Case Based Learning Content

Question 1

How does acute limb ischemia present differently to chronic critical limb ischemia?

Answer 1

Chronic critical limb ischemia = Rest pain, tissue loss, contralateral pulse loss, no neurological deficit.

Acute limb ischemia = 6Ps, especially neuro features, no tissue loss, contralateral pulses present.

Question 2

How is acute limb ischemia managed?

Answer 2

Open surgery (embolectomy/ bypass) vs. endovascular thrombolysis Likely to need fasciotomies

Question 3

Fasciotomy

Answer 3

Fasciotomy is a surgery to relieve swelling and pressure in a compartment of the body. Tissue that surrounds the area is cut open to relieve pressure.