Vascular SAQs Flashcards
What is the natural history of intermittent claudication (in terms of progression and limb loss)?
Intermittent claudication Progresses to critical limb ischemia With rest pain and leg ulcers and gangrene Eventually limb loss Acute limb ischaemia may also occur
68yo man presents to his GP with pain in the legs after walking some 200m. He is obese and smokes 20 cigarettes a day
a) What 5 other conditions
(besides intermittent claudication)
could he potentially suffer from?
Ischaemic heart disease Stroke Hyperlipidaemia Hypertension Diabetes
How does the mortality of IC compare with that of the normal population?
It is 3 to 4 times greater
68yo man presents to his GP with pain in the legs after walking some 200m. He is obese and smokes 20 cigarettes a day
a) Give 5 risk factors you should identify and treat
Hypertension Hyperlipidaemia DM Ischaemic heart disease Smoking
What 3 bits of advice would u give to help him with this condition?
Keep walking and doing exercise within capability
Stop smoking
Diet low in cholesterol
What medication should all people with arteriosclerosis be on if there are no contraindications to it?
Aspirin
Diabetic foot with PVD
Risk factor for peripheral vascular disease
Smoking Diabetes Hypertension Hyperlipidaemia Family history
Diabetic foot with PVD
2 reasons why diabetic pt more susceptible to ulcer
Increased risk of atherosclerosis
Neuropathy and thus unable to feel the pain of infection or skin damage
State one non-invasive way to assess circulation
Doppler ultrasound
Invasive- digital subtraction arteriography
Diabetic foot with PVD
a) Name 2 standard interventional treatments?
Dressing
Good control of diabetes
Diabetic foot with PVD
a) 5 tips for foot care
Good fitting and soft leather comfortable shoes with cushioning insoles Daily foot inspection No bare foot walking Regular chiropody to remove callus Treat any fungal infection
