Vasc surg Flashcards
1
Q
DVT- Eti
A
- Age, CA, recent surg
- Patho: Virchow’s triad: stasis, vasc injury & hypercoaguability
2
Q
DVT- Sx
A
LE pain, swelling & tenderness
- Homan sign
- Calf MC
3
Q
DVT- Dx
A
Duplex US- vein incompressability
4
Q
DVT- Tx
A
- Heparin or LMWH -> warfarin
- Goal INR 1.5-2.5
- x 3 mo if provoked, x 6 mo unprovoked
Prevent: SCDs, LMWH
5
Q
Varicose veins- Eti
A
- Risks: female, pregnancy, fam hx, prolonged standing
- Dilation of superficial veins d/t valvular incomp.
- Very common- 10-20% population
6
Q
Varicose veins- Sx
A
- Aesthetic concerns- dilated tortuous veins
- Local pain, burning heaviness with standing
- LE edema
- Deep veins = venous stasis sx
7
Q
Varicose veins- Dx
A
Venous duplex imaging
8
Q
Varicose veins- Tx
A
- Stockings- must fail to get surg
- Surg: Ablation of greater saphenous vein
- Phlebectomy
9
Q
Peripheral vasc dz- Eti
A
- Occlusive dz of LE
- Superficial femoral MC
10
Q
Peripheral vasc dz- Sx
A
- Rest pain at metatarsals, received by dangling foot
- Intermittent claudication- pain w/ walking relieved by rest
- poor perfusion, hair growth, thick toe nails
- Gangrene & non-healing ulcers
- Rubor, pallor w/ elevation
11
Q
Peripheral vasc dz- Dx
A
- ABIs
12
Q
Peripheral vasc dz- Tx
A
- Med: ASA or clopidigrel, pentoxifylline
- Surg: Bypass graft: fem-pop
13
Q
Venous stasis ulcers
A
- Medial malleolus MC
14
Q
Thrombangitis obliterans- Eti
A
- Multiple segmental occlusions in tibial & pedal arteries
- Young male smokers
15
Q
Thrombangitis obliterans- Sx
A
- Pain and gangrene in extremities d/t arterial spasm
