PVD systemic vasculitis

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PVD systemic vasculitis
2014-02-11 20:33:47
BC CRNA Adv Principles

Greg said not to spend too much time on this.
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  1. Buerger's Disease
    • Also called thromboangitis obliterans
    • This condition causes inflammation and clots in the blood vessels in your arms and legs
    • Signs and symptoms can include pain in hands, arms, feet and legs, and ulcers on fingers and toes
    • This disorder is strongly associated with cigarette smoking
    • Jewish males 20 to 40 years old
  2. Takayasu's Arteritis
    • This form of vasculitis includes the largest arteries in the body, including the aorta
    • Typically occurs in young women (Asian females)
    • Signs and symptoms include back pain, arm weakness or pain with use (claudication), decreased or absent pulses, lightheadedness, headaches, and visual disturbances
    • Usually require pre-op corticosteroids
  3. Kawasaki Disease
    • Also known as mucocutaneous lymph node syndrome
    • This condition most often affects children younger than 5 years of age
    • Signs and symptoms include fever, skin rash and eye inflammation
    • Intraop complications: MI, Cerebral hemorrhage
  4. Giant Cell Arteritis (GCA): Temporal Arteritis
    • This condition, which usually occurs in people older than 50, is an inflammation of the arteries in your neck, upper body, arms, and — most often — head, especially the temples
    • Most common type of vasculitis in the United States
    • Can cause headaches, scalp tenderness, jaw pain, blurred or double vision, and even blindness
    • Often associated with polymyalgia rheumatica and stiffness and aching in the neck, shoulder and hip girdle regionsTreatment is corticosteroids
  5. Raynaud’s Phenomenon
    • Cold induced arterial spasm of extremities
    • Often found in adult females: associated with scleroderma, SLE
    • Necessary to maintain intraoperative body temperature and avoid vasoconstrictors with regional anesthesia
    • Treatment is reserpine, guanethidine and stellate ganglion block
  6. Wegener's Granulomatosis
    • This condition causes inflammation of the blood vessels in your nose, sinuses and throat, lungs, and kidneys.
    • Signs and symptoms can include shortness of breath, nasal pain and stuffiness, nosebleeds, and ulcers in your nose
    • Also involves multiple organ systems with necrotizing granulomas in inflamed vessels
    • Patients may be immuno-suppressed due to treatment with cyclophosphomide
  7. Polyarteritis Nodosa
    • This form of vasculitis affects small to medium sized blood vessels in many different parts of the body, including your skin, heart, kidneys, peripheral nerves, muscles and intestines
    • Signs and symptoms include purpura, skin ulcers, muscle and joint pain, abdominal pain, and high blood pressure (hypertension)
    • Patients may also exhibit myocardial ischemia, peripheral neuropathies, glomerulitis, seizures
    • Found in females 20 to 60 years of age
  8. Moyamoya Disease
    • Presents as a narrowing or occlusion of both internal carotid arteries
    • May cause TIAs in children and intracerebral hemorrhage and intracranial aneurysms in adults
    • May pose a challenge intraoperatively between balancing cerebral blood flow and cerebral O2 requirements
    • Postop complications may include hypo and hyper capnia, hypotension and hypovolemia