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PVDz
CMI - Fall 2011
Question | Answer |
---|---|
Smokers acquire PAD how many yrs earlier than non-smokers? | 10 yrs |
PAD is MC where? | Femoral, iliac, popliteal |
cramping pain in leg assoc with PAD with exertion? | Claudication |
What is dependent rubor? | Dusky red color of extremetes affected by PAD d/t decrsd O2 |
NL cap refil time? | 2-3 sec |
ABI | for PAD = divided LE BP by UE BP ~.9-1.2 = normal ~above 1.2=hardening from PVD |
True vs Pseudo AAA? | True = all 3 layers Pseudo = intima and media |
large ^ for rupture of AAA when? | when 5 cm or greater |
When should refer AAA pt to surgeon? | at 4 cm |
temporal arteritis involves what process in the artery? | thickening of intima layer w/ narrowing and occlusion of lumen |
Labs for temporal arteritis | -^ESR -^CRP (>2.45)..more sensitive -normochromic normocytic anemia |
Gold std for temporal arteritis dx? | Temporal A bx to look for giant cell infiltration |
Tx for temporal arteritis? | Prednisone...probably long-term |
What must watch for with temporal arteritis? | Visual changes/loss |
Primary vs secondary Raynauds? | Dz=primary (idiopathic) Phenomenon = secondary to CT d/o, art dz, drug intox, pulm htn, trauma |
discoloration in raynauds dz v phenomenon? | dz=both phenomenon=unilateral |
Allen's test in raynauds dz vs phen? | dz-negative phen-positive, bc other underlying PAD |
Tx for raynauds? | CCBs? nitro cream? prostaglandins (muscle relaxer)? |
Buerger's dz aka? | Thromboangiitis Obliterans |
Virchow's triad? | Stasis, Intimal injury, hypercoagulability -When these 3 come together..think thrombus |
Wells score for? | DVT |
Superficial venous thrombosis aka? | Thrombophlebitis |