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8 Cards in this Set
- Front
- Back
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RFs for peripheral arterial disease?
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Smoking**
DM** HTN Dyslipidemia Elevated homocysteine levels |
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Ankle Brachial Index?
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Doppler ultrasonography: SBP in each arm and in dorsalis pedis and posterior tibial arteries in each ankle (usually similar)
Claudication: 0.41-0.90 Critical ischemia: <0.40 |
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Treatment of peripheral arterial disease?
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1. Treat RFs - smoking cessation, statins, ACEi, ASA
2. Pentoxyphylline or cilostazol 3. Assess for revascularization - angio or bypass graft (if debilitating claudication, ischemic rest pain, tissue necrosis) Also: regular exercise |
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Buerger disease?
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Inflammatory condition of small and medium-size arteries affecting upper or lower extremities
Affects smokers, especially males under 40 yrs |
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Fibromuscular dysplasia?
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Hyperplastic disorder affecting medium and small arteries; generally renal arteries, but also limbs
Usually affects women |
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Takayasu arteritis?
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Inflammatory condition usually affecting branches of aorta, especially subclavian
Causes arm claudication, Raynaud, fever, weight loss Younger women |
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SIgns of acute arterial occlusion?
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Pain
Pallor Pulselessness Paresthesia Polar Paralysis |
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Treatment of acute arterial occlusion?
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If threaten limb viability - emergency!
Anticoagulate (heparin), investigate with arteriography |
