Day 5 - CV4 Vascular, Peds Flashcards Preview

Step 2 DIT Rapid Review > Day 5 - CV4 Vascular, Peds > Flashcards

Flashcards in Day 5 - CV4 Vascular, Peds Deck (9)
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1
Q

Indications for repair of AAA

A

(1) Diameter > 5.5 cm (2) Increase diameter by more than 0.5 cm in 6 mo. diameter (interval for abdominal US) (3) Sx

2
Q

Pt pop for one-time screening US to detect AAA

A

All males, age 65-75, w/ any hx of smoking

3
Q

Steps for w/u of pt w/ PAD considering surgical intervention

A

PE; ABI to confirm dx; Segmental pressures and/or LE Duplex Dopplers to confirm location; Lower extremity arteriogram to plan surgery; Surgical correction

4
Q

PAD first-line

A

Smoking cessation, glucose/bp control, Cilostazol (better than Pentoxifylline; contraindcated for heart failure); ASA/Plavix reduce CAD; Statins;

5
Q

Primary prevention of DVT

A

(1) Low dose unfractionated heparin (5000 subQ q 8-12 hr, post op) (2) LMWH (q 12 hr, may give higher dose q d) (3) Fondopauraneaux (if cannot tolerate heparin) (4) SCDs (5) Ambulation (6) Anticoagulation - Heparin, Warfarin (7) Compression stockings (not as good as SCDs) (8) ASA (not as good as anticoagulants)

6
Q

Tx superficial thromphlebitis

A

NSAIDs, heat, limb elevation; If LE (saphrenous vein) above knee, may use anticoagulation to prevent DVT; If below knee (femoral vein), must be anticoagulated because considered DVT; if draining, suspect cellulitis, so give IV Vancomycin

7
Q

Dx Kawasaki disease

A

Fever last 5+ days in addition to 4 of following CRASH sx: Conjunctivitis (b/l, nonexduative, painless), Rash (truncal), Adenopathy (cervical LN), Strawberry tongue (diffuse erythema of mucous membranes), Hands and feet have edema, induration, desquamation

8
Q

Tx Kawasaki disease

A

IVIg usually w/i first 9 days ; High dose ASA; Special case: for giving kids ASA & NOT giving steroids in vasculitis; Echocardiogram in acute phase (check for aneurysmal dilation of cardiovasculature)

9
Q

Ebstein’s anomaly: Cause, Findings, Tx

A

Materinal Li use; Tricuspid leaflets displaced into right ventricle = hypoplastic ventricle; TR & S, 80% PFO, Dilated R atrium, Increased risk of SVT & WPW; PE - widely split S2, TR; Prostaglandin E, Propanolol for SVT, Digoxin, Diuresis

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