Vascular Cases

Question 1

DDx for pain in 75 old pt with pain overnight

Answer 1

1) acute limb
2) cellulitis
3) Ulcers

Question 2

Outline clinical assessment for patient: 75 yr female- with painful limb overnight

Answer 2

Question 3

What are the 6 ps of acute limb ischemia?

Answer 3

What investigations would you assess?

Question 4

Investigations: for this patient:

Answer 4

Question 5

Treatment for this patient:

Answer 5

Question 6

Case 5: 60 year old male, with a no healing ulcer, after an injury in the garden, he had a 10 day history of antibiotics, usually fit, current smoker without other significant medical hx

DDx?
What is your approach to this patient?

Answer 6

What is your DDx?

What is your approach to this patient?

Question 7

What investigations will you order?

Answer 7

1) X-RAY
2) CT/US Doppler
3) cultures + swabs
4) Bloods-
5) Biopsy ( advancing wound edge- 4-5mm deep)

Question 8

Management of venous ulcers:

Answer 8

Question 9

Leg ulcer PEARLS

Answer 9

Question 10

Criteria for vascular review

Answer 10

Question 11

Case 3: What is your DDx? What is your approach to this?

Answer 11

Question 12

Necrotizing skin infections explain:
What investigations will you order?
Definitive management?

Answer 12

Question 13

Management of nec skin infection

Answer 13