Part 1 Flashcards
Acute arterial occlusion
-intervention
-gold standard for dx
-common causes of occlusion
dx:
*angiography—GS
*others: EKG (AF), echo (clots, MI, valve regurg)
tx:
** Anticoagulate with IV heparin (bolus followed by constant infusion)
If not limb-threatening then call the vascular surgeon for angioplasty, graft, or endarterectomy
Mitral stenosis and AFIB
WPW
-clinical intervention
-what not to give
DONT GIVE: adenosine or CCB
GIVE: amio, or Radiofrequency ablation
chlorthalidone
thiazide like diruetic for essential HTN
indapamide
thiazide like diuretic for essential htn
SE ACEI
+/- in perg?
cough
angioedema
hyperkalemia
CONTRA in preg
SE CCB
leg edema
SE of hydralazine
SLE like effects
pericarditis
Define malignnat HTN
DBP >140
papilledema and either encephalopathy or nephropathy
screening for AAA
one-time screening for abdominal aortic aneurysm by ultrasonography in men ages 65 to 75 years who have ever smoked
initial image of choice for AAA and TAA
*GS for AAA
AAA=us 1st
GS=angio
TAA=CT
when to do surgery for AAA
even if asympto
>5.5 or expands 0.6 cm per yr
67-year-old female with a severe throbbing headache and visual impairment in the left eye. The patient describes worsening of pain with chewing or combing her hair.
giant cell arteritis
*jaw claudication
*Visiaul impairment
*scalp tenderness
*elevated ESR
KEYYYYY
tx and dx for giant cell arteritis
what is it assoc with>
*temporal artery biopsy
*
assoc with polymalgia rheumatica
Leriche syndrome
refers to a buildup of plaque in the iliac arteries → claudication, impotence, decreased femoral pulses
ankle-brachial-index (ABI) unde what is PVD
-normal?
<0.9= PVD
1-1.2 normal