acute arterial embolism Flashcards
1
Q
Historical features that would suggest acute arterial embolism rather than thrombosis ?
A
sudden onset Hx of AF Hx of endocarditis absence of claudication symptoms Valvular heart disease( AS )
2
Q
Examination features that would suggest acute arterial embolism
A
Irregular pulse to suggest AF
Murmur to suggest valvular heart disease
splinter haemorrhage suggestive of endocarditis
absence of chronic ischemic changes
track marks suggestive of IVDU
strong pulses on the other limbs
3
Q
Name 2 vascularisation strategies ?
A
Intraarterial thrombolysis
Surgical embolectomy
4
Q
Name 2 post reperfusion complications that may arise ?
A
Hyperkalaemia Rhabdomyolysis Acute renal failure Reocclusion Compartment syndrome Metabolic acidosis