Flashcards in Surgical Aspects of Vasc. Disease Deck (23)
what are some symptoms of peripheral artery disease (PAD)?
what are some signs of PAD?
decreased hair growth
what's the diff between PAD ulcer and venous stasis ulcer?
PAD: ulcer on toes/foot (distal)
venous stasis: medial malleolus ulcer
risk factors for atherosclerosis?
indications for surgical treatment in PAD?
-severe claudication refractory to conservative tx
what is rest pain?
pain in the foot (over distal metatarsals)
-pain at rest (duh)
-typically arises at night and resolves with hanging foot over bed (gravity=extra flow)
indication for amputation?
irreversible tissue ischemia (no hope with bypass)
-severe pain w/out bypassable vessels
what are the 6 P's of acute arterial occlusion?
indication for CEA in asymptomatic pts?
carotid artery stenosis>60%
indication for CEA in symptomatic pts?
what are symptoms of carotid artery stenosis?
amaurosis fugax (look it up!)
RIND - reversible ischemic neurologic deficit
what's one of the worse complications of a CEA?
what are some other post op complications for CEA?
-htn or hypotension
-vagus/hypoglossal n. injury
what's the mortality rate after CEA?
what med do you give post op after CEA?
what's the most common cause of death after CEA?
indications for surgical tx of varicose veins?
-persistent or debilitating pain
-recurrent superficial thrombophlebitis
-erosion of overlying skin with bleeding
-manifestations of ven. insuffic.
how are varicose veins removed?
stab that shiz!
-stab incisions made
-hooks loop vein and you rip it out
primary tx of DVT?
for surgical patients, what is the risk of post op DVT?
-20-25% of gen surg pts
-50-60% in knee or hip arthroplasty
basically DVT prophy is super important (stockings, pneumatic compression, heparin or LMWH)
what's the indication for surgical tx of venous insufficiency?
-non healing ulcers
-disabling s/s refractory to conservative tx
procedures to tx venous insufficiency?
-ablative procedures of superficial veins
-bypass operations for obstruction