Week 4 Flashcards
What makes up Virchow’s triad?
Endothelial injury
Turbulent blood flow
Hypercoaguable blood
Name a clot buster?
Plasmin
What is the difference between ischaemia and infarction?
Ischameia - insufficient blood supply
Infarction - death of tissue as a result of ischaemia
What is the treatment for an NSTEMI?
Aspirin Pain relief O2 Clopidogrel Fondaparinux Beta blocker IV GTN for symptoms
What investigations do you perform on a patient with intermittent claudication/lower limb ischaemia?
Non invasive: measurement of ABPI
duplex ultrasound scanning
Invasive investigation: Magnetic resonance angiography
CT angiography
Catheter angiography
What is a mycotic aneurysm?
One that arises secondary to an infectious process, involving all 3 layers of the artery
What investigations would be done on a suspected AAA?
Duplex ultrasound
CT
What is the management of an AAA?
Endovascular aneurysm repair
X-ray guided
What are the 6Ps associated with limb ischaemia?
Pain Pallor Pulselessness Perishingly cold Paraesthesia Paralysis
What is the management of acute limb ischaemia?
ABC Bloods ECG CXR Anticoagulant
Where is a distal DVT found?
In the calf
Where is a proximal DVT found?
In the politeal or femoral vein
A patient comes in with pain, oedema, eczema and venous ulceration on their left calf. They mention they had a DVT in the same calf some months earlier. What do they have?
Post Thrombotic Syndrome
If a patient is suspected to have a PE, what investigations would need to be performed?
D-dimer
Ultrasound
Chest X-ray
V/Q scan
What is D-dimer?
Breakdown product of cross linked fibrin
