Question

Jan Smith, age 59, presents to the clinic with complaints or pain and numbness of her right leg while ambulating. The pain radiates toward her hip and down the back of her leg and goes away with rest. She reports having these symptoms for at least six months, but now it seems as though she is able to walk less and less before the pain sets in. She endorses a sedentary lifestyle and she smokes a pack and a half of cigarettes daily. Jan also has a history of hypertension, diabetes, obstructive sleep apnea, obesity, GERD, and hyperlipidemia. 1). What risk factors for PVD does Jan have? 2). What would you expect to find upon physical exam? 3). What are the 5 P's of a cardiovascular assessment? 4). Which test(s) do you expect will be ordered to evaluate Jan's condition? 5). What treatment options are available? 6). Compare the symptoms and manifestations of peripheral arterial disease versus peripheral venous disease.

Answer 1

1.1.cigerette smoking

2.hypertension

3.diabetes

4.hyperlipidemia

5.obesity .these are risk factors of peripheral vascular disease and she is having these all problems.

2.1.pedal pulses should be checked.if absent its signs of pvd

2.cool and calmy skin.

3.decresed pulse rate or absent.

4.hair growth will be diminished.

3.1.paralysis

2.pain

3.pulse rate.

4.parasthesia.-numbness

5.pallor..pale colour of skin

These are the 5 p should be checked in cardiovascular assessment.

4.1.physical examination

2.ultrasound.

3.angiography.

4.blood investigations. Are the diagnostic test can be used to find out her condition.

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