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Peripheral Vascular Disease
PVD
36
Medical
Graduate
08/21/2009

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Cards

Term
What might you see on the CXR of a patient with aortic dissection?
Definition
widened mediastinum
Term
Diagnostic tool for DVT
Definition
Duplex U/S
Term
Tx for DVT
Definition
IMMEDIATE anticoag with unfractioned Heparin. 1st episode--treat for 6 months. 3rd episode--treat for life.
Term
Risk factors for DVT
Definition
long plane ride, OCP use, Trauma prolonged inactivity, recent abdoiminal/pelvic/LE surgery.
Term
What vein is most commonly affected by superficial thrombophlebitis?
Definition
Great Saphenous vein
Term
Tx for superficial thrombophlebitis?
Definition
moist heat, NSAIDS, bed rest w/ elevation of extremity
Term
What occurs most often secondary to DVT?
Definition
Chronic Venous Insufficiency
Term
Signs and symptoms of chronic venous insuff
Definition
progressive edema of leg, itching, dull discomfort, pain if ulcer is present, thin shiny atrophic skin with brown pigmentation
Term
What commonly affects small and medium arteries of upper and lower extremities?
Definition
Buerger's Dz (Thromboangiitis Obliterans)
Term
Signs and symptoms of Buerger's
Definition
Distal pain, rapid ulceration, NO CLAUDICATION
Term
Most common cause of ebolic form of arterial insuff
Definition
Atrial fibrillation
Term
Sudden pain in extremity, neurological dysfunction
Definition
Acute Arterial Insufficiency
Term
Tx for arterial insuff
Definition
immediate revascularization, Heparin, Thrombolysis, ECG to ID clots in atrium
Term
Diastolic murmur of aortic regurg, abdominal bruit, palpable pulsatile mass
Definition
Aortic aneurysm
Term
Diagnostic studies for aortic aneurysm
Definition
U/S and follow with CT for definitive
Term
Fusifom aortic anuerysm
Definition
symmetric dilation
Term
saccular aortic aneurysm
Definition
one wall involvement
Term
ascending aortic aneurysm
Definition
cystic medial necrosis
Term
descending aortic aneurysm
Definition
atherosclerotic dz
Term
RF for aortic aneurysm
Definition
smoking, marfan's, family history, bicuspid valce, count spirochete
Term
Study of choice for aortic dissection
Definition
CT scan
Term
Tx for aortic dissection
Definition
Lower BP, BBlocker, Lobetalol IV 20mg over 20min. Surg for all Type A and Type B with continuing dissection or aortic branch compromise
Term
Severe, persistent chest pain of sudden onset that radiates down the back
Definition
aortic dissection
Term
Which type of aortic dissection is associated with a diastolic murmur
Definition
Type A
Term
HTN, diminished peripheral pulses, syncope, diastolic murmur
Definition
Aortic dissection symptoms
Term
What is the MCC of aortic dissection
Definition
uncontrolled HTN
Term
Conservative tx for PVD
Definition
Decrease BP, stop smoking, wt loss, exercise, phosphodiesterase inhibitors (Pletal)
Term
Indications for surgical intervention for PVD
Definition
if claudication is progressive, incapacitating, or significantly affects ADL
Term
ABI
Definition
0.91-1.3 normal
0.00-0.40 severe PAD
Term
Lymphadenitis usually arises from what?
Definition
Cellulitis
Term
Red streak or area of increased temp from the wound in direction of regional lymphnodes. Regional lymphadenopathy.
Definition
Lymphadenitis--tx with abx
Term
Complications of revascularization for arterial insuff
Definition
MI, severe met acidosis, infxn, sepsis
Term
Indications for AAA repair
Definition
>5.5cm, >5mm change in 6m, pain or tenderness
Term
Causes of superficial thromboplebitis
Definition
Occult DVT, Buerger's, IV therapy, trauma
Term
Sinus tachy and LBBB are common findings in which cardiomyopathy?
Definition
Dilated
Term
Tx for DCM
Definition
Digoxin, diuretics
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