Round

Round
Aug 15, 7:25 PM
Vascular
14 Expansile mass abdomen 5 cm; umbilicus - bifurcation, xiphoid -
renal artery - upper border of mass; >1.5x aortic aneurysm, 5 cm
rupture to peritoneum, retro-peritoneum, distal duodenum, IVC;
anatomical/extra-anatomical bypass; endovascular aortic aneurysmal
repair (EVA) + occlude common iliac artery

Aortoenteric fistula
3sbe
Triad of aortoiliac occlusive disease
Ischemic rest pain - night pain
Non-healed ulcer >2wk + lab ABI, ankle pressure, toe pressure
ABI<0.9 disease <0.5 severe
Ankle pressure <50, <70 in DM indication Tx
Segmental pressure
Error: hard artery; ABI>1.3; monophasic; toe pressure <30, <50
TCOM transcutaneous oximetry >40, <20 - enough oxygen to heal?; lift
leg 5 min decrease>10

AVF - rule of six
Carotid stenosis - Amalurosis fugax, check retina, TIA/stroke -
differentiate symptomatic or not, degree of stenosis; surgery
complication nerve injury ESP. 12,10,9,mandi7, hyperperfusion syndrome
of brain - edema, stroke

Chemical debridement
Wet dressing
1. AgZnSulfa
2. Non-adhesive
3. Hydration
4. Absorptive
5. Coverage
6. Immobilize

Patarapol Withayasakpunt
5101006 SIMD/B

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