vascular Flashcards
What are the skin and deep tissue changes seen with lymphoedema
-protein rich fluid pre-fascia
-subdermal fibrosis
-dermal thickening
What are the primary causes of lymphoedema
Milroy’s
Meige’s
sporadic
What are the secondary causes of lymphoedema
Radiation/ surgical resection of lymph nodes
lymphatic malignancy
bascterial/ fungal/ parasitic infection
What are the indications for surgical mx of lymphoedema
-deformity/ disability
-proximal obstruction but distally patent lymphatics
What are the different surgical mx options for lymphoedema
Homas operation (lift skin and excise subcut tissue)
Charles op (excise skin + subcut and put SSG)
lymphovenous anastamosis
What is congenital lymphoedema called
Milroys
What condition causes:
port wine stain
gigantism in one limb
lymphoedema
varicose veins
Klippel-Trenaunay syndrome
Indication for venous doppler
check competency of venous junctions
What information does a venous duplex provide
vein maps
flow
vessel characteristics
What are the types of investigations for arterial disease
ABPI
Arterial doppler
conventional Angiogram
CT angio
MR angio
What is the histology for a carotid body tumour
paraganglionomas
Who gets carotid body tumours
live in high altitudes
COPD
MEN 11/ neurofibromatosis 1
Ix for carotid body tumour
duplex USS/ CT angio
Mx of carotid body tumours
surgical resection
