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POVD POND = Vaseutlor disease that alters the worual vameliy Aonta yits wiseerol bran es & alles of Lower extound Ey. ea Cowses » —> Athavoscleosi8 > thyowboembolte disease > As ao gesutt of trauns Chienfeok Pen kuves * Seuerity oft tywptows yulakes to the 3e of worsel occluded. () Trtermittent Lartiction. - Ours 4 a gosrlk of anaerobic. wu ete 2 Debs Li babng cramp bike pain Pl in the waned cee thot ib: > brought om walking > Not present om Pryst atep > Rolrewed by puat TA both Atanding & sitting * Caakication distame: able to walk without stopp: - Muscle group alfeked fs claw cally on gurato wi cal Douek beloro thea Lower of onlision, QG) Ret paivn “As dbisease progresses — anaerobic ses piv atten peers Cun at nat. * Exoter bated om byng down | Linh obey ote [Sr + Paw ts worse ok wig , woleved ae hanging Sao ts out of bed. (3) Ulceration @ Cumgrene- e with Anure artowalimrufh dines 5 erotiens belwen pe +toeA ov ghrotlovo wove Wealivg rl om dorsum of feok , glun >» around wrallowbi , CTL1: Chaowe Qiurb thruatertvg Lidenia = Patents wit with oy withowk wluration/ fe chon jut pay gomgvere (titi bo), & Need wrnediate vas clay aseranent £ wi vasedani - gakion. +o prevent raj ov amputation. 4) Colour , Temp evatave 7) Bearrsohion & owe o Awte tebenda : cola , white, paralysed A Tuesetoces « deo ischenia : ey Wibrake with mamrorradiuag fewpevakwre ubusly dovck produ gavralyses & Rersations puna whack, : Pependenk gubsy oy fut foot algh foot pallor chrang’s te med om Wanging dour dire Boab, (5) Anteriah pulses. » Acute . pulses distal to oclusion absent. * Unvonic * pulses way he pratt” dur fo cllateral foewnahio, » Nona ABPS 2 en sg utht cant arterial <0-4 =» elt. -Anotwy mere qukiable tokis TEL - Toe bracliak prewsare ince -<0.6 => Linically tag nificant hexten, a) Duplex Doppler ulbraround. = Uses doppher & B weool, ubrasounk Na mode) ee ~ Aisem the amatowy & blood More aes Mamagemerd * Candication often a mow hoy of Arent aaa artery AKLea4e . 0.1 daeverse ABPL beloue 0-4 , lO") Une pulatve ais £ wuajor eavdto vas whar wer. Zam ans of treakiveg doudiution ave 1) Prevention of major CWS morbidity through sish Lactoy woo UF cation . Wi) Ayp tor nalsel | improvenrenk, > 2h of exercise per werk fry ieee ~ along with Avoking perosien ~ tomrbrol_ of DM, HIN, Lipid Locks, Q 13. What is Boyd's grading of claudication? Boyd's grading of claudication Grade| Patient experiences pain after walking some distance. Pain disappears and patient continues to walk Grade ll Pain persists and still the patient continues to walk Grade Ill Pain compels the patient to take rest Q 14. What is Fontaine classification for the severity of chronic ischemia? Fontaine classification of limb ischemia Stage! Asymptomatic Stage ll Intermittent claudication limiting lifestyle + lla—Well compensated (> 200 meters) more than 1 block + llb—Poorly compensated < 200 meters Stage Ill Rest pain due to ischemia \_ Stage IV Ulceration or gangrene due to ischemia Q 15. What is Rutherford classification? 0—Asymptomatic 1—Mild claudication 2—Moderate claudication 3—Severe claudication 4—Rest pain 5—Minor tissue loss \ 6—Severe tissue loss or gangrene 
