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What might you see on the CXR of a patient with aortic dissection? |
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IMMEDIATE anticoag with unfractioned Heparin. 1st episode--treat for 6 months. 3rd episode--treat for life. |
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long plane ride, OCP use, Trauma prolonged inactivity, recent abdoiminal/pelvic/LE surgery. |
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What vein is most commonly affected by superficial thrombophlebitis? |
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Tx for superficial thrombophlebitis? |
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Definition
moist heat, NSAIDS, bed rest w/ elevation of extremity |
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What occurs most often secondary to DVT? |
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Definition
Chronic Venous Insufficiency |
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Signs and symptoms of chronic venous insuff |
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Definition
progressive edema of leg, itching, dull discomfort, pain if ulcer is present, thin shiny atrophic skin with brown pigmentation |
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What commonly affects small and medium arteries of upper and lower extremities? |
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Definition
Buerger's Dz (Thromboangiitis Obliterans) |
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Signs and symptoms of Buerger's |
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Definition
Distal pain, rapid ulceration, NO CLAUDICATION |
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Most common cause of ebolic form of arterial insuff |
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Definition
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Sudden pain in extremity, neurological dysfunction |
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Definition
Acute Arterial Insufficiency |
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Definition
immediate revascularization, Heparin, Thrombolysis, ECG to ID clots in atrium |
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Diastolic murmur of aortic regurg, abdominal bruit, palpable pulsatile mass |
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Diagnostic studies for aortic aneurysm |
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U/S and follow with CT for definitive |
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ascending aortic aneurysm |
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descending aortic aneurysm |
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smoking, marfan's, family history, bicuspid valce, count spirochete |
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Study of choice for aortic dissection |
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Definition
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Lower BP, BBlocker, Lobetalol IV 20mg over 20min. Surg for all Type A and Type B with continuing dissection or aortic branch compromise |
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Severe, persistent chest pain of sudden onset that radiates down the back |
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Which type of aortic dissection is associated with a diastolic murmur |
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HTN, diminished peripheral pulses, syncope, diastolic murmur |
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Definition
Aortic dissection symptoms |
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What is the MCC of aortic dissection |
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Decrease BP, stop smoking, wt loss, exercise, phosphodiesterase inhibitors (Pletal) |
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Indications for surgical intervention for PVD |
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Definition
if claudication is progressive, incapacitating, or significantly affects ADL |
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Definition
0.91-1.3 normal 0.00-0.40 severe PAD |
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Lymphadenitis usually arises from what? |
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Definition
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Red streak or area of increased temp from the wound in direction of regional lymphnodes. Regional lymphadenopathy. |
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Definition
Lymphadenitis--tx with abx |
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Complications of revascularization for arterial insuff |
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Definition
MI, severe met acidosis, infxn, sepsis |
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Indications for AAA repair |
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Definition
>5.5cm, >5mm change in 6m, pain or tenderness |
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Causes of superficial thromboplebitis |
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Definition
Occult DVT, Buerger's, IV therapy, trauma |
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Sinus tachy and LBBB are common findings in which cardiomyopathy? |
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