Vascular dx

Question 1

aortoiliac, femoral popiteal, infrapopliteal

all presentations of what?

Answer 1

atheroscleritic PVD

Question 2

50-60YO white smokers?

Answer 2

aortoiliac, then evolves to adbominal aorta

Question 3

occurs in calves, reproduculbe pain with exericse and relived with rest?

Answer 3

PAD

Question 4

femoral pulses may be weak when what is involved in PAD?

Answer 4

aortoiliac

Question 5

ratio of systolic blood flow, difference is exaggerated by exercise

Answer 5

ankle brachial index

Question 6

when would we get a ct or MRA for aortoliliac dx?

Answer 6

when ankle brachial index indicates surgery is necessary

Question 7

isolated aortoiliac dx may have a futther reduction in what w/o intervention?

Answer 7

walking distance but rarely progresses to rest pain

Question 8

MC occulded by atherosclerosis?

Answer 8

superficial femoral

Question 9

lesions in what arteries are debilitating?

Answer 9

common femoral/popliteal

Question 10

confined to calf?

Answer 10

femoral popliteal PVD

Question 11

shorter distances:

Answer 11

fem pop

Question 12

chronic low blood flow state reuslts in hair loss, thinning of skin, muscle atrophy

Answer 12

fem pop

Question 13

fem pop surgery: q

Answer 13

resting pain or threatneed loss of foot

Question 14

best tx for fem pop?

Answer 14

fem pop bypass with saphenous vein graft

Question 15

tibial and pedal dx occurs primiarily in pts with what?

Answer 15

diabetes

Question 16

hairless atrophic foot?

Answer 16

tibial pedal dx

Question 17

pain relieved by sitting or standing, dependent rubor or pallow with elevation?

Answer 17

tibial/pedal disease

Question 18

primary intervention of tibial/pedal dx?

Answer 18

bypass

Question 19

tibial/pedal dx tx, intervention is indicated when?

Answer 19

failure to heal within 2-3 weeks or resting pain wakes pt at night

Question 20

emboli large enough to occulde primary arteries always come from where?

Answer 20

the heart

Question 21

emboli large enough to occulde proximal arteries always come from where?

Answer 21

the heart

afib, valvular dx, large anterior MI

Question 22

small embooli usually go where?

Answer 22

toes

Question 23

acute arterial occulsion, what is required?

Answer 23

immediate revasularization

Question 24

virchows triad:

Answer 24

hypercoagulability

endolthelia injury, inflammation

Question 25

venous thrombi flourish with what?

Answer 25

statis, low O2 and uprereg of proinflammatroy genes

Question 26

biggest concern with DVT is that they will what?

Answer 26

move to the lungs

Question 27

right ventricular dysfunction is what kind of PE?

Answer 27

submassive (20-25% of cases)

Question 28

MC complaint of PE is what?

Answer 28

SOB

Question 29

DVT!! MC complaint?

Answer 29

cramps or charley horse in the claf