Assignment: Peripheral Vascular Disease Case Studies

April 5, 2022
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Assignment: Peripheral Vascular Disease Case Studies

Assignment: Peripheral Vascular Disease Case Studies

A 52-year-old man complained of pain and cramping in his right calf caused by walking two

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.

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


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.

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 1: Peripheral Arterial Disease That Is Getting Worse 
Despite Medical Intervention,
65-year-old man was admitted to the clinic after experiencing deterioration of acute left calf pain and decrease in activity tolerance as result of the pain. 
The patient reported occasional left calf pain for three months and denied any injuries, back pain, fever, or limb weakness. 
The medical history, on the other hand, was significant for hyperlipidemia. 
He was former smoker who had quit months prior; nonetheless, he had been smoking pack of cigarettes day for the previous 40 years. 
The patient denied drinking or using recreational drugs. 
Low-dose aspirin and high-intensity atorvastatin were his meds. 
Vital signs were normal on physical examination. 
The BMI was 28 kg/m2 (body mass index). 
Femoral pulses were reduced on both sides. 
Pulses in the popliteal, right dorsalis pedis, and right posterior tibialis were all weak. 
Pulses in the left dorsalis pedis and posterior tibialis could not be felt. 
The results of the cardiac check were normal. 
The physical examination was otherwise ordinary. 
On the left, the ankle-brachial index was 0.67, while on the right, it was 0.91. 
He had been involved in supervised exercise program for three months, but despite strict devotion to the program, the patient’s symptoms worsened. 
How would you handle this situation?


Review of the Situation


Despite initial medical therapy, patient with increasing peripheral arterial disease (PAD) PLACE THIS ORDER OR A SIMILAR ORDER WITH ALL NURSING ESSAYS TODAY AND GET AN AMAZING DISCOUNT  ordernowcc-blue
Posted in nursing by Clarissa