Varicose Veins

Apr 7, 2017 by in CARDIOLOGY Comments Off on Varicose Veins

Clinical classification C0 No disease C1 Telangiectasia C2 Varicose veins C3 Edema C4a Hemosiderin deposition, venous stasis dermatitis C4b Lipodermatosclerosis C5 Healed venous ulcer C6 Active/open venous ulcer Etiologic classification…

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Arteriovenous Hemodialysis Access

Apr 7, 2017 by in CARDIOLOGY Comments Off on Arteriovenous Hemodialysis Access

History No Yes Comments Previous AV access    Previous central catheter, PICC line, pacemaker, or defibrillator    Previous venous disease (DVT, superficial thrombophlebitis)    Intravenous drug abuse    Arm disability, relevant activities    Previous surgery   …

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Lower Extremity Amputations

Apr 7, 2017 by in CARDIOLOGY Comments Off on Lower Extremity Amputations

Absolute indications for amputation Relative indications for amputation Nonsalvageable foot or lower extremity due to extensive tissue loss Severe Charcot foot deformity limiting functional status Nonsalvageable foot or lower extremity…

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Vascular Injuries in the Neck

Apr 7, 2017 by in CARDIOLOGY Comments Off on Vascular Injuries in the Neck

Fig. 14.1 Traditionally defined zones of the neck Fig. 14.2 This blast injury with multiple fragments bilaterally in zones I and II defies traditional classification Initial Assessment As with any…

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Central Venous Access

Apr 7, 2017 by in CARDIOLOGY Comments Off on Central Venous Access

Tunneled catheters Non-tunneled catheters Dialysis catheter with a cuff (permanent) Dialysis catheters non-cuffed (acute not permanent) Implantable access ports Central line Hickman Swan-Ganz catheters Broviac Peripherally inserted central catheter (PICC)…

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Extremity Vascular Injuries

Apr 7, 2017 by in CARDIOLOGY Comments Off on Extremity Vascular Injuries

Fig. 16.1 Shunting of left femoral artery and vein in a polytraumatized patient to restore distal perfusion in a damage control setting Temporary shunts have a variety of applications in…

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Diabetic Foot Infection

Apr 7, 2017 by in CARDIOLOGY Comments Off on Diabetic Foot Infection

Fig. 5.1 (a) Charcot foot demonstrating characteristic loss of the plantar arch with a “rocker bottom” deformity. (b) Radiographic image of Charcot foot demonstrating bone destruction and loss of the…

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PAD and Claudication

Apr 7, 2017 by in CARDIOLOGY Comments Off on PAD and Claudication

Fig. 6.1 Approximate range of odds ratios for risk factors for symptomatic peripheral arterial disease (Reproduced, with permission, from Elsevier, Norgren et al. [3]) Diabetes Mellitus (DM) DM increases the…

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Peripheral Arterial Thrombosis/Emboli

Apr 7, 2017 by in CARDIOLOGY Comments Off on Peripheral Arterial Thrombosis/Emboli

Category Description/prognosis Findings Doppler signals Sensory loss Motor loss Arterial Venous I. Viable Not immediately threatened None None Audible Audible II. Threatened (a) Marginally Salvageable if promptly treated Minimal (toes)…

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