Capsule: Vasc Flashcards
When does compartment syndrome occur?
After direct trauma (fractured tibia), from pressure effects (rhabdomyolysis following prolonged immobility) & as a complication of revascularising an ischaemic limb
What is Morton’s neuroma?
A condition causing metatarsal pain due to inflammation around the plantar nerve
What is tabes dorsalis?
A feature of quaternary syphilis that may present with numb legs and a neuropathic type pain
What are the six P’s of an acutely ischaemic limb?
Pale Pulseless Painful Paralysed Paraesthetic Perishingly ❄️
What indicates irreversible limb ischaemia?
Fixed skin mottling
What are signs of chronic ischaemia?
Hairless skin, ulcers, lipodermatosclerosis
Drugs to avoid in pts w peripheral vascular disease
ACEi and beta blockers
Why should you never rewarm the limb?
It enhances tissue damage
What are the absolute contraindications for thrombolysis in MI and ALI?
Non-viable limb (irreversible ischaemic change – insensate/fixed skin mottling) Internal bleeding Suspected aortic dissection Prolonged or traumatic CPR Previous allergic reaction Heavy vaginal bleeding Pregnancy or < 18 wks postnatal Acute pancreatitis Severe liver disease Active lung disease with cavitation Oesophageal varices Recent trauma or surgery (< 2 wks) Recent head trauma Cerebral neoplasm Recent haemorrhagic stroke Severe hypertension (>200/120 mmHg)
What are the relative contraindications for thrombolysis in MI and ALI?
History of severe hypertension Peptic ulcer History of CVA Bleeding diathesis Anticoagulants
List four emergency treatments for ALI
Surgical embolectomy, endarterectomy, intraarterial thrombolysis, intravenous heparin
Most common site of varicose veins?
The long or short saphenous veins
Patho of varicose veins
Incompetent valves
Varicose veins affecting the long saphenous
Groin to medial aspect of lower leg
Varicose veins affecting the short saphenous
Popliteal fossa to lateral malleolus
