Peripheral Arterial Disease Flashcards
PAD
consists of IC, CLI, ACI
causes
atherosclerosis
hypertension
diabetes
history of CVS conditions
intermittent claudication
cramping pain on legs when walking
relieved by rest
investigations: CVS examination FBC ECG ankle pressure index
management:
lifestyle factors - supervised exercise
monitoring risk of CVS
prophylaxis - statin and clopidogrel
critical limb ischaemia
cramping pain on legs when resting ulcers gangrene prolong CAP 6 Ps
investigations: CVS examination FBC ECG ankle pressure index dopple USS CT/MRI angiography
management:
non-operative:
angioplasty
operative:
percutaneous transluminal angioplasty
bypass grafting
amputation
lifestyle factors
statin and clopidogrel
acute limb ischaemia
sudden onset of 6 Ps
history of CVS disease
investigations: CVS examination FBC ECG ankle pressure index dopple USS CT/MRI angiography
management: thombolysis thombectomy bypass grafting amputation
lifestyle factors
statin and clopidogrel
what are the 6 Ps
pain pulseless pallor paraesthesia paralysis perishingly cold
what is the management for irreversible critical limb ischaemia
amputation
what is critical limb ischaemia a complication of
chronic limb ischamia
what can give a false high ankle pressure index
diabetes
