1. !GUESS THAT PVD! CHOICES: Raynoud’s disease DVT Diabetic foot ulcer
Rubor
Arterial Ulcer
Venous ulcer

2. What is this color change called?
Dependent rubor
CLUE:
Occurs in peripheral arterial disease when extremity is lowered

3. What is wrong with this left leg?
Deep Vein Thrombosis
CLUES:
Classic Signs & Symptoms:
Calf or groin tenderness/pain
Sudden onset unilateral swelling
Induration & redness may be present

4. Oh- oh, this doesn’t look so good! What do you think this ulcer is from?
Venous Ulcer
Clues:
Chronic nonhealing ulcer
Occurs in ankle area
Brown Pigmentation or ankle discoloration
Ulcer bed pink
Usually superficial with uneven edges
Granulation tissue present

5. What is up with these fingers?
Raynaud’s Disease
CLUES:
Vasospasm of arterioles
Causes constriction & blanching
Extremities numb, cold with painful swelling
Aggrevated by cold or stress
Gangrene of digits can occur
May also have a systemic connective disease
Treatment
Vasodilating drugs –nifedipine
Severe symptoms
Sympathectomy- severs nerve fibers that cause vasoconstriction
↓ caffeine intake
Smoking cessation
Warm clothes in cold weather

6. Patient did not know this happened So what is it?
Diabetic Foot Ulcer
Clues:
Peripheral neuropathy
Pressure points on feet
Little granulation tissue
Pale with even edges
Pulses usually present
Painless
Cool or warm foot

7. Patient was a smoker: What type of ulcer would this be?
Arterial ulcer
Clues:
Claudication after walking 1-2 blocks
Pain at ulcer site
Rest pain
Deep- at end of toes or in-between toes
Cool or cold foot
Possible gangrene