Week 8 Flashcards
What size arteries are affected by Polyarteritis Nodsa and what is the treatment?
Medium sized muscular arteries
-high dose prednisone
fever, abdominal pain, rental failure, hypertension can lead to what arterial disease
Polyarteritis Nodsa
-segmental inflammation and necrosis secondary to ischemia of tissue
Chronic inflammation of large arteries primarily seen in elderly
Temporal Arteritis
Severe headache, diploid, scotoma, ptosis, pain chewing
May see ESR >100
temporal arteritis
What is the Treatment for temporal arteritis
Prevent blindness
prednisone
Inflammed small and medium arteries and veins, not coronary arteries
How do you diagnosis this?
Thromboangitits obliterans (buergers)
Arteriogram showing segmental occlusion of distal arteries
Arterial ischemia, superficial thrombophlebitis, migrating phlebitibits progressive ischemia to gangrene and ulceration, cold, sweating, pain
Thromboangitits obliterans (buergers)
Thromboangitits obliterans (buergers) Tx
Stop Smoking
Spams of arterioles in digits
Raynauds
Chronic venous insufficiency
Varicose Veins
PE for DVT?
Imaging/Labs?
Conventional treatment?
Palpable cord Tenderness on the thigh along vein or deep palpation of calf Measure calf diameter Feel for warmth, tenderness Erythema Homan's sign
- D-dimer/US
- unfractionated/low molecular weight heparin and warfarin after INR >2
What are 4 aruvedic herbs for PVD treatment
Arjuna Bark
Coleus
Guggul
What does horse chestnut (aesculus) do
reduces capillary permeability and edema, improves circulation
What does hamamelis Virginiana do (witch hazel)
anti-inflame, astringent, hemostatic,
rub into lower extremities
