Trigger - PAD 2 Flashcards
6 Ps, what are they and what diagnosis are they for
Pallor
Pain
Paresthesias
Paralysis
Polar
pulselessness
for acute arterial occlusion
Imaging of choice is doppler
acute arterial occlusion
treated with IV heparin
acute arterial occlusion
if after surgery you determine that the cause was an embolus then you give warfarin for three months
MC in males >40 who smoke
think this guy
thomboangittis obilterans (Buerger disease)
distal ischemic rest pain or ulceration on toes, feet or fingers
thomboangittis obilterans (Buerger disease)
only dianostic studies that are done are to rule out other diseases
thomboangittis obilterans (Buerger disease)
tobacco cessation is the only tx
thomboangittis obilterans (Buerger disease)
amputation is frequrntly required:(
NSAIDS or opioids can be given for acute ischemic events
is this fusiform or saccular:
circumferential expansion/dilation all around aorta
fusiform!
saccular is outpouching of a segment of the aorta and has higher risk of rupture. (think a sac)
abdominal pain radiating to lower back with tenderness to light palpation of the abdomen
AAA
hypotension, flank pain, reduced peripheral pulses with bruising on the back
rupture of AAA
1st Dx study of choice is abdominal US
AAA
when is a CTA used in AAA
to assess need for surgery
can be caused by ehlers-danlos syndrome, marfans syndrome or bicuspid aortic valve
thoracic aortic aneurysm
can present with superior vena cava syndrome (dyspnea, stidor, distended neck veins, hoarsness)
thoracic aortic aneurysm
also presents with substernal back/neck pain that radiates to jaw and aortic regurg murmur
can present with aortic regurg leading to a diastolic murmur
(there is more than one!)
- thoracic aortic aneurysm
- aortic dissection
presents with substernal back/neck pain that radiates to jaw
thoracic aortic aneurysm
shows widened mediastinum on CXR
- thoracic aortic aneurysm
- aortic dissection
Dx of choice is CT scan w contrast
thoracic aortic aneurysm
can also use MRA or cardiac cath and echo to determine further problems and how its affecting the rest of the arteries
Presents as sudden severe and persisten CP radiating to back or neck
aortic dissection
Dx of choice is multiplanar CT chest/abdomen
aortic dissection
1st line treatment after surgery is labetalol
can use esmolol if unsure how they will react to a BB
aortic dissection BP control
morphine is used for pain in this diagnosis
aortic dissection
which type of aortic dissection only needs surgery if malperfusion signs are seen
Type B (beyond subclavian0
Type A ALWAYS needs surgery!
