Vascular Disease Flashcards

1
Q

How will a pt with ruptured Abdominal Aortic Aneurysm present?

A

abdominal/back pain and pulsatile abdominal mass

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2
Q

What is the classic presentation for aortic dissection?

A

chest pain with radiation to the back

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3
Q

What will aortic dissection look like on x ray?

A

loss of aortic knob and widened mediastinum

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4
Q

What causes peripheral arterial disease?

A

atherosclerosis

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5
Q

What will a presentation of peripheral vascular disease look like?

A

intermittent claudication, extremity ulcerations, erectile dysfunction

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6
Q

What will an SMA thrombus present with?

A

pain/peritonitis

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7
Q

What are the 6 “P’s” of acute occlusion of the lower extremeties

A

pain, pallor, pulselessness, paresthesias, poiklothermia, paralysis

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8
Q

What is the presentation for giant cell arteritis (temporal arteritis)?

A

HA, scalp tenderness, jaw claudication, sore throat, maybe tender temporal artery

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9
Q

Why don’t you want to miss temporal arteritis?

A

it can cause BLINDNESS

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10
Q

What labs should you order for suspected temporal arteritis?

A

ESR/CRP

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11
Q

What medication should you start someone with temporal arteritis on?

A

steroids

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12
Q

What will a pt with phlebitis present with?

A

pain, redness, induration, palpable cord

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13
Q

What is the tx for phlebitis?

A

heat, elevation and NSAIDS

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14
Q

What happens to the veins in venous insufficiency?

A

loss of wall tension in veins and stasis flow

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15
Q

What will pts with chronic venous insufficiency present with?

A

pain, ulceration

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16
Q

What is the tx for chronic venous insufficiency?

A

leg elevation, avoid prolonged standing, wound care if ulcerated

17
Q

What will a pt with venous thrombosis (DVT) present with?

A

pain, swelling, redness, “fullness” in the lower extremity

18
Q

What is the tx for venous thrombosis?

A

low molecular weight heparin

19
Q

What can be used to diagnose DVT?

A

ultrasound