Question

contrast arterial and venous disease manifestation in the extremities. It is very important to be able to differentiate between arterial and venous signs and symptoms. consider why temperature, color, pulses, and capillary refill are different in both of these.

Answer 1

FEATURES    CRITICAL LIMB ISCHEMIA    ACUTE DEEP VEIN THROMBOSIS PAIN    1.early onset rapidly peaks   1.50%are asymptomatic    
Pain is most reliable sign

PALLOR    2.Mottled   2.Red to red -blue colour

CAPILLARY    3.Lengthens    3.Quick refill,engorged veins

REFILL TIME

PARESTHESIA   4.Sensory-touch,pressure,numbness 4.Motor function intact

   Motor function impaired/lost   
PULSE CHANGES 5.Diminished to absent    5.pulse intact - diminished

due to edema

POIKILOTHERMIA 6.Adopt to air temperature 6.Fatigue,malaise ,low grade

fever

      Cool to cold    Warm to hot

PARALYSIS 7.muscle rigidity 7.unilateral

EDEMA   8.No edema 8.+/-edema -localised,site

FEATURES. CHRONIC LIMB ISCHEMIA CHRONIC VENOUS INSUFFICIENCY

PAIN   1.Severe at rest -moving relieves-toes , 1. Acing relieved by elevation or

   Fore-feet,heels rest

2.Worse at night    2. Worse later in day time

      3.Claudication 3.Cramping -not actively
   dependant      

COLOUR   4.pale feet,rubor red,red to bluish colour 4.Woody,brawny,brown pigmented

PALLOR    5.elevation pallor and dependant rubor   5. Veins full if leg slightly

   dependant

SKIN 6.thin,scaly,dry ,thick nails 6.Thick, tough ,scarring

   7.Hair loss over calf ,ankle ,foot   7.premenstrual ,salt and water

retention

​​​​​​    8. Numbness,burning "toothache " 8. Itching and burning

PULSE   9.diminished to absent 9. Pulses intact

ULCERS 10.Distal,concentric,pale 10. Distal calf ,irregular,pinkbed

large yellow drainage

EDEMA   11.little or no edema   11.moderate to severe

There will be gangrene and limb loss

CONCLUSION:

The temperature,colour,pulses and capillary refill are different in arterial and venous disease manifestation because the arterial disease is a chronic condition in which partial or total arterial occlusion deprives the lower extremities of oxygen and nutrients where as the venous diseases includes disorders that result from increased venous pressure or valve damage of vein wall . Veins must be patient with competent valves.