Buzz words: Vascular Flashcards
Lipodermatosclerosis
Gaiter region
Medial malleolus
Haemosiderin deposition
Venous Ulcer
Atherosclerosis/vasculitis Punched out appearance Low ABPI Absent pulses Shiny, hairless limb Smoking/DM/CVD Painful
Arterial Ulcer
Absent/reduced sensation Trauma ∴ soles/heels/toes Well perfused, deep, penetrating skin Loss of reflexes Diabetes
Neuropathic Ulcer
Nodulo-pustular ulcer on leg
Red/blue necrotic edge
IBD, alcoholic hepatitis
Pyoderma Gangrenosum
SCC from previous scar/burn/ulcer
War veteran
Irregular, raised edge, blood-stained
discharge, painless
Marjolin’s Ulcer
Pale, pulseless, painful, perishingly cold Paraesthesia, paralysis à amputation Fixed flexion deformity, necrotic Revascularise in 4-6h ABPI should be between 1 and 1.3
Acute Limb Ischaemia
Atherogenic emboli –> retinal artery
Black curtain over eye
Amaurosis Fugax
Venous insufficiency
Distended superficial veins
Varicose Veins
Site of local trauma + tissue infection
Swelling, erythema, vesicle and bullae
formation over skin
Fever +/- D&V
Necrotising Fasciitis
Split in lining of tuica aorta
Rupture into pericardium –> tamponade
Aortic Dissection
Digital ischaemia – reflex vasospasm arterioles Pallor --> cyanosis --> reactive hyperaemia Assoc. with rheum. conditions, cervical rib, beta blockers and ergot alkaloids
Raynaud’s Syndrome