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cardio PVD
Cardio 3
| Question | Answer |
|---|---|
| located in superficial compartment of subQ tissue | superficial venous system |
| located in deep muscle compartment bounded by fascia | deep venous system |
| connect deep to deep or superficial to superficial | communicating v's |
| connect superficial to deep v's | perforating v's |
| intradermal, <1mm, red color | telangiectasias |
| subdermal, 1-3mm, bluish color | reticular |
| subQ, >3mm, may involve saphenous or other superficial leg v's | varicose v's |
| more common in women than men | varicose v's |
| intrinsic BV wall weakeness, increased intraluminal pressure, or congenital valve defects | varicose v's |
| laser therapy, surgical ligation, ablation | treatment for symptomatic varicose v's |
| inc fluid volume in skin/subQ tissues | edema |
| due to extravasated RBCs that usually accumulate at ankle/leg | pigmentation |
| erythematous dermatitis, often occuring near varicose v's | eczema |
| localized chronic inflammation/fibrosis of skin and subQ | lipodermatosclerosis |
| associated w/contracture of achilles tendon | lipodermatosclerosis |
| caused by damage to valves from trauma or prior thrombosis | venous reflux |
| pleuritic chest pain, tachypnea, dyspnea, tachycardia, cough, hemoptysis | acute PE |
| pulm HTN and right sided HF | chronic DVTs/Pes |
| Virchow's triad | stasis of blood flow, vascular damage, hypercoagulable state |
| normal D-dimer | excludes DVT and/or PE |
| extremely sensitive for proximal v's and calf v's | venous duplex ultrasound |
| used for direct visualization of thrombus and ID absence of flow through BV | venous duplex ultrasound |
| family hx of… | venous thromboembolism |
| recurrent… | DVT |
| unexplained DVT in pt < … | 50 yrs |
| thrombosis in .. | unusual vascular beds |
| warfarin induced.. | skin necrosis |
| anticoagulant used initially | heparin |
| anticoagulant used for long-term management | coumadin |
| time of anticoagulation in pt w/1st DVT due to reversible cause | at least 3 months |
| time of anticoagulation in pt w/unprovoked proximal DVT | indefinite |
| used in pts w/contraindication to anticoagulation | IVC filter |
| used in pts w/recurrent DVT despite adequate anticoagulation | IVC filter |
| erythema, tenderness, and edema w/local heat | superficial thrombophlebitis |
Created by:
drhermy
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