Term
| How do you take a PVD History |
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Definition
1)What is you typical activity level
2)Pain with Stairs
3)Onset, Duration, Resolution
4)Rest Pain
5)Ulcerations won't heal
6)Color, Temp, Skin Appearance Changes
7)Problems with Impotence/Genital Pain |
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Term
| What are the most common Stenotic Arteries |
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Definition
Infrarenal Aorta
Femoral Artery
Superficial Femoral |
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Term
| How do you differentiate Pseudocladication from Claudication |
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Definition
Pseudo: Variable Onset, Change of position induces relief
Claudication: Predictable, Calves and Buttocks
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Term
| Signs of Aorto-Illiac Disease |
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Definition
Decreased Femoral Pulses
Buttock and Thigh Pain
Impotence |
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Term
| What are the Signs of Peripheral Vascular Disease seen in Physcal Exam |
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Definition
Decreased Distal pulses
Bruits
Muscle Atrophy
Shinny Skin/Thick nails/Hair Loss
Ulcers/Gangrene |
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Term
| When is a Ankle Brachial test indicated |
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Definition
>70
>50 with Risks
Claudication, Ulcers |
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Term
| Limitations to Ankle Brachial Index |
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Definition
| Insensitive to Iliac Disease, Mild disease, Elderly and Diabetics |
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Term
| Methods of Testing Peripheral Artery Disease |
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Definition
Standard Ankle-Brachial Index
Exercise Ankle-Brachial Index
Segmental Pressure Test |
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Term
| Treatment Approach for PAD |
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Definition
Decrease Risk Factors: BP, Smoking, DM, LDL, Triglycerides
Decrease CV Mortality: Aspirin/Clopidogrel, Statin, Ace-Inh/B-Block
Increase Walking: Excercise, Cilostazol |
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Term
| What is the major side effect of Cilostazol |
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Definition
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Term
| What is the mechanism of Pentoxifylline and is it used to Tx PAD |
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Definition
Decrease Fibrinogen
Increases RBC flexibility
Proven not to be effective |
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Term
| What is the difference between Primary and Secondary Raynaud's |
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Definition
| Secondary has underlying collagen vascular disease |
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Term
| How does the skin color change is raynaud's phenomenon |
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Definition
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Term
| What are the signs and typical patients of Beurger's disease |
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Definition
Signs: Cool extremities, Digital Ulcers
Pts: 30-40yrs, Heavy Smokers
Also known as Thromboangitis Obliterans
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Term
| What type of Venous Disease produces Pitting Edema and which produces Non-pitting Edema |
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Definition
Non-pitting: Lymphedema
Pitting: Varicosities |
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Term
| What are the causes of Varicosities |
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Definition
Saphenous Incompetence
Increase Abdominal Pressure
Decreased Drainage |
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Term
| What type of Thrombophlebitis is worse Superficial or Migratory |
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Definition
| Migratory worse: Suggestive of Occult Maliganacy |
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Term
| How is the treatment of Varicosities and Lymphedema similar and how is it different? |
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Definition
Both: Stockings, Elevation
Varicosities: Vein Stripping
Lymph: Lymphedema Pumps |
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Term
| What are the signs, diagnosis and Treatment of a DVT |
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Definition
Signs: Homan's Sign, Palpable Cord, Limb Swelling
Diagnosis: ultrasound
Treatment: Anticoagulation, Lytics, Greenfield filter |
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