Vascular Vivas Flashcards
Peripheral arterial disease
Intermittent claudication
Critical limb ischaemia
Acute limb threatening limb ischaemia
Buttock claudication
Iliac disease
Thigh claudication
Femoral disease
Leriche syndrome
Aorto-iliac occlusion
ED
Absent femoral pulses
Claudication
Critical limb ischaemia
ABPI: 0.3-0.5
Night pain
Rest pain
Non-healing ulcers
Gangrene
Acute limb threatening ischaemia
Complete blockage of peripheral artery with inadequate circulation
Thrombosis most common but embolus also possible
6Ps of acute limb ischaemia
Pale
Pulseless
Painful
Paralysed
Parasthesia
Perishingly cold
How does embolus cause a different presentation of acute limb ischaemia?
No claudication hx
Sudden onset
AF/MI source
Management of thrombotic acute limb ischaemia
local Thrombolysis
Angioplasty
Bypass
If irreversible: Amputation
Management of embolic acute limb ischaemia
Embolectomy via Fogarty catheter
Local thrombolysis
Bypass
If irreversible: Amputation
What should all patients with PAD be taking?
Clopidogrel + Atorvastatin
Parameters of AAA
<3 = normal
3 - 4.4 = small. Rescan every 12m
4.5 - 5.4 = medium. Rescan every 3m
>,5.5 = large. 2w referral to vascular
AAA screening
Men aged 65y
US abdomen
Describe management of large AAA
Elective endovascular repair or open
Stent placed into abdominal aorta via femoral artery to prevent blood collecting in aneurysm
What constitutes high rupture risk for AAA?
Symptomatic
>,5.5cm
Rapidly enlarging (>1cm/ year)