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Pathology Peripheral Vascular Disease PVD It is related to Arteriosclerosis Obliterans defined as arteriosclerosis in which proliferation of the intima has caused complete obliteration of the lumen of the artery is also known as atherosclerotic occlusive disease Occlusive disease of the femoral and popliteal arteries usually occurs at the point at which the superficial femoral artery passes through the adductor magnus tendon into the popliteal space Occlusion of these regions is also marked by intermittent claudication of the calf foot that may radiate to the ipisilateral popliteal region and lower thigh Occlusive disease of the aorta iliac arteries usually begins just proximal to the bifurcation of the common iliac arteries causing changes in both of the lower extremities Bilateral progressive intermittent claudication pain ache or cramp in the muscles causing limping is almost always present in the calf muscles and usually present in the gluteal and quadriceps muscles The distance a person can walk before the onset of pain is indicative of the degree of circulatory inadequacy esp 2 blocks or more is mild 1 block is moderate and block or less is severe The primary symptom may only be a sense of weakness or tiredness in these same areas both the pain weakness or fatigue are relieved by rest Atherosclerosis It is in which plaques of fatty deposits form in the inner layer or intima of the arteries It is the most common form of arterosclerosis which is the thickening and loss of elasticity of the arterial walls It is often referred to as hardening of the arteries In which is one of the PVD diseases Etiology The atherosclerosis is the underlying cause of the PVD The main factors contributing to this are cigarette smoking high blood pressure and high cholesterol levels that can be controlled The others can be managed such as obesity lack of exercise
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