Aquifer Case 7 questions well answered graded A+ 2023/

Aquifer Case 7Which of the following risk factors causes the most deaths in the United States? HTN Smoking Obesity Diabetes - correct answer Smoking How many people die annually from smoking? - correct answer 443,000 Three leading causes of death due to smoking? - correct answer Lung cancer Cardiovascular disease COPD ___________ is the single largest risk factor for cardiovascular mortality in the US - correct answer HTN What are the top five things on a DD for leg swelling and eythema? - correct answer Peripheral vascular disease Venous insufficiency DVT Cellulitis Lymphedema If a patient presents with an edematous leg that pits, but is not painful and it started on the foot and moved up the leg what would the diagnosis be? - correct answer Lymphedema Small breaks of skin lead to _________ cellulitis Large wounds on the skin lead to _________ cellulitis - correct answer strep staph ______________ edema is softer, and there is often erythema, dermatitis, and hyperpigmentation along the distal aspect of the leg and thus can be differentiated from lymphedema - correct answer venous insufficiency Patients with peripheral artery disease commonly present with what? - correct answer Claudication- cramping pain during exercise What is the single best diagnostic test to rule in or rule out a DVT? - correct answer Venous doppler of the lower extremity is the proportion of patients with disease who test positive. - correct answer sensitivity is the proportion of patients without disease who test negative - correct answer specificity If the Wells criteria is greater than 3 what does that indicate? - correct answer High probability of DVT Describe the Wagner Ulcer grading system? - correct answer Grade 1: superficial diabetic ulcer Grade 2: Extends to involve ligaments, tendons, fascia Grade 3: Deep ulcer with osteomyelitis or abscess Grade 4: Gangrene partial Grade 5: Extensive gangrene of the foot Describe treatment of a grade 1-2 ulcer - correct answer outpatient- extensive debridement, local wound care, and relief of pressure Describe treatment of a grade 3 ulcer - correct answer inpatient, must assess for osteomyelitis and peripheral artery disease