Surgery Cardio Flashcards

1
Q

When is it considered to be a AAA?

A

> 3 cm

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2
Q

Where do most AAAs develop?

A

Below the renal arteries

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3
Q

Risk factors for AAA

A

Male
Smoker
Family hx
Age

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4
Q

S/S of AAA (nonruptured)

A

Asymptomatic

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5
Q

S/S of ruptured AAA

A

Severe, tearing abdominal pain
Radiates to back
Hypotension
Palpable abdominal mass

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6
Q

Diagnosis of AAA

A

US
CT if you need to know exact size

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7
Q

Screening for AAA

A

One time with US for all men 65-75 who have ever smoked or have other risk factors (1st degree relative)

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8
Q

How often to US for AAA?

A

3-3.4 cm: q2 years
3.5-4.4 cm: q12 months
4.5-5.4 cm: q6 months

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9
Q

When should a patient be referred to vascular for AAA?

A

4.5 cm

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10
Q

Management of AAA

A

Nonruptured: continue monitoring
Ruptured: emergent endovascular repair

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11
Q

When is elective repair of AAA indicated?

A

> 5.5 cm
0.5 cm growth in 6 months

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12
Q

MCC of thoracic aortic aneurysms

A

Atherosclerosis

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13
Q

Presentation of thoracic aneurysm

A

Mostly asymptomatic

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14
Q

Diagnosis of thoracic aneurysm

A

CXR shows widened mediastinum
CT with contrast

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15
Q

Management of thoracic aneurysm

A

Surgical repair

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16
Q

S/S of aortic dissection

A

Severe ripping CP
Radiates to back and neck
Sudden onset
Hypertensive

17
Q

Diagnosis of aortic dissection

A

CT with contrast

18
Q

Treatment of aortic dissection

A

Labetalol
Morphine
Surgery for all type A, and type B with malperfusion

19
Q

Etiology of acute arterial occlusion

A

Thrombus or embolus

20
Q

S/S of arterial occlusion

A

Pain
Pallor
Pulselessness
Paralysis
Poikilothermia
Paresthesias

21
Q

Diagnosis of acute arterial occlusion

A

Mostly clinical
Doppler

22
Q

Treatment of acute arterial occlusion

A

Immediate revascularization within 3 hours
IV heparin C

23
Q

Claudication

A

Pain, aching that occurs during exercise and is relieved by rest

24
Q

Pseudoclaudication

A

Occurs with standing
Relieved by sitting and position
Takes longer to relieve than claudication

25
Q

Presentation of PAD

A

Ulcerations
Claudication
Relieved with dependency

26
Q

Diagnosis of PAD

A

ABI

27
Q

Interpretation of ABI

A

> 1.4: sclerotic
1-1.4: normal
0.7-0.9: diagnostic of PAD
< 0.4: severe

28
Q

Treatment of PAD

A

ASA or plavix
Smoking cessation
Risk factor modification
Cilostazol
Surgical bypass

29
Q

Etiology of varicose veins

A

High pressure and reflux due to incompetent valves

30
Q

S/S of varicose veins

A

Dull, achey, heavy pain
Itching
Dilated tortuous veins

31
Q

Diagnosis of varicose veins

A

Clinical

32
Q

Treatment of varicose veins

A

Compression stockings
Elevate legs