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42 Cards in this Set
- Front
- Back
buttock claudicaton
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aortoiliac disease
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thigh claudication
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distal extenal iliac/ common femoral artery disease
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calf claudication
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fem/popliteal disease
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5ps of acute arterial occlusion
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pain, pallor, pulselesness, parethesia and paralysis
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where do diabetic patients have higher incidence of occlusive disease?
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at the distal popliteal artery and tibial vessels
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atherosclerosis originates at
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carotid bifurcation, orgions of brachialcephaic vessel, orginis of the visceral vessels, infrarenal aortoiliac system, common femoral bifurcation, sfa at hunters canal and pop trifurcation
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Leriche syndrome
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obstruction of the terminal aorta. Usually occurs in males and is characterized by fatigue in the hips, thighs or calves on exercising. absence of pulsations in fem arteries, impotence and often coldness/pallor of lower limbs.
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livedo reticularis
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purple patches on skin at dorsum of foot due to dilated capillary and venule filling
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claudication abi
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.5-.9
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thigh pressure indexes are normally greater than 1.2 while 0.8-1.2 suggests and <.8 indicates...
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aortoiliac disease and proximal occlusion
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after exercise, patients ankle pressure should increase to resting levels in 2-6 mins suggets
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single arterial obstruction. if it remains reduced for 12 mins then mulitlevel obstruction is suggested.
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radial and ulnar pressures should be within
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5-10 mmhg of each other
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what does brachial artery reactivity testing do?
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assesses the ability of the endothelium to regulate vasodilation
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what is the normal value of brachial artery reactivity testing
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the diameter should increase by >10% when cuff is on upper arm. On forearm increase should be at least 6%
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stenosis commonly occur at
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adductor canal and prox pop a
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75% diameter reduction is equivalent to a psv of
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400 cm/s
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a decrease of __ in any graft segment is vital in stenosis
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30 cm/s and abi decrease of 0.15
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what can not be used to evaluate chronic venous insufficiency
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ct scan
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when scanning the subclavian vein. what branch does it give off before becoming the axillary vein
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cephalic
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if a vein measures 2.5mm it will dilate to how many mm
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4.0
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are there valves in innomiate vein?
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no
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what provides the energy required to circulate blood during strenous exercise?
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musclovenous pump
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poiseuille's law
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the effect of the radius of the vessel and the viscosity of the blood and is a variation of ohm's law
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bernouill's principlet
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blood is propelled from one point to another by energy gradient and is slowed by resistance, that energy within the moving fluid is determined by pressure, gravitational energy and kinetic energy.
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what arises from the dorsal venous system that is formed by the digital and metacarpal veins?
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the radial and ulnar veins
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sclerotherapy is
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injection of superficial veins with agent to induce thrombosis
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what is venous claudication
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chronic venous insufficiency of the extremity that continues to deteriorate with progressive leg pain described as an aching or bursting sensation with prolonged walking
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the high pitched continuous signal that will not augment below an obstructed vein is called
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windstorm effect
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ascending venography cannot
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assess the function of the proximal valves in the lower extremity
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which veins receives both the superficial and deep venous systems of the upper extremity
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subclavian veins
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hepatic vein waveforms become flat
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during third trimester of pregnancy
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the normal toe pressure is
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60% of the bracial pressure
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exercise normally does what to blood flow
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increases
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what arterial vessels is a direct continuation of the subclavian
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axillary
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a functional vasospastic disorder that affects the small arteries of the extremities is
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raynaud's disease
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an obstructive arterial disease which has an underlying systemic or vascular abnormality is
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raynaud's phenomenon
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a decrease in peak systolic flow velocity of less than 45 cm/s is
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graft failure
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appreciable changes in pressure and flow do not occur until the diameter of an artery is reduced by 50% or greater. this degree of narrowing is
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critical stenosis
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the principal congtrol mechanisms affecting blood volume changes is
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cardiac output and peripheral resistance
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as an arterial stenosis becomes hemodynamically significant what happens to flow volume
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deccreases and PSV increases
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what interventional procedure uses a vascular catheter for introduction of a substance or device is used to control bleeding or stop the blood flow
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embolization
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what type of plethysmography identifies subcutaneous blood flow
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PPG
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