__Y6 Vascular

Question 1

Buerger’s angle

Answer 1

The angle to which the leg has to be raised before it becomes pale, whilst lying down

Remains pink = normal
<20 degrees = severe ischaemia

Question 2

Buerger’s test

Answer 2

Both feet raised in the air (whilst lying down)
If sig arterial disease, foot will go white

then hang legs over side of bed
White foot goes brick red - reactive hyperaemia

Question 3

ABPI values

Answer 3

Normal 0-8 - 1
Claudication 0.6-0.8
Critical ischaemia <0.6

Question 4

Definition of critical limb ischaemia

Answer 4

Greater than 2 weeks duration
Ankle pressure <40 mmHg
Symptoms - rest pain or tissue loss

Question 5

AAA screening

Answer 5

Offered to all men >65 years

> 3cm - yearly f/up
4.5cm - 3 monthly f/up
5.5cm - surgery

Question 6

Define varicose veins

Answer 6

Dilated superficial tortuous veins

Question 7

Trendelenburg test

Answer 7

For varicose veins

Hold leg up and milk out blood
Occlude sapheno-femoral junction (2cm below and lateral to pubic tubercle)
then stand - if veins don’t fill then proves issue is with the sapheno-fem junction (veins fill due to reflux)

Tourniquet test is this but with tourniquet