Vascular Document Flashcards
Allen Test for
perform prior to
Process
Then
Reperfusion normally in
Delayed/absent means
collateral flow between Radial/ulnar arteries
instrumenting radial artery
Pt makes fist, examiner compresses R/U arteries
Pt opens hand, release arteries
2 sec
inadequate collateral flow to ulnar artery
Amaurosis fugax
described as
Transient bc
usually result of
monocular vision loss due to small retinal artery embolism
infarction of retina does not occur
carotid artery stenosis
Aortic coarctation
BP
CXR reveals
stenosis of thoracic aorta, producing HTN proximal to stenosis
high in UE, dec LE
rib notching inferiorly due to intercostal artery hypertrophy
Aortic regurg findings
Quincke’s pulse
Corrigans pulse
Muller’s sign
intermittent capillary bed flush w pressure to the nail bed
Bounding, radial pulse that is accentuated by raising the wrist
pulsatile uvula
Buerger’s dz (thromboangitis obliterans)
typical pt
cause
Process
Typical population
Assc w
intervention
young men
inflam disorder of small/medium sized vessels of limb
inflam of vessel intima (arteries), leading to thrombosis/occlusion/digital gangrene
Indian, Korean, Jap, Ashkenazi Jew
Smoking
quit
Claudication
sx of
similar to
pain caused by
Occurs w initially
over time
2 important qualities
large vessel PVD
angina, vasc narrowing w inc blood flow for actvity
ischemia of involved muscles
considerable exertion
less activity causes it
relief w rest, and reproducible w similar exertion
Cullens sign
Grey-Turner’s sign
Assc w
Including
periumbilical ecchymoses
flank ecchymoses
retroperitoneal hemorrhage
Ruptured AA, hemorrhagic panc, REP, retroperitoneal bleeding
Homan’s Sign
Jaw Claudication
occurs w
relieved w
specific for
calf pain induced w passive dorsiflexion of ankle (DVT)
ischemia related pain of muscles of mastication
chewing
rest
GCA
Livedo reticularis
Assc w
mottled, reticular red blue lacy skin discoloration w central pallor
Small vessel vasculitic process, cholesterol embolism syndrome, anti-phospholipid syndrome
May Thurner syndrome
predisposes to
typical pt
focal compression of L common iliac vein by R CIA
venous thrombosis or LL
woman of childbearing age
Raynaud’s
cause
Presentation
Provocative factors
Exam
Assc w
Complication
spasm of small arteries
Painful, white (spasm)- blue (cyanosis)- red (reperfusion)
cold temp, emotion
ulnar/radial pulses are normal
collagen vascular dz (scleroderma), idio
digital gangrene
SVC syndrome
Facial
Chest wall
Jugular vein
Eye findings
Precipitated by
plethora (red/blue coloration w swelling)
neovascularity
distension
papilledema (retinal vein HTN)
raising both arms (Pemberton’s sign- also large thyroid goiters into thoracic inlet)
Unequal arm pulses
common dz
Sx
Ischemia of involved arm
poster circ cerebral ischemia
athero, aortic coarctation proximal to SCA, aortic dissect, subclavian steal syndrome (SC stenosis produces retrograde vertebral artery flow)
ioverhead work
dizzy, vertigo, syncope, visual loss, diplopia
Venous insufficiency
edema, hyperpigmentation and ulceration in ankle area
