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

25
what is the managemet of claudication mecilly
antiplate and statiainsmange bpmange glycamic contraol
26
what non meidcl tream is for claudication
exercise and smoking cessation
27
what is buerguer test
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
clti
criticl limb therating ishceam - when pain is at rest and tissue loss
29
what happens to ctli pateinst if they have there leg lying down
they get odema
30
what is teh investigation of clti
bloods- bcc, u and e, coagulation, g and secgct angiogramechopulmoary function tests - lungs
31
what are the medication for an intial clti
anti plates - statinanalgesiadvt prophylaxisantibiotics
32
what are the oerative mangaement of endovascualr intervention for clti
angioplatio
33
what are the open surgyer optoiin for clti
endarterectomy bypass , or amputaon
34
what are some risk factors for endovasulat inervations
making the blood supply potenilly worse
35
what is the dame for a bypass of femoro and popliteal arteyr
fem pop orfemoro poplitarla
36
what is teh disadvages of using a vein as a bipass -
fixed lengh, minum calibure beed, may havev been used already, time to harvest it
37
what is teh disadves of a prostheic for a bypass
increse risk of infectioncostincresed risk of thrombosis
38
what are the risks of open surgury
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
what are the 6 p of ischeami
pain, pulse, pallar, perishly cold, pfaraesthesia, paralysis
40
what is ali
acue limb ischema
41
what is the rutherfold clasic scle
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
how does symptons onset in ali and acute on crhoni limh sicme difer
ali - hour acute on chormic limb ischeam - day to weeks
43
which shows more of the 6 pes ali or acute on crhonic
ali
44
what normally cuses ali
cardiac embolism thrombosed popliteal aneurysmtraumaoccuoi of stent
45
what are common cuases of acute on chronic limb ischemia
plaque rupres, occulstoin fo stend and bpas
46
what is the initla investigation of ali
blood, - u and e, fbc, coaguati sceen , g and s ecgct angiogram24 hour echo
47
what is the intal meic tramtnt for ali
heperain and analegisa
48
what is an embocy
removing the clot rhoguh pasing a blodo inflated wire on a catherted
49
what happens psot embolic
anit coagusionconsier dned for fasciotiesm - ct tissue around veesl
50
what is carotid endarthecomy
removal of plaues from carotid
51
when would you consider a carotid endartectomy
symptomic carotid stenosisgreater than 50 percen ica steon on us
52
can a cea improve current neruly symtons
no
53
what is teh brain percufion relaied on for a cardicenderatemcoy
cicle of wills
54
what happens if the brain is not entirely on circle of wils
shunt can be used
55
what is te danger of shunt
it gets in teh way of teh fielcan cause damage do blood vessels atachingit
56
what are teh risk facts for ali
af, thrombophail, besity ad cancer
57
what is the risk factor for sympotomatic cardiac stenos
smoking, hpertension, daibes, hypercholesator,