Chronic Ischemia And Limb Loss

Question 1

What is limb ischemia

Answer 1

Severe blockage of arteries

Question 2

Commonest cause of lower limb ischemia?

Answer 2

Atherosclerosis

Question 3

Most common example of vasoocclusive diseases?

Answer 3

Buerger’s disease

Question 4

Commonest Vasospastic disease?

Answer 4

Raynaud’s disease

Question 5

When is surgery considered for aortic aneurysms?

Answer 5

Bigger than 5.5cm and expanding at a rate bigger than 1cm a year

Question 6

A big part of the history, is intermittent claudication, what is that?

Answer 6

Crampy pain forcing the patient to take a break when walking then continuing

Question 7

There are two classification systems what are they?

Answer 7

Fontaine and Rutherford

Question 8

Manifestation of Buerger’s disease?

Answer 8

Middle aged smoker males, affects popliteal and tibial arteries

Question 9

Anterio-venous fistula manifestations

Answer 9

Purplish, bulging veins

Question 10

Complications of an AVF?

Answer 10

HF, blood clots, leg pain

Question 11

When do we do a Duplex Ultrasound?

Answer 11

When suspecting AVF, hematoma, aneurysm, or absent flow

Question 12

When do we do CT Angiography?

Answer 12

When suspecting atherosclerosis and beurger’s and such

Question 13

Indication of surgery??

Answer 13

Severe ischemia or severe claudication

Question 14

What is the endovascular treatment?

Answer 14

PTA, or a stent. (Percutaneous transluminal angioplasty)

Question 15

What is the open surgery?

Answer 15

Thromboendarterectomy

Question 16

Bypass surgeries?

Answer 16

Aortobifemoral or Femoropopliteal bypass, depending on location

Question 17

Arterial aneurysms are most commonly due to?

Answer 17

Atherosclerosis

Question 18

A rupture of a certain artery is a common cause for sudden death, what is the artery in question?

Answer 18

Abdominal aortic artery

Question 19

Manifestation of Raynaud’s?

Answer 19

Seen in adult females preceeded by cold exposure of small arteries of hands and feet.

Question 20

A woman experiences Raynaud’s phenomena as the characteristic sign, what is it

Answer 20

Pallor, cyanosis, redness, itching, all simultaneously

Question 21

Describe the Ulcer edge in BCC

Answer 21

Raised and rolled.

Question 22

Describe the ulcer edge in SCC

Answer 22

raised and everted

Question 23

What is the margin of the ulcer like in a venous ulcer?

Answer 23

White-ish due to fibrosis obv