Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Surgery.(General 2).Vascular > Arterial.6.Buerger's disease > Flashcards

Arterial.6.Buerger's disease Flashcards

1
Q

Definition of Buerger’s disease

A

It is a clinical syndrome of severe chronic inflammation of the entire neurovascular bundle of the small blood vessels of L.L & hands.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Alternative name for Buerger’s disease

A

thrombo-angitis obliterans

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

ETIOLOGY of Buerger’s disease

A

The etiology is unknown.

The disease occurs exclusively in smokers, it may represent an allergic response nicotine.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Gender affected in Buerger’s disease

A

Buerger’s disease affects males only.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Difference between Atherosclerosis and Buerger’s disease

A
  • Age of start
  • Gender
  • Etiology
  • Level of lesion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Age of start of Atherosclerosis in Difference between Atherosclerosis and Buerger’s disease

A

Elderly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Age of start of Buerger disease in Difference between Atherosclerosis and Buerger’s disease

A

20-40 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Gender of Atherosclerosis in Difference between Atherosclerosis and Buerger’s disease

A

Commoner in males

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Gender of Buerger disease in Difference between Atherosclerosis and Buerger’s disease

A

Exclusively in males

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Etiology of Atherosclerosis in Difference between Atherosclerosis and Buerger’s disease

A

Main risk factors are

  • Hypertension
  • High cholesterol
  • DM.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Etiology of Buerger disease in Difference between Atherosclerosis and Buerger’s disease

A

Excessive smoking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Level of lesion in Atherosclerosis in Difference between Atherosclerosis and Buerger’s disease

A

Aorto-iliac

or

Femoro-popliteal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Level of lesion in Buerger disease in Difference between Atherosclerosis and Buerger’s disease

A

Distal vessels with patchy distribution

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

CLINICAL PICTURE of Buerger’s disease

A

As chronic L.L ischemia of Atherosclerosis with the following differences:

The disease is suspected When a young male who is heavy smoker complains of chronic ischaemia in one or more limbs

Rest pain is an early feature & trophic changes are common

The disease may be accompanied by migrating thrombophlebitis and 2ry v.v.

Raynaud’s phenomenon may be superimposed.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Investigations of Buerger’s disease

A

Arteriography is rarely necessary to confirm the diagnosis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Arteriography in Investigations of Buerger’s disease

A
  • Indications
  • The reason why it’s rarely necessary to confirm the diagnosis
  • Finding
17
Q

Indications of Arteriography in Investigations of Buerger’s disease

A

Arteriography is rarely necessary to confirm the diagnosis.

18
Q

The reason why it’s rarely necessary to confirm the diagnosis in Arteriography in Investigations of Buerger’s disease

A
  • This is because the disease affects distal vessels and distal run off is known to be absent.
  • Therefore there is no possibility for arterial reconstruction, and consequently no need for arteriography
19
Q

Finding of Arteriography in Investigations of Buerger’s disease

A

it appears as corkscrew vessels in arteriography

20
Q

Treatment of buerger’s disease

A
  • Mainly conservative
  • smoking must be stopped
  • Lumbar sympathectomy
  • Amputation of one or more digits or toes
21
Q

Lumbar sympathectomy in Treatment of buerger’s disease

A
  • Indication

* Disadvantages

22
Q

Indication of Lumbar sympathectomy in Treatment of buerger’s disease

A

in cases of :

  • Persistent ulcers
  • Trophic changes & rest pain.
23
Q

Disadvantages of Lumbar sympathectomy in Treatment of buerger’s disease

A

Lumbar sympathectomy is not done routinely as it will open the cutaneous blood vessels and thus the blood will be shifted from the muscles to skin leading to muscle necrosis

(stealing phenomenon)

24
Q

stealing phenomenon

A

opening of the cutaneous blood vessels due to lumbar sympathectomy and thus the blood will be shifted from the muscles to skin leading to muscle necrosis

25
Q

Amputation of one or more digits or toes in Treatment of buerger’s disease

A
  • Indication
  • Procedures
  • Prognosis
26
Q

Indication of Amputation of one or more digits or toes in Treatment of buerger’s disease

A

Persisting pain or gangrene

27
Q

Procedures of Amputation of one or more digits or toes in Treatment of buerger’s disease

A

can be performed adjacent to the line of demarcation

28
Q

Prognosis of Amputation of one or more digits or toes in Treatment of buerger’s disease

A

Satisfactory primary healing.

Surgery.(General 2).Vascular (16 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions