Emboli at the aortic bifurcation leads to…
Bilateral ischaemia to the level of the knees
Emboli at the origin of the deep femoral artery leads to…
Ischaemia to the mid calf
Emboli at the bifurcation of the popliteal artery leads to…
Ischaemia of the foot
Sudden occlusion of an artery leads to which 6 signs and symptoms
Pain
Pallor
Pulselessness
Paraesthesia
Paralysis
Perishingly cold
Management of arterial emboli in the ED
Oxygen
IV analgesia
IV fluids
IV unfractionated heparin
Referral to vascular for embolectomy or thrombolysis
Triad of venous thrombosis
Blood coagulation change
Flow change
Blood vessel change
How long are anticoagulants given post DVT?
At least 3 months, re-reviewed after that
Tx for phlebitis
Topical steroid and NSAIDs
Consider anticoagulants +/- Abx in symptomatic
What imaging should be done prior to an I&D of a groin abscess
CT angiography
How to examine for carotid bruit?
Listen at the next on held inspiration
In the acute setting an AAA is defined as
a transverse aortic diameter greater than >3cm
Emergency medicine AAA assessment is a focused examination to answer a single clinical question:
is an abdominal aortic aneurysm with a diameter greater than 3 cm present?
Depth for a AAA scan
16cm