vascular Flashcards
(31 cards)
AAA typical question
Any elderly gentleman that presents with back pain needs a ultrasound scan to exclude a AAA
RF for AAA
smoking hypertension male FHx COPD infection atheroscleosis
what do you use ABPI to measure?
chronic peripheral arterial disease in lower limbs
is symptomatic AAA a reason to operate?
yes
and size
An asymptomatic aneurysm larger than 5.5 cm in diameter.
• An asymptomatic aneurysm which is enlarging by more than 1 cm per year.
• A symptomatic aneurysm. This is the only criteria, apart from emergency rupture, which requires urgent surgery rather than an elective procedure.
size of high risk rupture of AAA?
5.5
screening programe for AAA
all men 65 in UK
RF for claudication
smoking
obesity
high fat diet
ABPI ratio less than 0.9 means?
delay on blood flow
atherosclerosis
arterial disease investigations
- General investigations of atherosclerotic disease
a. Lipid profile
b. Blood pressure measurement
c. Glycaemic profile - Physiologic
a. ABPI or toe pressure
b. Segmental pressures - Anatomical
a. Duplex doppler
b. Angiography
c. MRA
d. CTA – CT angiogram. CT using dye
limb ischemia signs - p
pain paralysis pallor pulse gone paraesthesia poor heat
causes of limb ischaemia
Dehydration hypotension malignancy polycythaemia inherited prom thrombotic states
signs of thrombosis
no history of problems
no pulse
RF for intermittent claudication
- Hyperlipidaemia
- Obesity
- Diet
- Diabetes
- Sedentary lifestyle
who does intermittent claudication usually affect?
men over 55
signs of carotid disease
stroke
bruits
if AAA is less than 4
recall anunally
if AAA 4-5
recall every 6 months
if AAA more than 5 or symptomatic
surgery
what is peripheral arterial occlusive disease?
atherosclerosis of arteries that affects extremeties
what can happen in extremeties in peripheral arterial occlusive disease?
ischemia
ulcers
gangrene
who is peripheral arterial occlusive disease most common in?
men
>50
in arterial stenosis, is the blood flow unable to maximally increase in muscle tissue when the muscle demands it?
yes
RF for peripheral arterial disease
diabetes hypertension hyperlipidaemia FHx sedentary lifestyle smoking
does peripheral vascular disease present as claudication?
yes
