pestana: vascular

Question 1

subclavian steal syndrome presentation

Answer 1

claudication: cold, tingling, muscle pain

posterior neuro signs: visual symp, equilibrium symp

Question 2

subclavian steal syn- diagnose and treat

Answer 2

diagnose: duplex scanning
treat: bypass surgery

Question 3

what size in cm can AAA be observed?

Answer 3

<4 cm

Question 4

if AAA starts to get tender, how many days till rupture?

Answer 4

1-2 days

Question 5

what does it mean if excruciating back pain in patient with AAA?

Answer 5

aneurysm already started leaking

retroperitoneal hematoma forming

Question 6

arterioscleortic occlusive disease of lower extremities only is indicated for surgery if…

Answer 6

relieve disabling symptoms or impending necrosis

unpredictable nature of dz

Question 7

workup of disabling intermittent claudication

Answer 7

doppler studies- ABI

if ABI=1 –> dz in small vessels- no surgery

if ABI<0.8 –> CT or MRI angio to plan revascularization

Question 8

dissecting aneurysm of thoracic aorta occurs in which population

Answer 8

uncontrolled HTN

Question 9

diagnosing dissecting aneurysm of thoracic aorta

Answer 9

definitive: **MRI or CT angiogram; transesophageal echo
signs: unequal pulses in upper extremities, CXR shows wide mediastinum

Question 10

treating dissecting aneurysm of ascending vs descending aorta

Answer 10

ascending: surgery
descending: medically- HTN (surgery risky)

Question 11

two contraindications to using FNA

Answer 11

hemangioma in liver –> fatal bleed

testicular mass –> malignant spread