Summative Practice
Leave the first rating
Save
Terms in this set (168)
aka Buerger's disease
what exactly
inflammatory thrombi affecting
causes the
the medium and small vessels
occlusive
(nonatherosclerosis)
vascular
disease of
polymorphonuclear
thromboangii
leukocytes, microabscesses,
tis obliterans?
and multinucleated giant cells
may be presen
smoking cessation most
important!
Treatment
cilostazol (PDE 3 inhibitor) has
options for
vasodilator properties
thromboangii
(alleviated symptoms)
tis obliterans?
if raynauds also present, CCB
(nifedipine)
,what heart ACE inhibitors
failure beta blockers can also reduce
treatment M&M
provides a
benefit of diuretics have no reduction in
reduction in mortality
morbidity and
mortality?
how would benzodiazepine early
you manage no beta blockers
a patient with
a MI in the
setting of
cocaine use?
fibrolytic therapy
If PCI cannot then do PCI & coronary
be done for a angiography when it can be
STEMI patient done
within 120
minutes, what ideally PCI is done within 90
should be minutes
done?
fibrolytic therapy can be used
up to 12 hours of symptoms
If you suspect catheter-based arteriography
an acute limb (digital subtraction
ischemia due arteriography) provides the
to arterial most useful information. can
embolism, also help with treatment
what imaging
should you can help distinguish between
get? thrombosis and embolus
, lower extremities more
common than upper
extremities
The common femoral,
common iliac, and popliteal
where are artery bifurcations are frequent
arterial locations
emboli often
found? majority originate in the heart
fun fact: Compared with
thromboemboli, atheroemboli
are less likely to produce
symptoms of acute limb
ischemia
24-hour ambulatory
monitoring (to ensure not
how would white coat)
you work up medical hx (assess adherence
a patient with to meds, other meds)
treatment physical exam (look for
resistant abominal/renal bruits)
hypertension labs (electrolytes, glucose,
that you creatinine, UA)
suspect a
secondary If pheo suspected: measure
cause? fractionated metanephrines
and catecholamines in a 24-
hour urine collection
, other than fibromuscular dysplasia
atheroscleros (usually in a young pt)
is leading to
renal artery
stenosis and
secondary
HTN, what is
another
causes of a
renal-
associated
secondary
HTN?
most smoking cessation!
important
modifable
risk factor for
AAA?
when is it if AAA is <5.5 cm then annual
okay to do screening with US is
screening recommended. may need
survelliance every 6 months if rapidly
for AAA expanding or other concerns
rather than
repair and
how often
should you
screen?