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Flashcards in VASCULAR SYSTEM Deck (66)
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1

what gender is more likely to be affected by an AAA?

male

2

what percentage of men of 65 have an AAA?
a) 5%
b) 15%
c) 25%
d) 35%

a) 5%

3

what symptoms might you get with an AAA pre-rupture?

none

4

give 2 symptoms of a patient with ruptured AAA?

collapse
intense abdo/back pain

5

what happens to the blood pressure of a patient with AAA?

drops

6

what kind of shock would a patient with an AAA enter?

hypovolaemic

7

give a vascular cause of AAA

Atherosclerosis
Hypertension

8

give 2 infective causes of AAA

syphilis
e coli
salmonella

9

give an extrinsic cause of AAA

trauma

10

give 2 genetic causes of AAA

marfan's
ehler's-danlos

11

What are the non pathological risk factors of AAA?

smoking
obesity
Age >50
Male
FHx *8

12

give 2 endocrine/hormone risk factors for AAA

hyperlipidaemia
cholesterol
diabetes

13

describe an abdominal mass characteristic of AAA

pulsatile and expansile

14

where do 85% of AAAs lie?

below kidneys

15

what is an aortic dissection?

blood pools between the media and intima in vessel wall

16

what is the mortality of an AAA rupture?
a) 20%
b) 50%
c) 70%
d) 90%

d) 90%

17

if an AAA is more than 5.5cm, what treatment is given?

immediate surgical repair
Either endovascular = reinforce the aorta
Open surgery= graft

18

give 2 differential diagnoses for AAA

pancreatitis
renal colic
testicular pain

19

what gender is peripheral vascular disease most common in?

men

20

give a vascular cause of peripheral vascular disease

atherosclerosis

21

give 2 causes of ischaemia in peripheral vascular disease

emboli
thrombi
Acute compartment syndrome

22

give 10 symptoms of peripheral vascular disease

intermittent claudication
ulceration
gangrene
Loss of hair on the legs
Ulceration
Brittle nails
Loss of sensation
Cold legs
Erectile dysfunction in men
Wasting of muscles

23

what are the 6 P's of ischaemia in peripheral vascular disease?

pale
pulseless
painful
perishingly cold
paralysis
parasthesia

24

give 2 lifestyle risk factors for peripheral vascular disease

smoking
obesity

25

give 3 hormone/electrolyte risk factors for peripheral vascular disease

cholesterol
hyperlipidaemia
diabetes 1 and 2

26

give 3 cardiovascular risk factors for peripheral vascular disease

ischaemic heart disease
hypertension
previous MI/stroke
AF

27

what are the names for the two locations where peripheral vascular disease can be?

aorta-iliac
infra-inguinal

28

peripheral vascular disease can be
a) chronic
b) acute
c) both

c) both

29

what diagnostic test might you use in a patient with peripheral vascular disease?

doppler study

30

What is the fontaine classifcation of chronic limb ischaemia?

stage 1 = asymptomatic
Stage 2a= Intermittent claudication can walk more than 200 meters pain free
Stage 2b= Intermittent claudication = can't walk 200m pain free
Stage 3= Pain during rest and sleep
stage 4 = gangrene or necrosis