Vascular Flashcards
ABPI levels
0.8-1 = normal
0.6-0.8 = claudication
<0.6 = critical ischaemia
tests for claudication
exercise treadmill ABPI
duplex
angiography
critical ischaemia
rest pain
opiate analgesia needed
>2 week duration
tissue loss/gangrene
acute ischaemia sx and mx
six P’s
immediate revascularisation
what is acute on chronic ischaemia?
acute ischemia on background of claudication
thrombotic occlusion of atherosclerotic vessels
symptoms of acute on chronic ischaemia
4 P’s
not paraesthesia and paralysis
as collaterals have developed, degree of ischaemia not as severe
complications of aneurysms
rupture
embolisation (trash foot in AAA)
thrombosis (acutely ischaemic)
pressure - DVT
fistulation
AAA screening
abdo USS men aged 65
management based on size of aneurysm
<3cm: normal = nil action
3-4.4: small aneurysm = re-scan every 12 months
4.5-5.4: medium aneurysm = re-scan every 3 months
>5.5cm: large aneurysm = refer with 2 week to vascular surgery
varicose veins symptoms
cosmetic
pain
swelling
itching
restless legs cramps
complications of varicose veins
thrombophlebitis
eczema
bleeding
haemosiderosis
ulceration
thoracic outlet syndrome, venous
upper limb DVT
long term swelling
thoracic outlet syndrome, arterial
Raynaud’s
claudication
embolisation
thoracic outlet syndrome, neurological
pain
radiculopathy
Chronic limb ischaemia non-modifiable RFs
FH, PMH
Male
Inc age
Genetic
