misc

Question 1

complication of carotid endarterectomy - wound haematoma

Answer 1

bleeding into s/c tissue

rapid airway obstruction

Question 2

paradoxical embolus

Answer 2

VTE travels thru IVC to right atrium, then to left circulation via ASD

Question 3

dry gangrene

Answer 3

blood supply poor –> lack of O2 and nutrients –> necrosis
clear demarcation between dead and living tissue

not infected

Question 4

wet gangrene

Answer 4

dry gangrene that has become infected, or 2ry to acute necrotic tissue

urgent surgical debridement or amputation to save rest of limb and pt from sepsis

Question 5

long saphenous vein - side of leg

Answer 5

medial

arises dorsum great toe, travels next to medial malleolus and drains into femoral vein

Question 6

short saphenous vein - side of leg

Answer 6

lateral

travels near lateral malleolus

Question 7

Mx acute limb ischaemia - when to do embolectomy

Answer 7

when embolus is the cause

Question 8

Mx acute limb ischaemia - when to do surgical bypass

Answer 8

thrombus

long standing atherosclerosis

Question 9

initial Mx PAD

Answer 9

exercise training
clopidogrel 75mg
atorvastatin 80mg