Vascular Surgery Flashcards
1
Q
What is acute limb ischaemia?
A
Severe symptomatic hypo-perfusion of the limb occurring for < 2 weeks
2
Q
What are the presentations of an acute limb ischaemia?
A
P- pulseless P- pain P- pale P- paralysis P- paraesthesia P- perishingly cold
3
Q
Cause of acute limb ischaemia
A
- thrombosis - 40%
- embolism - 40% AF
- Vasospasm raynauds
4
Q
Management of acute limb ischaemia
A
- ABCDE
- Oxygen
- fluids and analgesia
- Bloods: FBC, U&E, G&S and clotting
- ABG
- ECG
- Vascular team
- NBM
- IV heparin
5
Q
Surgical management of acute limb ischaemia
A
Thrombotic:
- angiography and angioplasty
- Bypass
Embolism
- Embolectomy
6
Q
List the peripheral arterial diseases from less to more severe
A
Limb claudication
Critical limb ischaemia
Acute limb ischaemia
7
Q
What is limb claudication?
A
> 70% of the artery is blocked which causes hip, buttock or thigh pain on activity. Gets better with rest
8
Q
What is critical limb ischaemia
A
Leg pain at rest for more than >2weeks with an ABPI of less than 0.5 and evidence of tissue loss
9
Q
Features of critical limb ischaemia
A
Pain at rat Absent pulses Ulceration Gangrene Buerguers test +be
Hanging legs at night makes pain better
