Peripheral Aneurism - Medtick

Peripheral Aneurism

What is it?

A weak area of a blood vessel that expands or bulges, it mainly occur in the popliteal artery (though it can affect other arteries), which runs down the back of the lower thigh and knee.

It can also affect the arm.

Diagnosis Tests

  • One can try the Homan sign (see images above) and use as a guide to see if have symptoms of Deep Vein Thrombosis in legs.
  • One can consider the Wells scoring system and use as a guide to see if have symptoms of Deep Vein Thrombosis.
  • Other test include:
    • Blood test -D-dimer assay; levels of antithrombin III, N-terminal pro-brain natriuretic peptide, and C-reactive protein; and erythrocyte sedimentation rate
      • The D-dimer level may be elevated in any medical condition where clots form, including trauma, recent surgery, haemorrhage (bleeding), cancer, and sepsis.
      • Many of these conditions are associated with higher risk for DVT.
      • D-dimer levels remain elevated in DVT for about 7 days

Results

  • A negative D-dimer assay result rules out DVT in patients with low to moderate risk (Wells DVT score < 2).
  • A negative result also obviates surveillance and serial testing in patients with moderate to high risk and negative ultrasonographic findings.
  • All patients with a positive D-dimer assay result and all patients with a moderate to high risk for DVT (Wells DVT score >2) require a diagnostic study (duplex ultrasonography).

Medscape

Cause

Syndromes

Medication

Increased risk when have and/or do:

Symptoms

  • Pulsating lump that can be felt?
  • Leg or arm pain or cramping with exercise?
  • Leg or arm pain at rest?
  • Painful sores or ulcerations involving toes or fingers?
  • Radiating pain or numbness in leg or arm?
  • Black or dark green bruised skin on lump and surrounding area?
  • One or both arms or ankles/legs swollen respectively?
  • Mild fever?

Complications /Information to beware of/General tips:

Medical Emergency Condition

And/or do not wait, phone for an ambulance if have or develop:


This condition can lead to:

If the blood flow to the legs becomes severely restricted, critical limb ischaemia (CLI) can develop. CLI is an extremely serious complication that can be challenging to treat. Symptoms of CLI include:

  • A severe burning pain in your legs and feet that continues even when you’re resting
  • Your skin turning pale, shiny, smooth and dry
  • Wounds and ulcers (open sores) on your feet and legs that do not heal
  • Loss of muscle mass in your legs
  • The skin on your toes or lower limbs becoming cold and numb, turning red and then black, and/or beginning to swell and produce smelly pus, causing severe pain (gangrene)

NHS


This condition can cause the symptom:


This condition may show similar symptoms to:

Please talk to your healthcare professional (i.e. Medical Doctor/Pharmacist) for further advice

Detailed Information

Please copy and paste any key words from the title: Peripheral Aneurism in the following respective 'Medtick References and/or Sources' to find out more about the disease (this also may include diagnosis tests and generic medical treatments).

  • NHS

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  • Medscape

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  • Pharmaceutical Journal

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