PAD Flashcards
Signs of Acute Limb Ischemia include:
Pulseless (all classes)
Pain
Pallor
Paresthesia
Paralysis
Typical clinical picture of Chronic Limb Ischemia […]
Intermittent claudication
Relieved by rest
[…] is the first sign in all classes of ALI
Absent pulse
ALI classes:
Class 1 : […]
Class 2 : […]
Class 3 : […]
1: Moderate pain
2: Severe pain, paresthesia
3: No pain, paralyzed limb
[…] is a common cause of ALI in cardiac patient (recent MI / A fib)
Arterial Emboli
Most appropriate first step in management of ALI is […]
Heparin
💚💉
Best confirmatory test for Acute Limb Ischemia […]
Angiography
…
ALI= Angio
Best confirmatory test for Chronic Limb Ischemia […]
CT-A = DSA
…
CLI= CTA
Steps in the approach of ALI:
Heparin -» […] -» […] -» Angiography
Heparin - Duplex US - CTA - Angio
Definitive first line treatment of ALI is […] unless in cardiac cause or A fib where […] is indicated
Catheter thrombolysis
Unless cardiac » Embolectomy
Choose Amputation in ALI case if :
- Acute on chronic
- Class III with irreversible paralysis
Most common risk factor for a venous ulcer is […]
Venous hypertension
Followed by age
In foot ulcer with absent pulse indicating […] issue. […] is most appropriate for diagnosis
Arterial
Arterial US
In foot ulcer with intact pulse & dark skin discoloration, indicating […] issue. […] is most appropriate for diagnosis
Venous
Venous US
Patient with PAD, how to improve walking distance?
Supervised exercise program