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Flashcards in Cardiovascular Deck (19)
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1

ABI interpretation

0.91 - 1.3: normal
0.9 or less: abnormal
more than 1.3: calcified uncompressible vessels, additional vascular studies should be considered

2

ABI vs U/S on the initial diagnosis of PAD

ABI is more sensitive and specific for the initial diagnosis of PAD

3

possible early complications of operation on the abdominal aorta

bowel ischemia + infraction

4

Valvular insuf (incompetence)

the MCC of lower extremity edema --> worsens throughout the day and resolves overnight when the patient is recumbent

5

stasis dermatitis due to venous hypertension - area

medial leg superior to medial malleolus

6

insertion of central venous catheter for infection - next step

chest x-ray prior to catheter use to check it
(visualization of the catheter tip just proximal to the angle between the trachea + R mainstem bronchus confirms appropriate placement

7

Leriche syndrome

aortilicac occlusion:
triad: bilateral hip, thigh and buttock claudication, impotence, absent of femoral pulses (often with symmetric atrophy)
if no impotence --> think alternative diagnosis

8

clinical features of compartment syndrome

common: pain out of proportion injury, pain increased on passive stretch, rapidly increasing + tense swelling, paresthesia (early)
uncommon: decreased sensation, motor weakness (within hours), paralysis (late), decreased distal pulses (very uncommon)

9

PCWP in PE

normal or low

10

acute mediastinitis can follow

cardiac surgery

11

acute mediastinitis - manifestations

fever, chest pain, leukocytosis, mediastinal widening on chest x-ray

12

acute mediastinitis - managemen

drainage, surgical debridement, prolonged antibiotic therapy

13

AF after CABG

occurs within few days after and is usually selflimited, with resolution in less than 24h. Rate control iis best. Anticoagulation and/or cardioversion is reserved for more than 24h

14

extremity vascular trauma - clinical manifestation

hard signs: observed puslatile bleeding, presence of bruit/thrill over injury, expanding hematoma, signs of distal iscemia
soft signs: history of hemorrhage, diminished pulses, bone injury, neurologic abnormalities

15

extremity vascular trauma - evaluation

if hard signs or hemodynamic instability: surgical expolation
otherwise: injured extremity index, CT or conventional angiography, Dupplex Doppler

16

Peripheral artery aneurysms - manifestation

pulsatile mass that can compress adjacent structures (nerves, veins) and can reulst in thrombosis and ischemia
popliteral + femoral artery aneurysms are the MC --> frequently associated with AAA

17

PCWP in tenstion pneumothorax

low or normal

18

Homman's sign - DDX

DVT
compartment syndrome

19

Abdominal U/S for AAA

routine 1 time screening for AAA with U./S is recommended for men 65-75 with history of smoking