2. periphere arterielle Verschlusskrankheit (pAVK) Flashcards by Ian Paglione

Q

(pAVK)

Stadium I nach Fontaine

A

Beschwerdefreiheit

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Q

(pAVK)

Stadium II nach Fontaine

A

Belastungsschmerz

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Q

(pAVK)

Stadium IIa nach Fontaine

A

schmerzfreie Gehstreck > 200 m

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Q

(pAVK)

Stadium IIb nach Fontaine

A

schmerzfreie Gehstrecke < 200 m

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Q

(pAVK)

Stadium III nach Fontaine

A

ischämischer Ruheschmerz

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Q

(pAVK)

Stadium IV nach Fontaine

A

trophische Störungen

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Q

(pAVK)

trophische Störungen (3)

A

Ulkus
Gangrän
Nekrose

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Q

(pAVK)

Leitsymptom

A

claudicatio intermittens

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Q

(pAVK)

claudicatio intermittens

A

belastungsabhängige krampfartige Ischämieschmerzen

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Q

(pAVK)

Puls: Befunde (2)

A

mollis/parvus
tardus

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Q

(pAVK)

Screening

A

ABI

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Q

(pAVK)

ABI

A

Knöchel-Arm-Index

(Ankle-Brachial-Index)

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Q

(pAVK)

ABI: Definition

A

systolischer RR des Unterschenkels / systolischer RR des Oberarms

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Q

(pAVK)

ABI: Auswertung (3)

A

> 1,3 = Mediasklerose
0,9-1,2 = normal
< 0,9 = pAVK

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Q

(pAVK)

Schweregrad (3)

A

leicht: ABI = 0,75-0,9
mäßig: ABI = 0,5-0,75
schwer: ABI < 0,5

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Q

(pAVK)

Bildgebung: Basisdiagnostik

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A

FKDS

Q

(pAVK)

FKDS

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A

farbkodierte Duplexsonografie

Q

(pAVK)

Bildgebund: Goldstandard

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A

DSA

Q

(pAVK)

DSA

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A

digitale Subtraktionsangiografie

Q

(pAVK)

Therapiemöglichkeiten (2)

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A

konservative
interventionelle

Q

(pAVK)

konservative Therapie ab Stadium I (2)

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A

Nikotinverzicht
Statine

Q

(pAVK)

konservative Therapie ab Stadium II

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A

ASS oder Clopidogrel

Q

(pAVK)

konservative Therapie nur in Stadien I und II

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A

Gehtraining

Q

(pAVK)

konservative Therapie im Stadium IV (2)

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A

Wundbehandlung
Druckentlastung

(pAVK) interventionelle Therapie: Indikation

ab Stadien II-III

(pAVK) interventionelle Therapie: Standardverfahren

PTA mit Ballondilatation (und ggf. Stent-Einlage)

(pAVK) PTA

perkutane transluminale Angioplastie

(pAVK) Statine: Indikation

ab Stadium I

(pAVK) Nikotinverzicht: Indikation

ab Stadium I

(pAVK) ASS/Clopidogrel: Indikation

ab Stadium II

(pAVK) Gehtraining: Indikation

nur in Stadien I-II

(pAVK) strukturierte Wundbehandlung: Indikation

im Stadium IV

(pAVK) Druckentlastung: Indikation

im Stadium IV