Peripheral+AS+Disease

=Peripheral AS Disease= Western Diagnosis occlusion of blood supply to extremities due to atheromas underlying atherosclerosis

Signs and Symptoms
sx from chronic tissue ischemia 2. intermittent claudication ---def blood supply in exercising muscle ---pain, ache, cramp, tiredness in calf on walking ---relieved in 1 - 5 mins by rest ---then can walk same distance until sx return ---< uphill ---never sx at rest 3. pain at rest signifies worsening disease ---severe, unrelenting pain < elevation ---difficulty sleeping 4. decreased or absent pulses 5. severe ischemia - painful, cold, numb limb dry, scaly skin with poor nail and hair growth 6. toe, heel, leg ulcers

Testing
1. Doppler ultrasonography 2. arteriography

Treatment
1. walking 1 hour/d a. walk until signs, rest, walk again 2. no tobacco 3. elevate head of bed while sleeping 4. hydrotherapy 5. percutaneous transluminal angioplasty 6. reconstructive surgery 7. amputation