Vascular Disorders
Author: James Carmichael
Aneurysms
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Pulsatile
, tender mass
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Vasospastic
symptoms
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Digit
ischaemia
and/or gangrene from Embolic showers from mural thrombi
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Adjacent nerve compression
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May be
erythematous
and mimic an abscess
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Systolic bruit or thrill
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Allen's test may be positive if the aneurysm is occluded, also perform digital Allen's test
Treatment
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Surgery recommended due to risk of thrombosis and peripheral embolism
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Reconstruction versus resection
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Choice guided by adequacy of digital blood flow after resection
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