group B1 and B2 posting surgery, untuk seminar peripheral vascular disease this monday, mr faizal ade bagi 1 case for B1 and B2. kita kena discuss and jawab case ni sama-sama. so kitorang rasa susah nak kumpulkan sumer org sekali. Len post case ni kt sini, so kita discuss mcm mne nak buat case ni sama2 kt facebook k.
harap sumer orang alert n involve dlm discussion. InsyaAllah kita sumer dapat ilmu sama2.. group B3 and B4 and kawan2 dari posting lain sangatlah dialu-alukan..:)
An 85-year-old male with history of diabetes, HPT, hypercholesterolemia, coronary artery bypass and active tobacco use, presented with an gangrenous right first toe.
The patient stated that he had no history of trauma to the area, and complained of rest pain in the foot. The patient had been in otherwise good health since his coronary artery bypass 12 years ago.
On physical examination, the patient was in no physical distress. The patient had a well-healed median sternotomy scar. Auscultation of the heart revealed a regular rate without any murmurs.
He was obese. Abdominal examination revealed no palpable masses. The patient had bilateral femoral and popliteal pulses, but no pedal pulses. the patient had bilateral, well-healed scars from the greater saphenous vein harvest site. The right gangrenouus toe was dry without any evidence of infection.
1. define atherosclerosis, briefly outline the pathophysiology
2. what are the patient risk factor
3. how do you optimize his co mobidities?
4. you are thw HO oncall, outline your management
a) as above
b) if he present with acute pain, pale and pulseless right leg
5. what are the option of treatment
-copied from len facebook-