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Flashcards in Vascular Surgery Deck (17)
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1
Q

Amaurosis fugax

A

Sudden onset transiet ulinateral blindness - shade pulled over one eye

Related to TIA

2
Q

Define Sx carotid stenosis

A

TIA or stroke in past 6 months

3
Q

If pt with carotid stenosis is Sx, what is Tx

A

Stenosis >70-99% = CEA

50-60% = CEA if man, >75 yrs, recent stroke (not TIA), pts w/ hemispheric Sx rather than transiet monocular blindness

4
Q

If pt w/ carotid stenosis is asymptomatic, what is Tx

A

stenosis 60-99% CEA is indicated

<60% medical management

5
Q

Medical management carotid stensosi

A

AntiHTN meds

Statins

Antiplatelet Tx

6
Q

ABI normal

ABI mild disease

ABI moderate disease

ABI severe disease

A
  1. 9-1.2
  2. 8-0.9
  3. 5-0.8

<0.5

7
Q

Tx claudication

A

Smokeing cessation

Exercise

Control Chol, DM< HTN

Antiplatelet: ASA or clopidogrel

Cilastazol if intermittent

Beta blockers may worsen but some may need (prior MI)

8
Q

When to consider revascularization in PVD?

A

Rest pain in forefoot at night relieved with foot over bed, cannot continue current lifestyle

9
Q

Gold standard eval PVD

A

CT angio

10
Q

Leriche syndrome

A

claudication buttocks, buttock atrophy, importence in men

Aortoiliac occlusive disease

Need bypass graft or stent or endograft

11
Q

Postprandial abdominal pain related to vascular problem

A

Meseneric ischemia

12
Q

Cause subclavian steal syndrome

A

Left subcalvian artery obstruction proximal to origin of vertebral artery

TO get blood to arm, steals from vertebrobasilar system - CNS Sx (Vertigo, syncope, confusion, ataxia) w/ UE claudication during exercise

13
Q

Tearing or ripping chest pain

A

Aortic dissection

14
Q

Localized leg pain, varicose veins, superficial cordlike induration, reddish discoloration, mild fever

Tx

A

Superficial thrombophlebitis

NSAIDS

Do not need anticoagulation

15
Q

UE paresthesias, weakness, cold extremities, edema, venous distension

A

Thoracic outlet syndrome

Absence of CNS sx = not subclavian steal

16
Q

Cause thoracic outlet

A

Cervical ribs

Anomalous ligaments

Cervical trauma

Muscular hypertrophy

17
Q
A