripheral Vascular Disease Case Study

Peripheral Vascular Disease Case Study
Peripheral Vascular Disease
Case Studies
A 52-year-old man complained of pain and cramping in his right calf caused by walking two

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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.
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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
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
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?
Case Study 1 & 2 (10 Points) Students much review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle. Case Studies will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program) Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

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