Arterial Disease of the limbs Flashcards by Marysia Thomson | Brainscape

Q

Arterial disease of the limbs or

A

peripheral arterial disease

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Q

CLI

A

critical limb ischaemia

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Q

CLI pathology

A

atherosclerotic disease of the arteries supplying the lower limb

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Q

Risk factors for CLI

A

male

age

smoking

hypercholesterolaemia

hypertension

diabetes

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Q

Fontaine classification

A

differences in types of CLI

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Q

Fontaine classification

stage 1

A

asymptomatic, incomplete blood vessel obstruction

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Q

Fontaine classification

stage 2

A

mild claudication pain in limb

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Q

Fontaine classification

stage 3

A

rest pain, mostly in feet

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Q

Fontaine classification

stage 4

A

necrosis and/or gangrene of the limb

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Q

Diagnosing CLI

A

Claudication (exercise tolerance etc)

Rest pain (relieving factors)

Tissue loss (duration)

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Q

Examination of CLI

signs of chronic ischaemia

A

ulceration

pallor

hair loss

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Q

Examination of CLI- feel

A

capillary refill times

temperature

pulses

peripheral sensation

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Q

Special tests for CLI

A

ankle brachial pressure index

buergers test (elevate legs - see if they regain colour etc)

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Q

Best medical therapy for CLI

A

antiplatelet

Statins (inhibits thrombosis)

BP control

Smoking cessation

exercise

diabetic control

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Q

Acute limb ischaemia definition

A

emboli (blood clot/air bubble)

thrombus (blood clot)

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Q

ALI pathophysiology

A

Arterial embolus

thrombosis

trauma

dissection

acute aneurysm thrombosis

Q

6 Ps of ALI

A

pain

pallor

perishingly cold

paraesthesia

paralysis

pulseless

Q

Paraesthesia

A

pins and needles

Q

ALI investigations

A

ECG

bloods

Q

ALI management

A

analgesia

anticoagulants

Q

analgesia

A

drugs that relieve pain

Q

ALI treatment

A

embolectomy

Q

Diabetic Foot disease pathology

A

microvascular PAD

peripheral neuropathy

mechanical imbalance

susceptibility to infection

Q

diabetic foot disease management

A

good wound care

tracking infection

gangrene treatment etc

Q

diabetic foot disease treatment

A

revascularisation

amputation