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Disease Profiles > Cardiovascular - Thrombotic Disease + Misc > Flashcards

Cardiovascular - Thrombotic Disease + Misc Flashcards

1
Q

Presentation - Carotid Body Tumours

A

Asymptomatic neck lump
Carotid bruit
Cranial nerve palsy

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2
Q

Diagnosis - Carotid Body Tumours

A

Urinary catecholamines
Imaging - duplex, CTA/MRA

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3
Q

Management - Carotid Body Tumours

A

Surgical resection

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4
Q

Classification - Carotid Body Tumours

A

Shamblin system

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5
Q

Definition - Situational Syncope

A

A type of reflex syncope consistently and clearly caused by a trigger

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6
Q

Triggers - Situational Syncope

A

Coughing
Exertion
Micturition
Swallowing
Etc.

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7
Q

Diagnosis - Situational Syncope

A

Clinical

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8
Q

Management - Situational Syncope

A

Identify and treat the cause if possible
Advise the patient to lie down if a trigger occurs

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9
Q

Causes - Vasovagal Syncope

A

Decreased cerebral blood flow
Provoking factors e.g. pain, distress

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10
Q

Presentation - Vasovagal Syncope

A

Prodromal symptoms e.g. sweating, nausea
Syncope

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11
Q

Diagnosis - Vasovagal Syncope

A

Clinical diagnosis of exclusion

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12
Q

Management - Vasovagal Syncope

A

Avoidance of triggers
Avert syncope = horizontal gravity neutral position, leg crossing

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13
Q

Presentation - DVT

A

Dilated veins
Painful, swollen, red limb
Pitting oedema

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14
Q

Diagnosis - DVT

A

Doppler ultrasound
D-dimer
CT scan in some cases

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15
Q

Wells Score <1 - DVT

A

Perform D-Dimer
- Negative = DVT excluded
- Positive = do USS

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16
Q

Wells Score >2 - DVT

A

Do D-dimer and USS
- Both negative = excluded
- USS positive = treat
- USS negative but D-dimer positive = repeat USS in one week

17
Q

Management - DVT (Suspected)

A

Heparin or enoxaparin or dalteparin

18
Q

Management - DVT (Confirmed)

A

Apixaban or rivaroxaban

19
Q

Management Duration - DVT

A

Provoked = 3 months
Unprovoked = 6 months

20
Q

Causes - Post-Thrombotic Syndrome

A

Idiopathic DVT (develops within 5 years)

21
Q

Presentation - Post-Thrombotic Syndrome

A

Eczema
Hyperpigmentation
Itch + pain
Oedema
Varicose veins + venous ulcers

22
Q

Diagnosis - Post-Thrombotic Syndrome

A

Clinical diagnosis

23
Q

Management - Post-Thrombotic Syndrome

A

Elevation
Exercise
Compression stockings

Disease Profiles (15 decks)

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