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Related Concept Videos

Disorders of the Autonomic Nervous System01:18

Disorders of the Autonomic Nervous System

The autonomic nervous system (ANS) is an intricate network of nerves that controls functions such as the regulation of heart rate, digestion, and blood pressure regulation. When this system malfunctions, it can lead to various disorders that affect multiple bodily functions. One common feature of many autonomic disorders is the involvement of smooth blood vessels, which play a crucial role in regulating blood flow throughout the body.
Raynaud's disease, also known as Raynaud's phenomenon, is a...
Decreased Body Temperature01:29

Decreased Body Temperature

A decreased body temperature can occur in patients with hypothermia and frostbite. Heat loss with extended cold exposure overpowers the body's ability to create heat, resulting in hypothermia. Core temperature readings help classify hypothermia. Mild hypothermia is temperatures between 32 °C (89.6 °F) and 35°C (95 °F) and is caused by impaired thermoregulation. Moderate hypothermia is temperatures between 28 C (82.4 °F) and 32 °C (89.6 °F) caused by sustained extreme cold exposure, and severe...
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations01:19

Acute Coronary Syndrome II: Pathophysiology and Clinical Manifestations

The pathophysiology of Acute Coronary Syndrome [ACD] involves several key processes:The main underlying cause of ACD is atherosclerosis, a chronic inflammatory disease characterized by the buildup of lipid-laden plaques within the coronary arteries.As the atherosclerotic plaque grows in the coronary artery, it may become unstable due to the formation of a lipid-rich core and a thin fibrous cap. Inflammatory cells within the plaque, such as macrophages, secrete enzymes that degrade the...
Cardiovascular System Abnormal Findings I: Inspection and Palpation01:29

Cardiovascular System Abnormal Findings I: Inspection and Palpation

In a cardiovascular examination, inspection and palpation are crucial for identifying abnormalities.
Abnormal findings observed during an inspection
Assessment of the Cardiovascular System III: Palpation01:27

Assessment of the Cardiovascular System III: Palpation

Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above the...

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Related Experiment Video

Updated: Jun 25, 2026

Intradermal Microdialysis: An Approach to Investigating Novel Mechanisms of Microvascular Dysfunction in Humans
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Intradermal Microdialysis: An Approach to Investigating Novel Mechanisms of Microvascular Dysfunction in Humans

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[Raynaud's phenomenon].

Carles Tolosa Vilella1, Carmen Pilar Simeón Aznar, Lourdes Gabarró Julià

  • 1Servicio de Medicina Interna, Hospital de Sabadell, Institut Universitari Parc Taulí, Universidad Autónoma de Barcelona, Barcelona, España. ctolosa@tauli.cat

Medicina Clinica
|March 10, 2009
PubMed
Summary

Raynaud's phenomenon, a common condition causing digital pallor/cyanosis upon cold exposure, affects 3-5% of people. Management ranges from lifestyle changes for mild cases to vasodilators or surgery for severe vascular conditions.

Area of Science:

  • Vascular Medicine
  • Rheumatology

Context:

  • Raynaud's phenomenon affects 3-5% of the population, often triggered by cold or stress.
  • Over 80% of cases are primary Raynaud's, with no underlying illness.
  • Connective tissue diseases, like systemic sclerosis, are significant causes of secondary Raynaud's.

Purpose:

  • To outline the diagnostic approach and management strategies for Raynaud's phenomenon.
  • To differentiate between primary and secondary Raynaud's.
  • To guide treatment based on condition severity.

Summary:

  • Diagnosis involves clinical evaluation, ruling out secondary causes, and adjunctive tests like nailfold capillaroscopy and antinuclear antibody determination.
  • Mild cases are managed with lifestyle modifications.

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  • Severe cases or critical digital ischemia may require vasodilator therapy, prostaglandin analogues, or surgical intervention.
  • Impact:

    • Provides a framework for managing Raynaud's phenomenon, from conservative measures to advanced treatments.
    • Aims to improve patient outcomes by tailoring treatment to disease severity.
    • Highlights the importance of distinguishing primary from secondary Raynaud's for appropriate care.