Vascular Disease Flashcards
How will a pt with ruptured Abdominal Aortic Aneurysm present?
abdominal/back pain and pulsatile abdominal mass
What is the classic presentation for aortic dissection?
chest pain with radiation to the back
What will aortic dissection look like on x ray?
loss of aortic knob and widened mediastinum
What causes peripheral arterial disease?
atherosclerosis
What will a presentation of peripheral vascular disease look like?
intermittent claudication, extremity ulcerations, erectile dysfunction
What will an SMA thrombus present with?
pain/peritonitis
What are the 6 “P’s” of acute occlusion of the lower extremeties
pain, pallor, pulselessness, paresthesias, poiklothermia, paralysis
What is the presentation for giant cell arteritis (temporal arteritis)?
HA, scalp tenderness, jaw claudication, sore throat, maybe tender temporal artery
Why don’t you want to miss temporal arteritis?
it can cause BLINDNESS
What labs should you order for suspected temporal arteritis?
ESR/CRP
What medication should you start someone with temporal arteritis on?
steroids
What will a pt with phlebitis present with?
pain, redness, induration, palpable cord
What is the tx for phlebitis?
heat, elevation and NSAIDS
What happens to the veins in venous insufficiency?
loss of wall tension in veins and stasis flow
What will pts with chronic venous insufficiency present with?
pain, ulceration