Vascular/Breast Flashcards
Tx of Pyoderma Gangrenosum
Refer urgently to dermatologist
Topical steroids (small)
Flucoxacillin if infected
Oral steroids (large)
Acute ischaemia Ps
Painful
Pulseless
Perishingly cold
Pale
Paralysis
Paraesthesia
Complications of varicose veins?
Swelling and oedema
Thrombophlebitis
Bleeding
Varicose eczema
Haemosidering deposition-> lipodermatosclerosis
Varicose veins Mx
Exercise & lose weight
Compression stockings
Skin care & emollients
Surgery - ligation
Venous ulcer Mx
Bed rest + elevate leg
4 layer compression bandaging if ABPI >0.8
Once healed use grade 2 compression stockings for life
Fx of ischaemic ulcer?
Painful, cold surroundings
Tips of and between toes, base of 1st and 5th metatarsals
Ix of Thoracic Outlet syndrome
X-Ray: cervical rib
Duplex in abduction
Arteriograms of subclavian artery may show kinking
Mx of thoracic outlet syndrome
Cervical rib excision
Causes of Raynaud’s
Primary Raynaud’s
Thoracic outlet syndrome
Polycythaemia
atherosclerosis thrombangiitis obliterans
Mx of Raynaud’s
Wear gloves
Nifedipine
What is gangrene
Irreversible tissue death from poor vascular supply
Indications for amputation
4D’s
Dead: PVD (90%), thrombangiitis obliterans
Dangerous: sepsis, malignancy
Damaged: trauma, burns, frostbite
Damned nuisance: pain, neurological damage
False aneurysm Mx
US compression
Thrombin injection
Surgical repair
AAA Ix
Abdo US: used for surveillance and screening
CT/MRI: Ix of choice
What causes: cramping pain after walking a fixed distance & Pain rapidly relieved by rest
Intermittent Claudication
