APPROACH TO PERIPHERAL VASCULAR SYSTEM

Question 1

Clinically, peripheral vascular disease of the lower extremity is described as…

Answer 1

Tibio-peroneal
Fem pop
Aorto iliac

Question 2

4. Causes of acute arterial occlusion

Answer 2

Emboli
Dissecting aneurysm
Trauma
Thrombosis

Question 3

Acute arterial occlusion presentation (6)

Answer 3

Pain
Pallor
Pulselessness
Poikilothermic
Paraesthesia
Paralysis

Question 4

Mx of acute arterial occlusion

Answer 4

Analgesia
Prevent further clot formation
Embolectomy
Treat underlying cause

Question 5

Stages of Ischemia

Answer 5

Claudication
Rest pain
Minor tissue loss
Major tissue loss

Question 6

Critical limb ischemia

Answer 6

Recurring Ischemic rest pain requiring opioid analgesia for at least 2 weeks
Tissue necrosis (non healing ulcer, foot/toe gangrene )
Ankle systolic pressure < 50 mmHg
Toe systolic pressure <30 mmHg

Question 7

Venous thromboembolism diagnosis

Answer 7

D dimer
Duplex Doppler
CT venogram

Question 8

Intervention in Venous thromboembolism

Answer 8

Conservative
Thrombolysis
Thrombectomy