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Vascular Disorders

Author: James Carmichael

Aneurysms     [Back To Top] 

  • Pulsatile , tender mass
  • Vasospastic symptoms
  • Digit ischaemia and/or gangrene from Embolic showers from mural thrombi
  • Adjacent nerve compression
  • May be erythematous and mimic an abscess
  • Systolic bruit or thrill
  • Allen's test may be positive if the aneurysm is occluded, also perform digital Allen's test

Treatment

  • Surgery recommended due to risk of thrombosis and peripheral embolism
  • Reconstruction versus resection
  • Choice guided by adequacy of digital blood flow after resection


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