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K11 Akutmedicin > Akut extremitetsischemi > Flashcards

Akut extremitetsischemi Flashcards

1
Q

2 vanligaste etiologierna till akut ischemi i extremitet

A

Artäremboli
Artärtromb

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2
Q

Kort skillnader mellan emboli- resp. tromborsakad ischemi

A

Emboli - friskt kärl, snabb debut, ensidiga symtom, inga kollateraler

Tromb - ofta tidigare symtom på claudicatio, långsammare debut, kollateraler finns

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3
Q

Riskfaktorer

A

Hjärtsjukdom
Förmaksflimmer
Färsk myokradinfarkt
Plackruptur
Immobilisering
Hyperkoagubilitet

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4
Q

Symtom

A

Snabbt påkommen smärta distalt
Blek
Kall
Ingen puls
Parestesier
Förlamning

Motorisk påverkan -> urakut operation utan radiologi inför

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5
Q

Status specifikt

A

Pulsar med doppler
Ankeltryck
Koagulationsprocer
DT-angiografi
EKG

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6
Q

Akut omhändertagande

A

Ringeracetat
Analgetika
Lågmolekylärt heparin

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7
Q

Olika sorters kärlkirurgiska åtgärder

A

Öppen embolektomi
Bypass
Trombolys

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8
Q

Komplikationer

A

Reperfusionssyndrom
Kompartmentsyndrom

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K11 Akutmedicin (12 decks)

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