PAD

Question 1

main patterns of PAD

Answer 1

intermittent claudication
critical limb ischaemia
acute limb-threatening ischaemia

Question 2

Intermittent claudication

Answer 2

ischaemia, occurring during exertion and relieved by rest

Question 3

Critical limb ischaemia

Answer 3

end stage
risk of losing the limb
pain at rest, non healing ulcers and gangrene

Question 4

acute limb ischaemia

Answer 4

rapid onset of ischaemia due to AF/ clot

pale, pulselessness, painful, paralysed, par aesthetic, perishingly cold

Question 5

acute limb ischaemia ivx

Answer 5

handheld doppler , if signals present follow with ABPi

Question 6

Mx of acute limb ischaemia ( initial)

Answer 6

ABCDE
analgesia - IV opioids
iv unfractionated hep

Question 7

Definitive Management of ALI

Answer 7

I Saw A Big Amputation
Intra- arterial Thrombolysis
- Surgical Embolectomy
- Angioplasty
- Bypass Surgery
- Amputation!! - IRREVERSIBLE ISCHAEMIA

Question 8

An ABPI above 1.3 can indicate

Answer 8

calcification of the arteries

Question 9

management of peripheral vascular disease

Answer 9

stop smoking
statin + clopidogrel
exercise training

Question 10

mx of severe PAD/ Critical limb ischaemia

Answer 10

endovascular revascularisation :
short segment stenosis < 10 cm
surgical revascularisation , stenosis > 10 cm