Vascular podcast Flashcards
Pulses
4+ 3+ 2+ 1+ absent
Anaortic assc w
Alternans w
waterhammer/bounding w
Paradoxical
Deferens
bounding normal dim dim try w Doppler
Aortic stenosis
poor function LV, systolic probs
aortic regurg
cardiac tamponade
IHSS, bifid pulse
Atherosclerosis
listen for
HTN areas
Claudication
Aorta
bruits- rush/thrill
renal arteries
iliac bruits
if stenotic (minimal correlation w aneurysm)
Chronic limb ischemia hx
Exam
D\_\_\_\_ S\_\_\_\_\_ P\_\_\_\_\_ D\_\_\_\_\_ U\_\_\_\_ B\_\_\_\_\_
IM claudication (Iliac/Femoral)
Dec large vesssel pulses Skin atrophy/loss of hair Pallor w elevation Dependent rubor Ulcer Bruits
acute limb ischemia bc
Onset timing
Findings (5 P’s)
Source
arterial embolization
Acute
Pulseless, pallor, pain, paresthesia, paralysis
Heart (A fib w LA thrombus)
ABI use
use
compares
Normal
IM claudication
Rest pain
Impending gangrene
nromalizes assessment of vessel stenosis for SBP change
Doppler steth
Highest pedal/Highest brachial pressure
1
.6
.3
Atherosclerotic aortic aneurysm findings
Pain w
pulsatile mass, normal leg pulse (unless massive)
rupture
Cholesterol embolization result of
small vessel phenom caused by
presenting signs
atheroembolism
rupture of atheromatous plaque of aorta
Livedo reticularis, cholesterol crystals, infarct (blue toe), blood eosinophilia, dead bowel, RF
Aortic dissection findings
can result in
Wide superior mediastinum
anterior cord syndrome
Rare aortic dz
Tertiary syphilis
Coarctation leads to
Takayusa
slow dilatation
stroke, HF, R arm pressure is higher
constitutional sx, unequal upper arm pressures
Unequal arm pulses
acute process
chronic process
Dissection/embolization
Athero + others
DVT sequela
Phlegmasia
Most arise from
Patent FO
Venous valve incompt cause
inc venous pressure compresses arterial supply, leg is swollen and red
legs
can produce stroke
repeated DVT
Vasculitis
GCA branches
presents
Small vessel vasculitis potential cause
AA, temporal artery
enlarged, tender, const sx, HA/visual changes
IE
