Vascular Flashcards
Definition of varicose veins
Tortuous, dilated veins of the superficial venous system.
Definition of critical limb ischaemia
Ankle artery pressure 2 week history of persistent rest pain or tissue loss (ulceration or gangrene).
Definition of an aneurysm
A pathological, localised dilation of a blood vessel >50% of its normal diameter.
For AAA this is >3cm.
Identify the nerve commonly damaged in these surgical procedures:
Posterior triangle lymph node biopsy
Accessory nerve (CN XI)
Identify the nerve commonly damaged in these surgical procedures:
Thyroidectomy
Larygneal nerve
Hoarse voice
Identify the nerve commonly damaged in these surgical procedures:
Anterior resection of rectum
Hypogastric autonomic nerves
Identify the nerve commonly damaged in these surgical procedures:
Axillary node clearance (3 nerves)
Long thoracic + thoracodorsal and intercostobrachial nerves
Identify the nerve commonly damaged in these surgical procedures:
Inguinal hernia surgery
Ilio-inguinal nerve
Identify the nerve commonly damaged in these surgical procedures:
Varicose vein surgery
Sural and Saphenous nerves
Identify the nerve commonly damaged in these surgical procedures:
Posterior approach to the hip
Sciatic nerve
Identify the nerve commonly damaged in these surgical procedures:
Carotid endarterectomy
Hypoglossal nerve (CN XII) → Ipsilateral tongue deviation
Greater auricular → numb ear lobe
What is the difference between Buerger’s angle, Buerger’s sign and Buerger’s disease?
Buerger’s angle = angle at which pallor and venous guttering is observed in the foot indicating arterial insufficiency.
What are the skin signs of chronic venous insufficiency?
HAS LEGS
Haemosiderosis Atrophie blanche Swelling Lipodermatosclerosis Eczema Gaiter ulcers Stars, venous
Anatomical location of the SFJ
2 finger breadths (3cm) below and lateral to the pubic tubercle.
What is the classification system used for chronic venous disease and varicose veins?
CEAP classification
Clinical: signs 0-6 + [a]symptomatic
Etiology : primary, secondary, none
Anatomy : superficial, deep, perforators
Pathophysiology: reflux, obstruction, both
