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Cardiovascular > Arterial occlusive disease > Flashcards

Arterial occlusive disease Flashcards

1
Q

what are teh crural vessles

A

posterior tibeal arteryanterior tibial arterydorsalis pedisThey all run behind the knee

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2
Q

What are the main types of arterilal occulive diseaswes

A

acute limb ischemaichronconi limb trehating ischeamisystematic carotid stenosis

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3
Q

pad

A

peritheral artery disease

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4
Q

pvd

A

peripheral vascular diseaase

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5
Q

when do symptons of atherosclerios occur

A

on exertion

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6
Q

what are the symptson of inermidtedc cluation

A

crapming on exertoinpain relved by restedreproducible walking disteace before onset of pain my deteriorate over time

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7
Q

what is the differentail diagnos of atheroscoris

A

osteorartheriitsneurogenic venous

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8
Q

what is te presentaion of osteroartheritis

A

pain particlaly affection hipspain on walking- can be also at restpain relvied by rest

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9
Q

what is teh typical neurogenic perstion

A

weakeness - more than painhip, thigh, buttocksrelived by being over and moving

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10
Q

what is is dvt typical presention

A

tight bursting pain effecting whole legg, histroy of iliofemra dvt, relived by rest and elevation

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11
Q

what is teh risk factors for atheroscoisl

A

smoking, hypertention , hypercholesterolameia, diabeties,

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12
Q

what is the main organs effected by atehrosicles

A

heart, brain , stoma\c, renal

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13
Q

what is the renal symptoms of pad

A

chronic kindye imparemetn

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14
Q

what is the brain sympons of pad

A

tia and stroke

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15
Q

what is the stomaic symptons of pad

A

mesenteric ischamiea

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16
Q

what is the look of examingation for pad

A

change in colour, hair loss, ulcher and skin changes, scars

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17
Q

what do the feet feel like in pad

A

temp reduced, senstion reduce, capilly refill reduced, reduce pulse

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18
Q

what is the movemet like on examination in the feet in pad

A

reduced power and gait

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19
Q

what type of wave is seen on a hand held doppler for normal arterys

A

triphasic waveform, systomle, diasol adn recoil

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20
Q

what type of waveform is abdnoarlly seen on a handheld doppler for pad

A

biphasic, or monophaic,

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21
Q

what is a noral ankle barcki pressure index

A

0.8-1.3

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22
Q

what deos a abpi above 1.3 mean

A

calficed vesl,

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23
Q

what does a arteirl apdi belo 0.8 mean

A

mild or moderatde pad

24
Q

what ls a severe claudical disease symptons

A

below 0.5

25
Q

what is the managemet of claudication mecilly

A

antiplate and statiainsmange bpmange glycamic contraol

26
Q

what non meidcl tream is for claudication

A

exercise and smoking cessation

27
Q

what is buerguer test

A

wher you have the leg form 45 degree elevated to foot hovering above ground and see a change in the colour, seen in clti

28
Q

clti

A

criticl limb therating ishceam - when pain is at rest and tissue loss

29
Q

what happens to ctli pateinst if they have there leg lying down

A

they get odema

30
Q

what is teh investigation of clti

A

bloods- bcc, u and e, coagulation, g and secgct angiogramechopulmoary function tests - lungs

31
Q

what are the medication for an intial clti

A

anti plates - statinanalgesiadvt prophylaxisantibiotics

32
Q

what are the oerative mangaement of endovascualr intervention for clti

A

angioplatio

33
Q

what are the open surgyer optoiin for clti

A

endarterectomy bypass , or amputaon

34
Q

what are some risk factors for endovasulat inervations

A

making the blood supply potenilly worse

35
Q

what is the dame for a bypass of femoro and popliteal arteyr

A

fem pop orfemoro poplitarla

36
Q

what is teh disadvages of using a vein as a bipass -

A

fixed lengh, minum calibure beed, may havev been used already, time to harvest it

37
Q

what is teh disadves of a prostheic for a bypass

A

increse risk of infectioncostincresed risk of thrombosis

38
Q

what are the risks of open surgury

A

pain, bleedin, infection, seroma, damge to other structure, needed for further precoed, damage to surround stucioes, ocuce, aputoin, devt, mi stroke, renal impairment , risk to life

39
Q

what are the 6 p of ischeami

A

pain, pulse, pallar, perishly cold, pfaraesthesia, paralysis

40
Q

what is ali

A

acue limb ischema

41
Q

what is the rutherfold clasic scle

A

1 - vaire - no imerit thera 2 - therated - a - marginally - savle with progt rteame and none sensory or motor defects - loss of arteril doplerb - sensory and motor mild los - loss of Carter dopeer3 - major tisu dame , do snor or motor function, loss of arteri and veous dpler

42
Q

how does symptons onset in ali and acute on crhoni limh sicme difer

A

ali - hour acute on chormic limb ischeam - day to weeks

43
Q

which shows more of the 6 pes ali or acute on crhonic

A

ali

44
Q

what normally cuses ali

A

cardiac embolism thrombosed popliteal aneurysmtraumaoccuoi of stent

45
Q

what are common cuases of acute on chronic limb ischemia

A

plaque rupres, occulstoin fo stend and bpas

46
Q

what is the initla investigation of ali

A

blood, - u and e, fbc, coaguati sceen , g and s ecgct angiogram24 hour echo

47
Q

what is the intal meic tramtnt for ali

A

heperain and analegisa

48
Q

what is an embocy

A

removing the clot rhoguh pasing a blodo inflated wire on a catherted

49
Q

what happens psot embolic

A

anit coagusionconsier dned for fasciotiesm - ct tissue around veesl

50
Q

what is carotid endarthecomy

A

removal of plaues from carotid

51
Q

when would you consider a carotid endartectomy

A

symptomic carotid stenosisgreater than 50 percen ica steon on us

52
Q

can a cea improve current neruly symtons

A

no

53
Q

what is teh brain percufion relaied on for a cardicenderatemcoy

A

cicle of wills

54
Q

what happens if the brain is not entirely on circle of wils

A

shunt can be used

55
Q

what is te danger of shunt

A

it gets in teh way of teh fielcan cause damage do blood vessels atachingit

56
Q

what are teh risk facts for ali

A

af, thrombophail, besity ad cancer

57
Q

what is the risk factor for sympotomatic cardiac stenos

A

smoking, hpertension, daibes, hypercholesator,

Cardiovascular (37 decks)

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