Cardiovascular - VTE Flashcards

1
Q

path of a PE?

A
clot in venous system
detaches
travels through RHS of heart
through pulmonary artery
lungs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

risk factors for PE?

A
malignancy
pregnancy
hyper oestrogenic state
sepsis
thrombophilia
immobile
obese
trauma
surgery
age
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

features of a PE?

A
SOB
chest pain 
hypoxic
hypotension
fever
haemoptysis
DVT signs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Ix for a PE?

A

CTPA
D dimers
CXR

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

Ix for a PE if pregnant?

A

V/Q instead of CTPA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

treatment for an unprovoked PE?

A

6 months rivaroxaban

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

treatment for a provoked PE?

A

3 months rivaroxaban

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

treatment for a PE if patient has cancer?

A

LMWH for 6 months

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

how long should compression stockings be worn post thrombosis?

A

2 years

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

alternative to anticoagulation treatment?

A

IVC filter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

blood supply of lower limb?

A
external iliac 
femoral -> deep femoral
popliteal -> 
anterior tibial 
\+ 
posterior tibial -> fibular (common peroneal)
dorsalis pedis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

features of a DVT?

A
calf swelling 
pain
oedema
redness
varicose veins
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

components of virchow’s triad?

A

hypercoag
endothelial inury
circulatory status

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

Ix for a DVT?

A

D dimers
Well’s score
US

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

bloods for a VTE?

A
FBC
LFTs
U+Es
INR
aPTT
thrombophilia screen
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what can happen after a DVT? what is it?

A

post thrombotic syndrome

symptoms still present

17
Q

what is pulmonary hypertension?

A

sustained pulmonary artery pressure >25mmHg

18
Q

how does pulmonary hypertension occur?

A

pulmonary endothelium damaged
vasoconstriction
prothrombotic agents released
vasculature can fibrose

19
Q

causes of pulmonary hypertension?

A

CTDs
lung disease
HF

20
Q

Ix for pulmonary hypertension?

A
ECG
CXR
Echo
CT
right heart catheterisation (diagnostic)
21
Q

treatment for pulmonary hypertension?

A

anticoagulation
CCBs
diuretic
oxygen

22
Q

what can be a complication of pulmonary hypertension?

A

cor pulmonale

23
Q

define cor pulmonale?

A

right ventricular failure due to diease of the lungs or pulmonary arteries

24
Q

features of right heart failure?

A

raised JVP
peripheral oedema
SOB

25
Q

Ix for cor pulmonale? what ECG sign is seen?

A

echo
right heart catheterisation to measure pressures
ECG shows right axis deviation