Vascular Emergency Flashcards
Describe acute limb ischemia.
Acute limb ischemia is a sudden decrease in blood flow to a limb, leading to potential tissue damage and loss. 5 p
What is the source common cause of embolism in vascular surgery?
The most common source of embolism in vascular surgery is the heart.
Where is the most common site of embolism in vascular surgery?
The most common site of embolism in vascular surgery is the bifurcation of the femoral artery.
What is the earliest sign of acute limb ischemia?
The earliest sign of acute limb ischemia is pallor.
Most common complaint………acute limb schema
pain
What is the latest sign of acute limb ischemia?
The latest sign of acute limb ischemia is paresis.
Define the 6 Ps in the clinical picture of acute limb ischemia.
The 6 Ps in the clinical picture of acute limb ischemia are pallor, pain, pulselessness, parathesia, paresis, and poikilothermia.
How does acute limb ischemia typically present in terms of age and gender?
Acute limb ischemia typically presents in old age males.
Describe the onset of acute limb ischemia.
The onset of acute limb ischemia is sudden.
What is a common clinical scenario in exams involving acute limb ischemia?
A common clinical scenario in exams involves a patient with a previous history of myocardial infarction presenting with sudden severe pain in the leg.
Describe the importance of fast duplex in the diagnosis of a condition.
……the best but delay diagnosis
Fast duplex is crucial for quick and accurate diagnosis.
Angiography
What is the recommended treatment for the condition mentioned in the content?acute limb ischemia
Treatment includes morphine, hydration, IV heparin, and possibly embolectomy.
Define acute compartment syndrome.
Acute compartment syndrome is characterized by marked swelling of a limb leading to compression of vessels and ischemia.
How should acute compartment syndrome be managed?
Immediate fasciotomy is the treatment of choice for acute compartment syndrome.
What ECG finding is associated with hyperkalemia?
Hyperacute T wave is an ECG finding in hyperkalemia.
What is the immediate treatment for hyperkalemia?
Immediate administration of calcium gluconate is recommended for hyperkalemia.
Describe the causes of arterial injuries.
Causes can include penetrating injury, fractures, and complications following cannulation.
What is the first step to manage arterial injuries?
The first step is applying pressure to stop bleeding.
What is the definitive treatment for arterial injuries?
Surgery is the definitive treatment.
What is the initial step to manage a patient with swelling at the femoral area after recent catheterization?
Pressure
Define chronic ischemia in the context of arterial injuries. What is causes it??
Chronic ischemia is a condition commonly caused by atherosclerosis.
How does intermittent claudication present in arterial injuries?
Early
Intermittent claudication is an early symptom characterized by leg pain that occurs with activity and improves with rest.
Describe the symptoms of rest pain in arterial injuries. Most serious….
Rest pain worsens with elevation of the legs, decreases when hanging the legs, and is typically most severe at night.
What are some other symptoms associated with arterial injuries?
Other symptoms can include hair loss, nail loss, cold limbs, and color changes in the affected area.