Term
| 90% of AA's originate below which aa. |
|
Definition
| renal and extend into common iliac |
|
|
Term
| do post or an AA rupture have a better prognosis? |
|
Definition
| posterior--> into retroperitoneum |
|
|
Term
| screening study of choice for AA |
|
Definition
abd. US
annually for aneurysms > 3.5 cm |
|
|
Term
|
Definition
BB and roxithromycin
--> decr expansion rate of sm. aneurysms |
|
|
Term
|
Definition
|
|
Term
| what is given prior to cross clamp during AA surg |
|
Definition
| mannitol-->diuretic and free radical scavenger! |
|
|
Term
| what is given post op for AA surg to incr renal perfusion and GFR |
|
Definition
|
|
Term
| type 1 lower extr. occlusive dz |
|
Definition
|
|
Term
| type 2 lower extr. occlusive dz |
|
Definition
| aorta, common iliac, and ext. iliac |
|
|
Term
| type 3 lower extr occlusive dz |
|
Definition
MOST COMMON!!!!
multilevel dz |
|
|
Term
| presents w/ ED, claudication, rest pain, and gangrene |
|
Definition
|
|
Term
| exam of what indicates level of lower ext occlusive dz |
|
Definition
|
|
Term
| what is useful in gauging the degree of insuff |
|
Definition
ankle-brachial index
normal: 1
claudication: < 0.8 |
|
|
Term
| what type of imaging is used to demonstrate the extent of LE occlusive dz, and potential for bypass |
|
Definition
catheter or MRA
US for f/u of bypass |
|
|
Term
| tx of LE occlusive dz that impaires platelet agg. incr vaso-dilation, and incr walking distance |
|
Definition
phosphodiesterase inhibitor (cilostazol)
also: propionyl-L carnitine, gingko, ASA, ect |
|
|
Term
| third leading cause of death in US |
|
Definition
| stroke (occlusive cerebrovasc. dz) |
|
|
Term
| study of choice for eval of occlusive cerebrovasc. dz |
|
Definition
|
|
Term
| produced by atherslcerotic occlusive dz or fibromuscular dysplasia |
|
Definition
|
|
Term
| clinical manifestations of renal art stenosis |
|
Definition
1. renovasc HTN
2. ischemic nephropathy |
|
|
Term
| which type of raynaud's is idopatic? |
|
Definition
disease
phenom. assoc w/ systemic/regional d/o |
|
|
Term
| which type of raynauds is symmetric |
|
Definition
|
|
Term
| which is the MOST COMMON type of thoracic outlet sx |
|
Definition
NEUROGENIC!
also most difficult to tx |
|
|
Term
| Adson, Roos, and Tinel sign will all be (+) in which type of thoracic outlet sx |
|
Definition
|
|
Term
| involves external compressoin of subclavian vv |
|
Definition
| venous thoracic outlet sx |
|
|
Term
| results in digital ischemia d/t atheroemboli |
|
Definition
| arterial thoracic outlet sx |
|
|
Term
| how do you tx arterial thoracic outlet sx |
|
Definition
| remove ant. and middle scalene mm, 1st rib resect, and resect and use graft in aa |
|
|
Term
| dilated torturous superficial vv in the LE |
|
Definition
|
|
Term
| inherited vv wall or valvular defect is found in |
|
Definition
|
|
Term
| result of valve damage following injury |
|
Definition
|
|
Term
| which aspect of the thigh is usually affected by varicose vv |
|
Definition
|
|
Term
| which test differentiates bw saphenofemoral valve incompetence or perforator vv incompetence |
|
Definition
|
|
Term
| pain in calf or thigh assoc w/ edema |
|
Definition
|
|
Term
| stasis, vasc injury, and hypercoag is indiciative of what |
|
Definition
|
|
Term
| what tests should be done to r/o DVT |
|
Definition
d-dimer (if - no need for US)
dopler US |
|
|
Term
|
Definition
heparin bolus 100 units --> 10 units/kg/hr
enoxaparin also used (no monitoring) |
|
|
Term
| how does superficial vv thrombophlebitis differ from deep vv thrombophleb? |
|
Definition
| superficial DOES NOT have sign LE swelling |
|
|
Term
| gold standard of tx of superficial vv thrombophleb |
|
Definition
NSAIDS
local heat
elevation
WALK! |
|
|
Term
| earliest sign of chronic venous insuff |
|
Definition
|
|
Term
| chronic vv insuff is usually secondary to |
|
Definition
|
|
Term
| lyphadenitis and lyphangitis is usually accompanied by |
|
Definition
|
|
Term
| lg red streak toward tender enlarged regional lymph node is diagnostic of |
|
Definition
| lymphangitis/lymphadenitis |
|
|
Term
| presents with large non-tender lymph nodes |
|
Definition
| cat scratch (toxoplasmosis) |
|
|
