Arterial Occlusive Disease/Aneurysms

Question 1

3 traits of atherosclerosis?

Answer 1

Degenerative
generalized
segmental`

Question 2

example of generalized atherothrombosis?

Answer 2

coronary
cerebrovascular
renovascular

Question 3

what kind of plaques more deadly?

Answer 3

smaller ones that suddenly occlude

Question 4

Claudication is pain where?

Answer 4

Calf plus or minus thigh and buttock

Question 5

what does ischaemic rest pain mean?

Answer 5

perfusion is so poor, distal limb only uses anaerobic metabolism

Question 6

someone with ischaemic pain at night describes how?

Answer 6

wakes up with burning pain in extremity

Question 7

3 patterns of lower limb occlusive disease:

Answer 7

Aorto-iliac (inflow)
femoro-popliteal (outflow)
Tibial/Crural
Sometimes a combo of all three

Question 8

angioplasty +/- stenting is best when?

Answer 8

short segments

proximal arteries

Question 9

endarterectomy is best when?

Answer 9

short segments

Question 10

what to do for longer blocks?

Answer 10

bypass

Question 11

what happens in endarterectomy?

Answer 11

take out the intima and media, leave adventitia

Question 12

Aneurysms are weakness in what of what?

Answer 12

Elastin in Media

Collagen in adventiai

Question 13

why popliteal aneurysm more risk of rupture?

Answer 13

more movement and bending

Question 14

theory behind AAA?

Answer 14

back flow at bifurcation

Question 15

how can you feel and tell it’s a AAA?

Answer 15

pulsatile in all directions

Question 16

5 common places for aneurysms, not brain:

Answer 16

AAA infrarenal
common iliac
pop
fem
thoracic

Question 17

2 primary risk factors for aneurysms?

Answer 17

smoking

hypertension

Question 18

who has thoracic aneurysms more?

Answer 18

women

Question 19

how would ruptured AAA present?

Answer 19

sudden onset of abdo or back pain in older than 60 male