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Encyclopedia > Intermittent claudication

Intermittent claudication
Classifications and external resources
ICD-10 I73.9
ICD-9 440.21

Intermittent claudication is a cramping sensation in the legs that is present during exercise or walking and occurs as a result of decreased oxygen supply. This cramping usually occurs in the calf, but may also occur in the feet. When intermittent claudication is discussed it is measured by the number of "blocks" (e.g. 1 or 2 blocks) one can walk comfortably. It often indicates severe atherosclerosis. One of the hallmarks of this clinical entity is that it occurs intermittently. It disappears after a brief rest and the patient can start walking again until the pain recurs. The International Statistical Classification of Diseases and Related Health Problems (commonly known by the abbreviation ICD) provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or disease. ... The following codes are used with International Statistical Classification of Diseases and Related Health Problems. ... // I00-I99 - Diseases of the circulatory system (I00-I02) Acute rheumatic fever (I00) Rheumatic fever without mention of heart involvement (I01) Rheumatic fever with heart involvement (I02) Rheumatic chorea (I05-I09) Chronic rheumatic heart diseases (I05) Rheumatic mitral valve diseases (I050) Mitral stenosis (I051) Rheumatic mitral insufficiency (I06) Rheumatic aortic... The International Statistical Classification of Diseases and Related Health Problems (commonly known by the abbreviation ICD) provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or disease. ... The following is a list of codes for International Statistical Classification of Diseases and Related Health Problems. ... This article is about muscular pain. ... The calf or gastosoleus is a pair of muscles—the gastrocnemius and soleus—at the back of the lower human leg. ... A human foot - Enlarge to view legend The foot is a biological structure found in many animals that is used for locomotion. ...


Intermittent claudication in and of itself is often a symptom of severe atherosclerotic disease of the peripheral vascular system. The term claudication derives from the Latin verb claudicare which means to limp. The Roman emperor, Claudius (ruling from A.D. 41-54) was named such because of his limp. For other uses, see Claudius (disambiguation). ...

Contents

Signs

The following signs are general signs of atherosclerosis of the lower extremity arteries:

  • cyanosis
  • atrophic changes like loss of hair, shiny skin
  • decreased temperature
  • decreased pulse
  • blanching of limb on elevation
  • redness when limb is returned to a "dependent" position

Cyanosis refers to the bluish coloration of the skin due to the presence of deoxygenated hemoglobin in blood vessels near the skin surface. ... Fig. ... In medicine, a persons pulse is the throbbing of their arteries as an effect of the heart beat. ...

Treatment

In patients who smoke, smoking cessation is the most effective treatment. Exercise can improve symptoms as do medication to control the lipid profile, diabetes and hypertension. Surgery is only indicated in severe cases with limb-threatening ischemia or lifestyle-limiting claudication. The vascular surgeon will perform an endarterectomy of leg arteries or an arterial bypass. A No Smoking sign Smoking cessation (commonly known as quitting, or kicking the habit) is the effort to stop smoking tobacco products. ... (for options, see option exercise) U.S. marine emerges from the water upon completing the swimming portion of the triathlon. ... This article is about the disease that features high blood sugar. ... For other forms of hypertension see hypertension (disambiguation). ... A cardiothoracic surgeon performs a mitral valve replacement at the Fitzsimons Army Medical Center. ... In medicine, ischemia (Greek ισχαιμία, isch- is restriction, hema or haema is blood) is a restriction in blood supply, generally due to factors in the blood vessels, with resultant damage or dysfunction of tissue. ... Vascular surgery is the branch of surgery that occupies itself with surgical interventions of arteries and veins, as well as conservative therapies for disease of the peripheral vascular system. ... Endarterectomy is a surgical procedure to remove the atheromatous plaque material, or blockage, in the lining of an artery constricted by the buildup of fatty deposits. ...


Epidemiology

Atherosclerosis affects up to 10% of the Western population older than 65 years and for intermittent claudication this number is around 5%. Intermittent claudication most commonly manifests in men older than 50 years.


See also


  Results from FactBites:
 
Intermittent claudication definition - Heart Disease and other cardiovascular conditions on MedicineNet.com (624 words)
Intermittent claudication: An aching, crampy, tired, and sometimes burning pain in the legs that comes and goes -- it typically occurs with walking and goes away with rest -- due to poor circulation of blood in the arteries of the legs.
The usually intermittent nature of the pain is due to narrowing of the arteries that supply the leg with blood, limiting the supply of oxygen to the leg muscles, a limitation that is felt especially when the oxygen requirement of these muscles rises with exercise.
Intermittent claudication can be due to temporary artery narrowing due to vasospasm (spasm of the artery), permanent artery narrowing due to atherosclerosis, or complete occlusion (closure) of an artery to the leg.
Diagnose-Me: Condition: Intermittent Claudication (2806 words)
Intermittent Claudication, is a predictable pattern of lower leg pain caused by inadequate blood flow to exercising muscle.
Intermittent claudication is caused by arterial insufficiency (inadequate blood supply), primarily due to atherosclerosis.
Initial symptoms of intermittent claudication are pain, aching, cramping, or fatigue of the muscles in the lower limbs that develop during walking and are quickly relieved by rest.
  More results at FactBites »

 

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