PVD: Miscellaneous

Question 0

What percent of retro peritoneal hematomas post cath need blood transfusion?

Answer 0

> 80%

Question 1

Incidence of retro peritoneal hematoma

Answer 1

<.1%

Question 2

Where are most AV fistulas found post femoral cath?

Answer 2

Distal to CFA (SFA or PFA)

Question 3

Do many femoral AV fistulas close spontaneously?

Answer 3

Yes

Question 4

When do you repair femoral AV fistula?

Answer 4

If signs or sxs of enlargement

Question 5

5 P’s of Acute Limb Ischemia

Answer 5

Pain, pallor, pulseless, paresthesias, paralysis

Question 6

Name 2 large vessel vasculitides

Answer 6

Temporal arteritis

Takayasu’s

Question 7

Name 2 medium vessel vasculitidies

Answer 7

PAN

Kawasaki

Question 8

Name 2 small vessel vasculitides

Answer 8

Behcet’s

Churg-Strauss

Question 9

Name 3 connective tissue disease vasculitides

Answer 9

SLE
scleroderma
RA

Question 10

How do you diagnose and treat PAN?

Answer 10

Noninvasive angiography

Corticosteroids

Question 11

What syndrome is associated with SLE? How do you treat it?

Answer 11

APLA

Warfarin

Question 12

Top two etiologies for raynaud’s? Rx for raynaud’s ?

Answer 12

Scleroderma and SLE

Avoid triggers

Question 13

Angiography with corkscrew appearance below knee. Dx?

Answer 13

Buerger’s dz

Question 14

Histology of Buerger’s vasculopathy

Answer 14

Non-atherosclerotic

Segmental

Question 15

ESR in Buerger’s

Answer 15

Normal

Question 16

Rx for. Buerger’s

Answer 16

Quit smoking

Rule out thromboembolic source

Question 17

What maneuver do you use to test for thoracic outlet syndrome? What is a positive sign?

Answer 17

Adson’s

Loss of radial pulse as arm abducted 90 degrees

Question 18

Rx for Thoracic outlet syndrome

Answer 18

Strength exercises

1st rib resection if severe

Question 19

What is chronic venous dz with ulcer highly associated with?

Answer 19

DVT

Question 20

How do you diagnose chronic venous insufficiency?

Answer 20

Duplex U/S

Question 21

Rx for chronic venous insufficiency

Answer 21

Compression 
Furosemide
Skin care
Ulcer therapy
Vein ablation