Vascular Surgery Flashcards
What is the treatment of arterial dissection?
Endovascular technique:
Covered stent
Open surgical bypass surgery
Leriche syndrome is a triad of ………..
Claudication in both legs
Impotence in male patients
Weak/absent femoral pulses
Bechet’s disease may be present with……..
Uveitis
Recurrent oral and genital ulcerations
Acute or chronic arterial occlusion
Aneurysm
DVT
Skin lesions such as folliculitis and erythema nodosum
Examples Direct oral anticoagulants (DOAC)
Rivaroxaban
Apixaban
What is Branham’s sign?!
Slowing of the pulse when the fistula is obliterated by the finger as shown by disappearance of murmur
Atheromas most commonly occur at…………..
-Adjacent to arterial bifurcations
-the origin of major arterial branches
-at sites where an artery passes beneath or through a fascial sling
Patients with aorto-iliac disease have pain in ………. , while patients with superficial femoral artery disease have pain in …………..
The gluteal region and maybe the thighs
In the calf muscles
Normally veins fill in …….. , while in chronic ischemic patients it takes …………
10-15 seconds
More than 30
Buerger’s disease also called………..
Thrombo-Angiitis obliterans
Chronic mesenteric ischemia also known as ………
Abdominal angina
Renal artery stenosis (usually present with hypertension in young age not responding to medical therapy) treated by ……….
Endovascular balloon angioplasty
Stenting
Aorto-renal bypass
Intrinsic muscle atrophy in diabetic patients cause tendon imbalances which leads to foot deformities as…………
Hallux rigidus
Flat foot
High-arched foot(pes cavus)
Fibrofatty padding depletion (FFPD)
hammer toe
Bunion
Equinus deformity
Charcot foot
The classical sign of motor neuropathy is a …………
High medial longitudinal arch leading to prominent metatarsal heads
Radioisotope technetium bone scan can detect……………….
Early pathology such as osteomyelitis
Fractures
Charcot arthropathy
Most DM patients have atherosclerosis of the ……………..
Tibial arteries
Sclerosant drugs
Ethanolamine oleate
Sodium tetradecyl sulphate
Polidocanol
Neuropthic is due to …………….
Diabetic peripheral neuropathy (most common)
Spina bifida
Tabes dorsalis
Leprosy
Causes of aortic dissection
Hypertension
Atherosclerosis
Aortic aneurysm
Iatrogenic
Blunt traumatic injury to the chest
Connective tissue disorders (marfan and Ehlers-Danlos syndrome)
Vasculitis specifically aortitis
Dorsalis pedis pulse is found……………..
Lateral to extensor hallucis longus on the dorsum of the foot over the navicular bone
The femoral pulse is palpated at………..
When it enters the femoral triangle at the mid inguinal point against the femoral head
DM is associated with a ………. Increase in the risk of developing chronic limb ischemia
Twofold
Balloon angioplasty is also called………..
PTA
Test that confirms behcet’s disease
Pethargy test (pricking forearm:the occurrence of a small red bump or pustule constitutes a positive test)
Second Raynaud’s phenomenon is being treated by calcium channels blockers such as ……..
Nifedipine
What’s the treatment of acute stage of charcot foot?
-bed rest, non-weight bearing, total contact casting for 8-12 weeks
-IV or oral bisphosphonates (inhibitors of osteoclastic activity)
Gas gangrene is most commonly caused by infection with a bacterium called……….
Clostridium prefringes
Fournier gangrene is a type of ……………….. affecting……………….
-severe necrotizing fasciitis
-the perineum usually the male genitals
The standard type of intervention for AAA is …………
Conventional open surgery
Takayasu is also called ……….
Pulseless disease
