General Surgery Notes - Vascular Surgery

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MBChB Year 5 CHM5003W: Surgery Vascular Surgery Jason Harry (HRRJAS005)

VASCULAR SURGERY: Pathological Processes Related to Vascular


Disease:
1. Basic Applied Anatomy and Physiology:
Embolism = any intravascular solid, liquid, or
Arterial and Venous Blood Supply of the Body: gaseous mass carried by blood flow to a site
distant from its origin.

Haemostasis is a normal, physiologic


process maintaining blood in a fluid,
clot-free state within normal vessels
while inducing a rapid, localized
hemostatic plug at sites of vascular
injury.

Thrombosis represents a pathologic


state; it is the inappropriate activation of
hemostatic mechanisms in uninjured
vessels or thrombotic occlusion after
relatively minor injury. Hemostasis and
thrombosis are closely related
processes that depend upon three
components: endothelium, platelets,
and coagulation cascade.

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MBChB Year 5 CHM5003W: Surgery Vascular Surgery Jason Harry (HRRJAS005)

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MBChB Year 5 CHM5003W: Surgery Vascular Surgery Jason Harry (HRRJAS005)
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Classification of Arterial Aneurysms:
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Abdominal Aortic Aneurysms:
7. Lower Limb Claudication:
Subclavian Aneurysms:
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Renal Artery Aneurysms:
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8. Lower Limb Venous Disease:

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9. Mesenteric Ischaemia:
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10. Peripheral Arterial Disease (PAD):


2. Acute Limb Ischaemia (ALI):
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Definition, Aetiology and Pathology:
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ALI = result of a sudden deterioration in the arterial
supply to the limb ( 14 days from onset of 11. Reno-vascular Hypertension:
symptoms) Femoral Aneurysms:
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Aetiology: 2 main causes
Popliteal Aneurysms:
Embolism XXXXXX
Material passes through arterial tree and
obstructs a peripheral artery Extracranial Carotid Aneurysms:
12. Upper Limb Ischaemia:
Cardiac Embolism: Arterial Embolism:
Thrombosis Blood clots within an Mesenteric Artery Aneurysms: XXXXXX
artery caused by
progressive
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atherosclerotic 4. Diabetic Foot:
obstruction,
13. Venous Ulcers:
hypercoaguability, or Definition, Aetiology and Pathophysiology:
arterial dissection
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A group of syndromes in which neuropathy,
Management: ischaemia and infection lead to tissue breakdown. Classification of Ulcers:
Venous, arterial, diabetic, neuropathic, malignant,
NO definitive treatment various modalities 5. Deep Vein Thrombosis and Pulmonary traumatic
available Embolism:

3. Arterial Aneurysms: XXXXXX

Definitions: XXXXXX

XXXXXX 6. Extracranial Cerebrovascular Disease:

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