Vascular Sx handbook

Question 1

Best way to start vascular history?

Answer 1

AMPLE

Question 2

vascaular specific history questions re HOPC?

Answer 2

vascular claudication - disappear with rest

critical ischaemia

Question 3

what is neurogenic claudication?

Answer 3

pain on back ext, relieves on flexion “shopping cart sign”

Question 4

what is critical ischaemia?

Answer 4

night pain, rest pain, non-healing wounds/ulcers

Question 5

Vascular surg specific PMHx?

Answer 5

atherosclerosis, stroke, MI, PVD

Question 6

atherosclerotic risk factors:

Answer 6

HTN, smoking, diabetes, dyslipidaemia, chronic renal disease, fhx

Question 7

what are thrombosis risk factors?6 main

Answer 7

obesity,
immobility
cancer
trauma
hypercoagulability
DVT

Question 8

vasc sury specific medication questions?

Answer 8

anticoagulants
antiplatelet
diabetic meds

Question 9

vascular exam includes?

Answer 9

IPAS
inspection: arterial v. venous signs
palpation: pain, veins, pulses, aneurysms, edema
auscultation: bruits: carotid renal AAA, femoral
special tests: elevation/dependency

Question 10

ankle brachial index >1.3 means?

Answer 10

non-compressible vessel

inconclusive usu. in diabetes due to calcification

Question 11

what is a normal ABI?

Answer 11

0.9 - 1.3

Question 12

what ABI is mild peripheral arterial disease?

Answer 12

0.7-0.9

Question 13

what ABI is mod peripheral arterial disease

Answer 13

0.4-0.7

Question 14

what ABI is severe peripheral arterial disease

Answer 14

<0.4