Vascular Assessment

The cardiovascular disease defines conditions that affect the heart or blood vessels. Thrombosis, which emanates from blood clots, reduced blood flow to the heart, brain and the rest of the body. When fatty acids deposit in the artery, it hardens and narrows. These issues lead to stroke, coronary heart disease, aortic disease and peripheral arterial disease. Coronary heart disease occurs due to a reduced or blocked flow of oxygen-rich blood to the heart. It is a result of accumulated fats in the coronary arteries. Coronary arteries are a set of blood vessels that take blood to the heart. When they become narrow, the heart gets less of a supply of blood and oxygen causing chest pains, called angina or a heart attack, explains VanMeter &

The Blood In My Veins is a creative response to Tjukurpa Kunpa, 2017, by Mumu Mike Williams and Willy Muntjantji Martin, senior men from the Anangu Pitjantjatjara Yankunytjatjara (APY) Lands. They created this piece together specifically for of the Tarnanthi Festival of Contemporary Aboriginal and Torres Strait Islander Art and is currently on display in the Art Gallery of South Australia.

assess, diagnose and treat abnormalities and diseases related to the foot and lower limb in people of all ages

Usually, accessing vascular structures is done through a needle to puncture the vessel percutaneously, followed by a wire introduced through the needle to secure the vascular access. The needle is then removed and a sheath is advanced over the wire. Vascular sheaths are hollow structures with a built in diaphragm to prevent bleeding. Catheters are then placed into and out of the sheath with a minimal loss of blood.11

This type of procedure is performed in a hospital or outpatient setting under the supervision of a certified Interventional Radiologist. Commonly performed procedures can include the treatment of varicose veins, deep vein thrombosis (DVT), pulmonary embolism, IVC filter placement, abdominal aortic aneurysm (AAA), etc. This type of modern imaging has greatly decreased the amount of invasive surgeries as well as limits the cost for patients. With this procedure, imaging such as x-ray, CT, or ultrasound are used to guide the doctor through minor incisions into the body.

Of note, anteroposterior and lateral views of the left foot taken on this visit reveal no evidence of fracture or dislocation. There is mild periarticular osteophyte formation, however, no Joint space narrowing is noted.

Biographical: G.B., 20, Male, Caucasian, DOB: 01/23/1993, Student, Dr. Wang, Orientated to person, time and place, reliable source of information. No deficits in mental ability.

There is no edema present or no change in skin color or temperature when compared to the right foot, except for the area of the open wound.

Discuss the different types of blood vessels. Include the different layers composing blood vessels (remember to include tissue types) in your discussion.

Peripheral vascular. Client denies cold numb hands or feet, color change, pain in legs while walking, any swelling of the extremities, or hair loss on her peripheral extremities. She denies non-healing sores on the extremities.

Sandra is a 34yo, G5 P0311, who was seen for a follow-up ultrasound assessment. As you know, she has a complicated obstetrical history with one 36 week preterm delivery and 3 other losses that occurred between 19 and 22 weeks gestation. Those 3 losses are complicated in that she has PPROM and some bleeding but was also found to have advanced cervical dilation. This brought up the question of potential incompetent cervix and the need for cerclage. This will again be discussed further below. She does have a history of chronic HTN but is currently not on treatment and her BP is normal at 104/84 and her urine evaluation is negative. She also does have some issues with anxiety and depression but again is stable without treatment. Based on

In an arterial injury, it will look as if the injury is “punched out” with round and smooth edges. These injuries are very painful. The injury will usually appear creating a hairless area and may be cooler than other areas of the body. Some common areas for these injuries to appear are the leg, foot, heels and toes. Arterial injuries can be classified as a full thickness wound which adipose tissue is visible and granulation tissue is present. Full thickness injuries usually expose the underlying structures and can be either deep or shallow depending on the severity. There may be visible necrotic tissue in the wound bed if the injury happens to be under treated or other contributing

there is no pumping mechanism to do so); veins have to be able to hold

Compare and contrasts the anatomy and physiology of blood vessels: arteries, veins and capillaries. Why are these differences significant in the overall function of the circulatory system? Please be specific.

The diabetic foot disease is the leading cause of non-traumatic lower-limb amputation and results from three common pathologies: diabetic peripheral neuropathy, peripheral arterial disease, and infection. Late complications include foot ulceration, Charcot neuroarthropathy and amputation (Turns, 2013, p.422) though another specialist like, Iraj who wrote Prevention of Diabetic Foot Ulcer, added to the most common facts: deformities and minor