LL Arterial Flashcards
1
Q
Redness with dependency
A
Chronic ischaemia
2
Q
Onychogryphosis
A
Thickened distorted nail
3
Q
Guttering of superficial veins
A
Chronic arterial disease
4
Q
Arterial ulcers
A
IC, rest pain Foot, toes, ankle-- lateral malleolus Punched out Little exudate Rarely edema Painful Trophic changes and gangrene
5
Q
Tx arterial ulcers
A
Conservative
Angioplasty– endo vascular revasc
Bypass-
Aorta femoral graft
6
Q
Venous ulcers
A
DVT, varicose veins Medial lower leg gaiter area Sloped edges LOTS EXUDATE painless-- unless ... Usually aw limb edema Aw-- chronic venous insufficiency signs
7
Q
When do venous ulcers become painful?
A
Edema
Infection
8
Q
Increase capillary refill
A
Ischaemia/PVD
9
Q
Decrease capillary refill
A
Dependent blood pooling
10
Q
Chronic ischaemic limb – colour
A
Red from venous pooling– goes pale when elevated
11
Q
Severe ischaemia– capillary refill
A
15-30sec
12
Q
Ischaemic burger angle
A
15-30 degrees
13
Q
Conclusion LL arterial
A
Bp Full CVS exam ABI PAD - tar staining, hyperCH Investigations-- Doppler US, MRA
14
Q
ABI 0.5-1
A
Intermittent claudication
15
Q
ABI 0.3-0.5
A
Rest pain/ critical limb ischaemia
