Leg Pain, Chest Pain, Back Pain II

Question 1

pancreatic cancer

Answer 1

systemic hypercoagulability

swollen left leg and calf tenderness

Question 2

troussea syndrome

Answer 2

cancer leads to hypercoagulable state

Question 3

P and L selectins

Answer 3

in trousseau syndrome
-platelet rich microthrombi

often in adenocarcinoma of lungs

Question 4

thrombogenic cancers

Answer 4

gastric, esophageal, lung, pancreas, renal, ovarian, AML, non-hodgkin lymphoma

Question 5

bernard soulier

Answer 5

Gp1b

Question 6

glanzmann thrombasthenia

Answer 6

GpIIbIIIa

Question 7

venous ulcer

Answer 7

trauma, pregnant, varicose

medial malleolus

irregular margins

beefy, edema, indurated

hyperpigmented

heavy exudate

cap refill 0.9

Question 8

arterial ulcer

Answer 8

smoking, rest pain

claudication

pressure

sharp borders

bed pale grey or yellow

necrotic base

hair loss, cold feet, no pulse

high cap refill

ABI 0.5

Question 9

ulcer - edema, pigmented, exudate, cap refill normal, irregular margins

Answer 9

venous ulcer

Question 10

ulcer - claudication, sharp borders, pale or grey, hair loss, cold feet, no pulse

Answer 10

arterial ulcer

Question 11

neuropathic ulcer

Answer 11

numbness
DM
pressure site
surrounding callus
ABI normal

Question 12

ulcer - numbness, DM patient, callus surrounds, normal cap refill

Answer 12

neuropathic ulcer

Question 13

chronic leg ulcers

Answer 13

PAD
venous insufficiency
DM
autoimmune
SS anemia
fungal
erythema induratum

Question 14

Tx of septic superficial thrombophlebitis

Answer 14

vancomycin

ceftriaxone

Question 15

phlegmasia cerulean dolens

Answer 15

pain, blue, inflamed

primary venous insufficiency with secondary arterial

nothing can drain

cause - cancer, also obesity, age, immobilization, procoag state
Tx - fluid, anticoag, check for cancer

Question 16

Tx for phlegmasia cerulean dolens

Answer 16

fluid
anticoag
cancer check

Question 17

most common cause of vena cava syndrome

Answer 17

small cell lung cancer

then small cell, and lymphoma

Question 18

dizzy, blurred vision, HA, flushed facies, dilated neck veins

Answer 18

vena cava obstruction

causes:
cancer
chronic fibrotic mediastinitis
DVT from arm veins
AAA
constrictive pericarditis

Question 19

bronchiogenic carcinoma

Answer 19

swelled face in evening

-during day - drains

Question 20

lymphitis and lymphangiitis

Answer 20

can be from cat saliva

-cat scratch fever

Question 21

cat scratch fever

Answer 21

bartonella henselae

Question 22

cat urine

Answer 22

leptospirosis

Question 23

direct contact with cat

Answer 23

ringworm and sporothrix

Question 24

lymphedema

Answer 24

pitting edema

without ulcers, varicosities, or stasis pigmentation

Question 25

milroy disease

Answer 25

problem with VEGFR3
-leads to lymphedema

gene controlling lymphogenesis

Question 26

stewart treves syndrome

Answer 26

hemangiosarcoma

local immunodeficiency

can lead to lymphedema

Question 27

women with breast removed from cancer

Answer 27

can get lymphedema