Vascular Flashcards
Peripheral Vascular Disease Risk Factors
Smoking, Diabetes, High BP, High Cholesterol
Peripheral Vascular Disease Presentation
Intermittent claudication Ulcers, Blue skin/Pallor, Cold, Poor hair growth, Rest pain
What classification can be used for Peripheral Vascular Disease?
Fontaine Classification
What is type I on the Fontaine Classification for PVD?
Asymptomatic
What is type 4 on the Fontaine Classification for PVD?
Necrosis/Gangrene
What is type 2 on the Fontaine Classification for PVD?
Intermittent claudication (a=>200m / b=<200m)
What is type 3 on the Fontaine Classification for PVD?
Rest pain
Peripheral Vascular Disease Investigations
APBI, Duplex US, Angiography/MRA
Peripheral Vascular Disease Treatment
Statins, ACE Inhibitors, Cilostazol, Aspirin, Surgery
What drug class is of little benefit in Peripheral Vascular Disease?
Anticoagulants
Who commonly gets an Abdominal Aortic Aneurysm?
> 50yrs, Men, Family Hx
Abdominal Aortic Aneurysm Definition
Enlargement of over 50% of normal / Diameter bigger than 3cm (due to degradation of tunica media)
Abdominal Aortic Aneurysm Risk Factors
Smoking, High BP, CVD, Genetics (Marfans/Ehlers-Danlos)
Abdominal Aortic Aneurysm Presentation
Pulsation/Fluttering in abdomen, Pain in lower back/scrotum
Abdominal Aortic Aneurysm Investigations
USS, CT, MRI, Angiography
Abdominal Aortic Aneurysm Treatment
Lifestyle, Surgery (if over 5.5cm in males and 5.0cm in females or symptoms present)
What causes Varicose Veins?
Valvular incompetence in superficial veins
Varicose Veins Risk Factors
Pregnancy, Obesity, Menopause, Prolonged standing, Injury
Varicose Veins Presentation
Leg swelling, Venous eczema, Ulceration, Pain,Brown skin, Atrophie blanche
Varicose Veins Investigations
Trendelenburg test, Venous USS
Varicose Veins Treatment
Sclerotherapy, Elastic stocking, Leg elevation
Femoral Embolism Symptoms
6 P’s
Femoral Embolism Investigations
Doppler, Angiography, MRI
Femoral Embolism Treatment
Antithrombotic medication, Vasodilators, Surgery
