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- < 5 cm in low risk patients follow with ultrasound every 6-12 months or CT
- blood pressure control
- diet, smoking
,the six P's of PAD
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1. pain with walking
2. pallor
3. paresthesias
4. paralysis
5. poikilothermia
6. presence of bruits
contraindications for compression socks
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- severe PAD/PVD with ABI < 0.6 --> will lead to critical limb ischemia
- arterial bypass
- low platelet/thrombocyotpenia
- severe HF
- severe diabetic neuropathies
non-opioid analgesics
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ketorolac, ibuprofen, acetaminophen, ketamine, oral agents for neuropathic
pain
,aortic aneurysm causes
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- chronic HTN
- atherosclerosis
- infections
- genetic/congenital
aortic dissection
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- descending: surgery, meds
- ascending: surgery, resection of the intimal tear, placement of graft
- A) open surgery
- B) open surgery or TAVR
cancer pain
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- acute or chronic
- based on pathology (cancer type)
Management of mitral regurgitation
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, - vasodilators
- diuretics
- IABP
- surgery
first line therapy for neuropathic pain
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- TCA's
- Cymbalta (SNRI)
Candidates of CABG
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- LV function good (nuclear scan)
- Age
- Extent of disease: left main CAD; triple vessel disease
DeBakey II
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aortic arch and valves