Peripheral Vascular Disease

Question 1

AAA

Answer 1

Abdominal aortic aneurysm

Question 2

Aneurysm

Answer 2

Dilatation of a vessel by more that 50% of normal diameter

Balloon like, outward bulging

Question 3

True aneurysm

Answer 3

Vessel wall intact

Question 4

False aneurysm

Answer 4

Breach in vessel wall

Question 5

Types of aneurysm

Answer 5

Saccular
Fusiform
Mycotic

Question 6

Saccular aneurysm

Answer 6

Berry aneurysm

Question 7

Mycotic aneurysm

Answer 7

arises secondary to an infectious process, involving all 3 layers of artery

Question 8

AAA Pathogenesis

Answer 8

Medical degeneration

• Regulation of elastin/collagen in aortic wall
• Aneurysmal dilatation
• Increase in aortic wall stress
• Progressive dilatation

Question 9

AAA rupture

Answer 9

Sudden onset epigastric/central pain
May radiate through to back
Collapse

Question 10

AAA symptoms

Answer 10

Pain
Trashing
Rupture

Question 11

AAA management

Answer 11

Open repaire

Endovascular repair

Question 12

Acute limb threat

Answer 12

Acute limb ishcaemia
Acute on chronic ishcaemia
Diabetic foot sepsis

Question 13

Acute limb ischaemia

Answer 13

Sudden loss of blood supply to a limb

Question 14

Cause of sudden occlusion

Answer 14

Embolism
Atheroembolism
Arterial dissection
Trauma
Extrinsic Compression

Question 15

Clinical features of acute limb ischaemia

Answer 15

Pain
Pallor
Pulseless
Perishingly cold
Paraesthesia 
Paralysis

Question 16

Salvageable acute limb ischaemia

Answer 16

0-4 hours
White foot
Painful

Question 17

Acute limb ischaemia treatment

Answer 17

Anticoagulate

Question 18

Diabetic foot sepsis

Answer 18

Diabetic neuropathy
Peripheral vascular disease
Infection
Leads to gangrene, necrosis and tissue ulceration

Question 19

Clinical findings of diabetic foot sepsis

Answer 19

Pyrexia
Tachycardia
Tachypnoeic
Confused
Kussmauls breathing

Question 20

Intermittent claudication

Answer 20

cramping leg pain