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Holding Pressure Case Prep - Fem Pop Bypass
Manage episode 431115083 series 2648498
Authors:
Sebouh Bazikian - PGY1 at Emory School of Medicine Integrated Vascular Surgery Program
Miguel F. Manzure - vascular surgery attending the University of Southern California Keck School of Medicine involved in complex limb preservation
Core Resources:
- Rutherford Chapters: 107, 108, 109 (Includes further information on anatomy), 112
Additional Resources:
- Relevant trials
- Relevant Audible Bleeding episodes
-
- Audible Bleeding Endovascular Basics: https://open.spotify.com/episode/7jDpkhGMauBslk8SBklCyB?si=75f0931773d24b91
- Audible Bleeding eBook, CLTI Chapter: https://adam-mdmph.quarto.pub/vascular-surgery-exam-prep/clti.html
- Anything else useful
-
- WIFI: https://pubmed.ncbi.nlm.nih.gov/24126108/
- GLASS: https://pubmed.ncbi.nlm.nih.gov/31159978/
- Monophasic, Biphasic, Triphasic Waveforms: https://pubmed.ncbi.nlm.nih.gov/32667274/
Underlying disease featured in episode - peripheral arterial disease
- Pathophysiology/etiology
- narrowing of peripheral arteries caused by atherosclerotic plaques causing arterial insufficiency distal to the point of occlusion. This reduces oxygen supply to the muscles.
- When oxygen demand increases but cannot be met, it leads to an imbalance such as pain and poor wound healing.
- Risks: smoking, diabetes, hypertension, dyslipidemia, and older age
- Equal prevalence in men and women, peak incidence age 60-80
- Coexists with CAD, DM, stroke, Afib, and renal disease
- Patient Presentation
- 20-50% asymptomatic, rest can be intermittent claudication, rest pain, or tissue loss
- claudication=pain or discomfort felt in the legs due to a lack of blood flow, especially during physical activity.
- CLTI=chronic limb threatening ischemia: rest pain lasting greater than 2 weeks or nonhealing ulcers and gangrene
- Physical exam:
- decreased skin temperature, less hair on the legs, brittle nails, atrophied muscles, shiny skin, livedo reticularis.
- Absent or diminished pulses
- Buerger sign
- Diagnosis
- Ankle brachial index:
120 Episoden
Manage episode 431115083 series 2648498
Authors:
Sebouh Bazikian - PGY1 at Emory School of Medicine Integrated Vascular Surgery Program
Miguel F. Manzure - vascular surgery attending the University of Southern California Keck School of Medicine involved in complex limb preservation
Core Resources:
- Rutherford Chapters: 107, 108, 109 (Includes further information on anatomy), 112
Additional Resources:
- Relevant trials
- Relevant Audible Bleeding episodes
-
- Audible Bleeding Endovascular Basics: https://open.spotify.com/episode/7jDpkhGMauBslk8SBklCyB?si=75f0931773d24b91
- Audible Bleeding eBook, CLTI Chapter: https://adam-mdmph.quarto.pub/vascular-surgery-exam-prep/clti.html
- Anything else useful
-
- WIFI: https://pubmed.ncbi.nlm.nih.gov/24126108/
- GLASS: https://pubmed.ncbi.nlm.nih.gov/31159978/
- Monophasic, Biphasic, Triphasic Waveforms: https://pubmed.ncbi.nlm.nih.gov/32667274/
Underlying disease featured in episode - peripheral arterial disease
- Pathophysiology/etiology
- narrowing of peripheral arteries caused by atherosclerotic plaques causing arterial insufficiency distal to the point of occlusion. This reduces oxygen supply to the muscles.
- When oxygen demand increases but cannot be met, it leads to an imbalance such as pain and poor wound healing.
- Risks: smoking, diabetes, hypertension, dyslipidemia, and older age
- Equal prevalence in men and women, peak incidence age 60-80
- Coexists with CAD, DM, stroke, Afib, and renal disease
- Patient Presentation
- 20-50% asymptomatic, rest can be intermittent claudication, rest pain, or tissue loss
- claudication=pain or discomfort felt in the legs due to a lack of blood flow, especially during physical activity.
- CLTI=chronic limb threatening ischemia: rest pain lasting greater than 2 weeks or nonhealing ulcers and gangrene
- Physical exam:
- decreased skin temperature, less hair on the legs, brittle nails, atrophied muscles, shiny skin, livedo reticularis.
- Absent or diminished pulses
- Buerger sign
- Diagnosis
- Ankle brachial index:
120 Episoden
Alle Folgen
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